Document Detail


Simulation in a disaster drill: comparison of high-fidelity simulators versus trained actors.
MedLine Citation:
PMID:  18717651     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: High-fidelity patient simulation provides lifelike medical scenarios with real-time stressors. Mass casualty drills must construct a realistic incident in which providers care for multiple injured patients while simultaneously coping with numerous stressors designed to tax an institution's resources. This study compared the value of high-fidelity simulated patients with live actor-patients. METHODS: A prospective cohort study was conducted during two mass casualty drills in December 2006 and March 2007. The providers' completion of critical actions was tested in live actor-patients and simulators. A posttest survey compared the participants' perception of "reality" between the simulators and live actor victims. RESULTS: The victims (n = 130) of the mass casualty drill all had burn-, blast-, or inhalation-related injuries. The participants consisted of physicians, residents, medical students, clerks, and paramedics. The authors compared the team's execution of the 136 critical actions (17 critical actions x 8 scenarios) between the simulators and the live actor-patients. Only one critical action was missed in the simulator group and one in the live actor group, resulting in a miss rate of 0.74% (95% confidence interval [CI] = 0.01% to 4.5%). All questionnaires were returned and analyzed. The vast majority of participants disagreed or strongly disagreed that the simulators were a distraction from the disaster drill. More than 96% agreed or strongly agreed that they would recommend the simulator as a training tool. The mean survey scores for all participants demonstrated agreement that the simulators closely mimicked real-life scenarios, accurately represented disease states, and heightened the realism of patient assessment and treatment options during the drill with the exception of nurse participants, who agreed slightly less strongly. CONCLUSIONS: This study demonstrated that simulators compared to live actor-patients have equivalent results in prompting critical actions in mass casualty drills and increase the perceived reality of such exercises.
Authors:
Brian Gillett; Brad Peckler; Richard Sinert; Cherie Onkst; Spencer Nabors; Steven Issley; Christopher Maguire; Sagar Galwankarm; Bonnie Arquilla
Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2008-08-20
Journal Detail:
Title:  Academic emergency medicine : official journal of the Society for Academic Emergency Medicine     Volume:  15     ISSN:  1553-2712     ISO Abbreviation:  Acad Emerg Med     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-26     Completed Date:  2009-02-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9418450     Medline TA:  Acad Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1144-51     Citation Subset:  IM    
Affiliation:
Center for Advanced Clinical Skills Lab, University of South Florida, Tampa, FL, USA. bpgillett@earthlink.net
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MeSH Terms
Descriptor/Qualifier:
Computer Simulation*
Disaster Planning / methods*
Emergency Medical Services / organization & administration*
Emergency Service, Hospital / organization & administration
Humans
Mass Casualty Incidents*
Patient Simulation*
Prospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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