60 Seconds to Survival: A Multisite Study of a Screen-based Simulation to Improve Prehospital Providers Disaster Triage Skills
| Autor: | Angela Bowen, Manu Madhok, Kevin Munjal, Maria Carmen G. Diaz, David O. Kessler, Daniel J. Scherzer, Michael Redlener, Geno Paesano, Grace M. Arteaga, Barbara Walsh, Travis Whitfill, Marc Auerbach, Mark X. Cicero, Scott A Goldberg |
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| Rok vydání: | 2018 |
| Předmět: |
Scoring system
business.industry Original Contributions Significant difference 030208 emergency & critical care medicine Emergency Nursing Game play medicine.disease Triage Education Simulation training 03 medical and health sciences 0302 clinical medicine Interquartile range Emergency Medicine Emergency medical services Medicine 030212 general & internal medicine Medical emergency business Prospective cohort study |
| Zdroj: | AEM Education and Training. 2:100-106 |
| ISSN: | 2472-5390 |
| Popis: | Objectives Paramedics and emergency medical technicians (EMTs) perform triage at disaster sites. There is a need for disaster triage training. Live simulation training is costly and difficult to deliver. Screen-based simulations may overcome these training barriers. We hypothesized that a screen-based simulation, 60 Seconds to Survival (60S), would be associated with in-game improvements in triage accuracy. Methods This was a prospective cohort study of a screen-based simulation intervention, 60S. Participants included emergency medical services (EMS) personnel from 21 EMS agencies across 12 states. Participants performed assessments (e.g., check for pulse) and actions (e.g., reposition the airway) for 12 patients in each scenario and assigned color-coded triage levels (red, yellow, green, or black) to each patient. Participants received on-screen feedback about triage performance immediately after each scenario. A scoring system was designed to encourage accurate and timely triage decisions. Participants who played 60S included practicing EMTs, paramedics, and nurses as well as students studying to assume these roles. Participants played the game at least three times over 13 weeks. Results In total, 2,234 participants began game play and 739 completed the study and were included in the analysis. Overall, the median number of plays of the game was just above the threshold inclusion criteria (three or more plays) with a median of four plays during the study period (interquartile range [IQR] = 3-7). There was a significant difference in triage accuracy from the first play of the game to the last play of the game. Median baseline triage accuracy in the game was 89.7% (IQR = 82.1%-94.9%), which then increased to a median of 100% at the last game play (IQR = 87.5%-100.0%; p |
| Databáze: | OpenAIRE |
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