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The First 15 Minutes: A Novel Disaster Simulation Exercise

Published online by Cambridge University Press:  25 March 2022

Joyce Li ,
Brent D. Kaziny ,
Catherine Perron ,
Denise Downey ,
Michael C. Monuteaux  and
Sarita Chung
Joyce Li*
Affiliation:
Division of Emergency Medicine, Boston Children’s Hospital, Boston, MA, USA
Brent D. Kaziny
Affiliation:
Division of Emergency Medicine, Texas Children’s Hospital, Houston, TX, USA
Catherine Perron
Affiliation:
Division of Emergency Medicine, Boston Children’s Hospital, Boston, MA, USA
Denise Downey
Affiliation:
Division of Emergency Medicine, Boston Children’s Hospital, Boston, MA, USA
Michael C. Monuteaux
Affiliation:
Division of Emergency Medicine, Boston Children’s Hospital, Boston, MA, USA
Sarita Chung
Affiliation:
Division of Emergency Medicine, Boston Children’s Hospital, Boston, MA, USA
*
Corresponding author: Joyce Li, Email: Joyce.li@childrens.harvard.edu.
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Abstract

Objective:

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.

Methods:

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.

Results:

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 (P < 0.01) for all participants.

Conclusion:

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.

Keywords

disaster preparednesssimulation trainingpediatric emergency medicine
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 17 , 2023 , e133
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

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