SimulationBased Triage Training Games for Health: Mass Casualty Care Panel

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Simulation-Based Triage Training Games for
Health Mass Casualty Care Panel
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Masscasualty Triage

• Rapid physical assessment of key physiologic
  conditions
• Provides objective systematic method for
  determining patient acuity
• Occupation scope independent
• Perishable cognitive skill
• Opposes normative care

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START Primary Triage Method
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Sim-Patient Platform
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Physiology Models

• Cardiovascular
• Beating heart
• Arterial venous compartments
• Circulating blood transport
• Tissue compartments
• Respiratory
• Ventilation waveforms
• O2 / CO2 gas exchange
• O2Hb transport / O2 dissociation
• O2 utilization / CO2 production
• Pharmacological
• IV, IM, and INH. routes
• Metabolism and excretion
• Rx effects (CV, neural, muscular)
• Other
• Cerebral pulse pressure
• Level of consciousness
• Chemical Biological agent modeling
• Traumatic sequelae

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Duke Disaster Intersession

• Two hundred sixty-one students from advanced
  degree programs
• Nursing 22.9 (n60)
• PA 19.9 (n52)
• PT 15.7 (n41)
• Medicine 37.9 (n99)
• Pharmacy 3.4 (n9)

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DDI-06

• Randomized into two groups
• Constructive
• VR
• Completed written test
• Course evaluations

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DDI Evaluation
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Training Model Primary Providers (TMPP)
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(No Transcript)
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TMPP-SBTT Task Outcomes

• Thirty-one physicians identified by the Ministry
  of Health participated in two 2-day courses.
• Participants evaluated the curriculum using a
  five point Likert scale.
• Comments were 95 positive (n75) and 5 negative
  (n4).

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Future Directions

• It has been suggested that this training, if made
  readily available to the medical first responders
  in Iraq, would make an immediate and measurable
  impact on the survivability of casualties in the
  field.

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Whats next?

• Continuing RCTs
• X-platform analysis
• Twelve month retention among DDI participants
• Continued development targeting the simulation of
  medical assessment in the austere environment.