The First 15 Minutes: A Novel Disaster Simulation Exercise

The objective was to describe a feasible, multidisciplinary pediatric mass casualty event (MCE) simulation format that was less than 2 h within emergency department space and equipment constraints. This was a prospective cohort study of an MCE in situ simulation program from June-October 2019. Parti...

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Bibliographic Details
Published in:Disaster medicine and public health preparedness 2023-01, Vol.17, p.e133-e133, Article e133
Main Authors: Li, Joyce, Kaziny, Brent D., Perron, Catherine, Downey, Denise, Monuteaux, Michael C., Chung, Sarita
Format: Article
Language:English
Subjects:
Child
Communication
Curricula
Didacticism
Disaster medicine
Disaster Planning
Disasters
Educational objectives
Emergency medical care
Emergency preparedness
Emergency Service, Hospital
Feedback
Hospitals
Humans
Leadership
Mass Casualty Incidents
Medical personnel
Original Research
Patients
Pediatrics
Prospective Studies
School violence
Simulation
Teams
Triage
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Summary:The objective was to describe a feasible, multidisciplinary pediatric mass casualty event (MCE) simulation format that was less than 2 h within emergency department space and equipment constraints. This was a prospective cohort study of an MCE in situ simulation program from June-October 2019. Participants rotated through 3 modules: (1) triage, (2) caring for a critical patient in an MCE setting, and (3) being in a disaster leadership role. Triage accuracy, knowledge, self-evaluation of preparedness, and MCE skills by means of pre- and post-test surveys were measured. Wilcoxon matched pairs signed rank test scores and McNemar's matched pair chi-squared test were performed to evaluate for statistically significant differences. Forty-six physicians (MD), 1 physician's assistant (PA), and 22 nurses participated over 4 simulation d. Among the MD/PA group, there was a statistically significant 7% knowledge increase (95% confidence interval [CI], 3%-11%). Nurses did not show a statistically significant knowledge difference (0.04, 95% CI, 0.04%, 14%). There was a statistically significant increase in triage and resource use preparedness ( < 0.01) for all participants. This efficient, feasible model for a multidisciplinary ED disaster drill provides a multi-modular exposure while improving both MD and PA knowledge and all staff preparedness for MCE.
ISSN:1935-7893
1938-744X
DOI:10.1017/dmp.2022.42