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Related Experiment Video

Updated: May 21, 2026

Setup and Execution Of the Blindfolded Code Training Exercise

Setup and Execution Of the Blindfolded Code Training Exercise

Published on: March 29, 2019

Simulation training with structured debriefing improves residents' pediatric disaster triage performance.

Mark X Cicero¹, Marc A Auerbach, Jason Zigmont

¹Pediatric Emergency Medicine, Yale University School of Medicine, New Haven, CT, USA. mark.cicero@yale.edu

Prehospital and Disaster Medicine

|June 14, 2012

Summary

Pediatric disaster medicine triage skills improved significantly after simulation training with structured debriefing. These improvements in pediatric mass casualty triage were maintained for at least five months.

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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

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Published on: January 15, 2017

Area of Science:

Medical Education
Disaster Medicine
Emergency Medicine

Background:

Pediatric disaster medicine (PDM) triage is a critical skill for pediatricians, mandated by the ACGME.
Simulation training is effective for preparing providers for rare, high-stakes events.
Debriefing enhances simulation efficacy by promoting reflection on performance.

Purpose of the Study:

To evaluate the effectiveness of multiple-victim simulations in teaching pediatric disaster medicine triage skills, including the JumpSTART algorithm.
To determine if structured debriefing improves triage performance in pediatric residents.

Main Methods:

A 10-victim mass casualty incident simulation was developed using adult volunteers and manikins.
Pediatrics residents participated in didactic sessions, followed by simulations and structured debriefings.
Triage performance was assessed before and after debriefing, with follow-up assessments at one week and five months.

Main Results:

Initial triage accuracy was 6.9/10 patients, improving to 8.0/10 one week post-debriefing (P < .0001).
Triage performance was maintained at 7.8/10 patients five months later (P < .0001).
Common errors included over-triage of uninjured children with special health care needs and under-triage of head-injured patients, with significant reductions over time.

Conclusions:

Structured debriefings are essential for effective PDM simulation education, leading to sustained improvements in triage accuracy.
Future curricula should focus on improving the assessment of children with special health care needs and head-injured patients during mass casualty events.