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Mass-Casualty Training Exercise Using High-Fidelity Computerized Simulators and Involving Time and Resource

Phillip A Jacobson¹, Paul N Severin¹, Dino P Rumoro²

¹Department of Pediatrics, Section of Critical Care, Rush University Medical Center and John H. Stroger Jr Hospital of Cook County, Chicago, IllinoisUSA.

Prehospital and Disaster Medicine

|April 13, 2021

Summary

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This summary is machine-generated.

High-fidelity simulators effectively train emergency personnel for mass-casualty incidents (MCIs) under realistic time and resource constraints. Participants found the training highly satisfactory and recommended it for essential MCI preparedness.

Area of Science:

Emergency Medicine
Medical Simulation
Disaster Preparedness

Background:

Training emergency department (ED) personnel for mass-casualty incidents (MCIs) presents unique challenges.
Innovative approaches are crucial for effective MCI preparedness.
High-fidelity computerized simulators (HFCS) offer a potential solution for realistic training.

Purpose of the Study:

To evaluate the effectiveness of HFCS in training healthcare personnel for MCIs.
To explore the value of incorporating time and resource limitations in MCI training exercises.
To assess participant satisfaction and perceived quality of the simulation-based training.

Main Methods:

Simulated an explosive blast event with 12 victims using HFCS.
Conducted five training exercises with different healthcare teams (n=42) under limited time and resources.

Keywords:

high fidelity mass casualty simulation

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Collected data through direct observation and post-exercise participant surveys (Likert scale, categorical responses).

Main Results:

Trainee satisfaction ratings averaged 4.1-4.6/5.0 and program quality/usefulness ratings were 9.2-9.5/10.0.
100% of respondents recommended the exercise for MCI training.
Observed critical resource depletion (blood, ventilators) and suboptimal triage decisions (resuscitating expectant infants, early treatment of delayed victims).

Conclusions:

A training exercise using HFCS with time and resource limitations is feasible and described.
This simulation method is a preferred training approach for healthcare personnel in MCI care.
The exercise highlighted critical areas for improvement in MCI response protocols.