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The First 15 Minutes: A Novel Disaster Simulation Exercise.

Joyce Li1, Brent D Kaziny2, Catherine Perron1

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This study developed a short, multidisciplinary pediatric mass casualty event (MCE) simulation for emergency departments. The simulation improved physician and physician assistant knowledge and overall staff preparedness for MCEs.

Keywords:
disaster preparednesspediatric emergency medicinesimulation training

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Area of Science:

  • Emergency Medicine
  • Disaster Preparedness
  • Pediatric Care

Background:

  • Pediatric mass casualty events (MCEs) require specialized preparedness.
  • Existing simulation formats may be time-consuming or resource-intensive.
  • A feasible, multidisciplinary simulation is needed for emergency departments (EDs).

Purpose of the Study:

  • To describe a feasible, multidisciplinary pediatric MCE simulation.
  • The simulation was designed to be under 2 hours and fit within ED constraints.
  • To evaluate the impact of the simulation on participant knowledge and preparedness.

Main Methods:

  • Prospective cohort study of an in situ MCE simulation program.
  • Participants (physicians, physician assistants, nurses) rotated through triage, critical care, and leadership modules.
  • Pre- and post-test surveys measured triage accuracy, knowledge, and self-reported preparedness.

Main Results:

  • Forty-six physicians, 1 physician assistant, and 22 nurses participated.
  • Physicians and physician assistants showed a statistically significant knowledge increase (7%).
  • All participants demonstrated a significant increase in preparedness for triage and resource use.

Conclusions:

  • An efficient, feasible model for a multidisciplinary ED disaster drill was established.
  • The multi-modular simulation improved physician and physician assistant knowledge.
  • The simulation enhanced overall staff preparedness for pediatric mass casualty events.