Simulation Training with Structured Debriefing Improves Residents' Pediatric Disaster Triage Performance

• 2012

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• Mark Cicero; Marc Auerbach; Jason Zigmont; Antonio Riera; Kevin Ching; Carl Baum
PMID: 22691308DOI: https://doi.org/10.1017/s1049023x12000775

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This article explores the efficacy of multiple-victim simulations in enhancing pediatric disaster medicine skills for pediatricians, focusing on the JumpSTART triage algorithm. The study involved a 10-victim school-shooting scenario with learners assigning triage levels and undergoing structured debriefings. Results showed significant improvement in triage performance post-debriefing, with continued enhancement even five months later. Common errors included over-triage of uninjured children with special health care needs and under-triage of head-injured, unresponsive patients. The findings highlight the importance of structured debriefings in PDM simulation education for sustained improvement in triage accuracy and the need to address specific patient assessment challenges.

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Tags

Focus Areas: Everyday Emergency; Trauma; Violence

Audience: Physicians

Emergency Management Stage: Preparedness (Prevention / Protection)

Bundles: Disaster Research Literature Review

Keywords: Clinical Competence; Disaster Planning; Education, Medical, Continuing; Education, Medical, Graduate; Educational Measurement; Emergency Medicine; Internship and Residency; Manikins; Pediatrics; Triage; Patient Simulation; Statistics; Pediatric Emergency Medicine; Disaster Medicine; Simulation Training

Institutions: Yale University; Yale New Haven Health System

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