Disaster Medicine: A Multi-Modality Curriculum Designed and Implemented for Emergency Medicine Residents

Abstract

Given the large scope of impact that disasters potentiate, it is understandably difficult to teach these skills effectively. Training programs can utilize this simulation-based curriculum to better prepare the nation's emergency medicine physicians for future disasters. (Disaster Med Public Health Preparedness. 2016;10:611-614).

Use of high‐fidelity simulation technology in disasters: an integrative literature review

“…It is significant that a simulated environment with a high level of detail and organization has been successfully implemented. 19 HFS technology has been developed in recent decades. Simulation technology allows interactive and immersive activity by recreating all or part of a disaster experience without associated risks for those involved.…”

“…9 All articles only covered a disaster's preparedness phase and analyzed computerized virtual reality simulation with the intent of assessing its effectiveness for professional degree-seeking student (n = 4, 66.6%) and first responder (n = 2, 33.3%) training for natural disaster/ mass casualty incident triage or chemical/radiological decontamination. [15][16][17][18][19] Computerized virtual reality simulation was shown to be safe and cost-effective for preparing for mass casualty incidents or epidemics given its minimal resource utilization, training site flexibility, and ease of reconfiguring for training disaster-specific low-volume/highrisk skills that must be performed with accuracy. 15,16,18 Full-scale simulation combines mock injured high-fidelity manikins in a high-fidelity environment with digital videorecording and wireless communication to create realistic disaster conditions.…”

“…15,16,18 Full-scale simulation combines mock injured high-fidelity manikins in a high-fidelity environment with digital videorecording and wireless communication to create realistic disaster conditions. 19 All articles covered only the preparedness phase, and analyzed full-scale simulation with the intent for professional degree-seeking student (n = 3, 75%) and first responder (n = 1, 25%) training on various disaster management/decision-making skills for natural disaster/ mass casualty incident triage or chemical/radiological decontamination. 12,[19][20][21] High-fidelity hybrid simulation using both full-scale simulation and standardized patients had clinical superiority in teaching complex clinical skills.…”

“…19 All articles covered only the preparedness phase, and analyzed full-scale simulation with the intent for professional degree-seeking student (n = 3, 75%) and first responder (n = 1, 25%) training on various disaster management/decision-making skills for natural disaster/ mass casualty incident triage or chemical/radiological decontamination. 12,[19][20][21] High-fidelity hybrid simulation using both full-scale simulation and standardized patients had clinical superiority in teaching complex clinical skills. 19 Furthermore, full-scale simulation created a superior clinical training environment and provided the ability to repetitively 19 Augmented reality wearable smart glasses simulation displays clinical algorithm and telemedicine assistance with augmented reality displaying a triage algorithm within the glasses and using its integrated camera to connect with a senior physician.…”

“…12,[19][20][21] High-fidelity hybrid simulation using both full-scale simulation and standardized patients had clinical superiority in teaching complex clinical skills. 19 Furthermore, full-scale simulation created a superior clinical training environment and provided the ability to repetitively 19 Augmented reality wearable smart glasses simulation displays clinical algorithm and telemedicine assistance with augmented reality displaying a triage algorithm within the glasses and using its integrated camera to connect with a senior physician. All three articles covered both preparedness and response phases and analyzed augmented reality wearable glasses with the intent of assessing their usability and reliability for first responder training on mass casualty incident triage with telemedical assistance.…”