A Simulated Mass Casualty Incident Triage Exercise: SimWars

Introduction This multipatient simulation exercise encompasses triage by hospital medical providers during a mass casualty incident (MCI) involving gas line explosion with building collapse. The SimWars format allows two teams to participate in identical simulations coupled with active audience obse...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Suzanne Bentley, Laura Iavicoli, Lorraine Boehm, George Agriantonis, Barbara Dilos, Julia LaMonica, Colleen Smith, Lillian Wong, Tania Lopez, Anju Galer, Stuart Kessle
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2019
Materias:	Trauma Interprofessional Education Simulation Surgery Emergency Medicine Triage Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/a0df18ea754c43b49f824716653d6a12
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:a0df18ea754c43b49f824716653d6a12
record_format	dspace
spelling	oai:doaj.org-article:a0df18ea754c43b49f824716653d6a122021-11-22T13:43:47ZA Simulated Mass Casualty Incident Triage Exercise: SimWars10.15766/mep_2374-8265.108232374-8265https://doaj.org/article/a0df18ea754c43b49f824716653d6a122019-05-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10823https://doaj.org/toc/2374-8265Introduction This multipatient simulation exercise encompasses triage by hospital medical providers during a mass casualty incident (MCI) involving gas line explosion with building collapse. The SimWars format allows two teams to participate in identical simulations coupled with active audience observation, followed by facilitated group discussion. The exercise requires real-time knowledge application of MCI management and helps learners develop a framework for rapidly classifying and dispositioning MCI patients. Methods Two teams of provider pairs completed MCI triage of 12 simulated patients in 8 minutes with an objective of quickly and accurately dispositioning within hospital bed availability. Participants included emergency medicine and surgery physicians, with active observation by mixed provider audiences. Observers completed a checklist per patient (category: urgent/emergent/not emergent, disposition: bed type/location). At simulation conclusion, a 45-minute facilitated discussion compared observers’ self-assessment of MCI patient management with the simulation teams’ decisions. Finally, an expert panel discussed management decisions and MCI triage pearls. Results Team performances (N = 4) and audience responses (N = 164) were similar on seven of 12 patients, allowing robust discussion. Participants completed an evaluation at exercise conclusion; 37% reported good/excellent ability to accomplish MCI initial triage and disposition before this exercise compared to 100% after, a statistically significant 63% increase. All postsurvey respondents agreed or strongly agreed that the exercise would change their MCI clinical practice. Discussion The two-team format allows comparison of how different teams handle MCI triage, and active observation allows comparison of audience and team decision making.Suzanne BentleyLaura IavicoliLorraine BoehmGeorge AgriantonisBarbara DilosJulia LaMonicaColleen SmithLillian WongTania LopezAnju GalerStuart KessleAssociation of American Medical CollegesarticleTraumaInterprofessional EducationSimulationSurgeryEmergency MedicineTriageMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 15 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Trauma Interprofessional Education Simulation Surgery Emergency Medicine Triage Medicine (General) R5-920 Education L
spellingShingle	Trauma Interprofessional Education Simulation Surgery Emergency Medicine Triage Medicine (General) R5-920 Education L Suzanne Bentley Laura Iavicoli Lorraine Boehm George Agriantonis Barbara Dilos Julia LaMonica Colleen Smith Lillian Wong Tania Lopez Anju Galer Stuart Kessle A Simulated Mass Casualty Incident Triage Exercise: SimWars
description	Introduction This multipatient simulation exercise encompasses triage by hospital medical providers during a mass casualty incident (MCI) involving gas line explosion with building collapse. The SimWars format allows two teams to participate in identical simulations coupled with active audience observation, followed by facilitated group discussion. The exercise requires real-time knowledge application of MCI management and helps learners develop a framework for rapidly classifying and dispositioning MCI patients. Methods Two teams of provider pairs completed MCI triage of 12 simulated patients in 8 minutes with an objective of quickly and accurately dispositioning within hospital bed availability. Participants included emergency medicine and surgery physicians, with active observation by mixed provider audiences. Observers completed a checklist per patient (category: urgent/emergent/not emergent, disposition: bed type/location). At simulation conclusion, a 45-minute facilitated discussion compared observers’ self-assessment of MCI patient management with the simulation teams’ decisions. Finally, an expert panel discussed management decisions and MCI triage pearls. Results Team performances (N = 4) and audience responses (N = 164) were similar on seven of 12 patients, allowing robust discussion. Participants completed an evaluation at exercise conclusion; 37% reported good/excellent ability to accomplish MCI initial triage and disposition before this exercise compared to 100% after, a statistically significant 63% increase. All postsurvey respondents agreed or strongly agreed that the exercise would change their MCI clinical practice. Discussion The two-team format allows comparison of how different teams handle MCI triage, and active observation allows comparison of audience and team decision making.
format	article
author	Suzanne Bentley Laura Iavicoli Lorraine Boehm George Agriantonis Barbara Dilos Julia LaMonica Colleen Smith Lillian Wong Tania Lopez Anju Galer Stuart Kessle
author_facet	Suzanne Bentley Laura Iavicoli Lorraine Boehm George Agriantonis Barbara Dilos Julia LaMonica Colleen Smith Lillian Wong Tania Lopez Anju Galer Stuart Kessle
author_sort	Suzanne Bentley
title	A Simulated Mass Casualty Incident Triage Exercise: SimWars
title_short	A Simulated Mass Casualty Incident Triage Exercise: SimWars
title_full	A Simulated Mass Casualty Incident Triage Exercise: SimWars
title_fullStr	A Simulated Mass Casualty Incident Triage Exercise: SimWars
title_full_unstemmed	A Simulated Mass Casualty Incident Triage Exercise: SimWars
title_sort	simulated mass casualty incident triage exercise: simwars
publisher	Association of American Medical Colleges
publishDate	2019
url	https://doaj.org/article/a0df18ea754c43b49f824716653d6a12
work_keys_str_mv	AT suzannebentley asimulatedmasscasualtyincidenttriageexercisesimwars AT lauraiavicoli asimulatedmasscasualtyincidenttriageexercisesimwars AT lorraineboehm asimulatedmasscasualtyincidenttriageexercisesimwars AT georgeagriantonis asimulatedmasscasualtyincidenttriageexercisesimwars AT barbaradilos asimulatedmasscasualtyincidenttriageexercisesimwars AT julialamonica asimulatedmasscasualtyincidenttriageexercisesimwars AT colleensmith asimulatedmasscasualtyincidenttriageexercisesimwars AT lillianwong asimulatedmasscasualtyincidenttriageexercisesimwars AT tanialopez asimulatedmasscasualtyincidenttriageexercisesimwars AT anjugaler asimulatedmasscasualtyincidenttriageexercisesimwars AT stuartkessle asimulatedmasscasualtyincidenttriageexercisesimwars AT suzannebentley simulatedmasscasualtyincidenttriageexercisesimwars AT lauraiavicoli simulatedmasscasualtyincidenttriageexercisesimwars AT lorraineboehm simulatedmasscasualtyincidenttriageexercisesimwars AT georgeagriantonis simulatedmasscasualtyincidenttriageexercisesimwars AT barbaradilos simulatedmasscasualtyincidenttriageexercisesimwars AT julialamonica simulatedmasscasualtyincidenttriageexercisesimwars AT colleensmith simulatedmasscasualtyincidenttriageexercisesimwars AT lillianwong simulatedmasscasualtyincidenttriageexercisesimwars AT tanialopez simulatedmasscasualtyincidenttriageexercisesimwars AT anjugaler simulatedmasscasualtyincidenttriageexercisesimwars AT stuartkessle simulatedmasscasualtyincidenttriageexercisesimwars
_version_	1718417570230435840

A Simulated Mass Casualty Incident Triage Exercise: SimWars

Ejemplares similares