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Virtual First Responder

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  • 1. Virtual First Responder Clinical Foundations of Medicine Elective Series Second Life Safari Marc R. Stephens University of Phoenix CMP521 Cynthia Mefford 18 October, 2008
  • 2. Lesson Objectives
    • Working in collaborative groups, Medical students will explore the use of Second Life as a training system to simulate disaster triage.
    • Students will investigate a simulated mass casualty incident scenario, gather and analyze available data, and differentiate between the levels of the START system in triaging the disaster victims.
  • 3. START
    • S imple T riage A nd R apid T ransportation
      • Method used to effectively and efficiently evaluate all of the victims during a mass casualty incident (MCI).
        • The first-arriving medical personnel will use a triage tool called a triage tag to categorize the victims by the severity of their injury.
        • Once they have a better handle of the MCI, the on-scene personnel will call in to request for the additional appropriate resources and assign the incoming emergency service personnel their tasks.
        • The victims will be easily identifiable in terms of what the appropriate care is needed by the triage tags they were administered.
        • This method was developed in 1983 by the staff members of Hoag Hospital and Newport Beach Fire Department located in California.
    (Wikipedia, 2008, Triage)
  • 4. START spectrum (Momeni, 2007, slide 10)
  • 5. Triage Systems & Tags
    • The most common classification uses the internationally accepted four color code system.
        • Red indicates high priority treatment or transfer, e.g. Massive Hemorrhage, Tension Pneumothorax.
        • Yellow signals medium priority, e.g. Isolated Simple Femur fracture.
        • Green is used for ambulatory patients, e.g. Isolated Abrasions, contusions, sprains.
        • Black for dead or those with minimal chance of survival, e.g. Massive Head Injuries, 95% coverage with third degree burns.
    (Momeni, 2007, slide 14)
  • 6. Blue Category
    • Blue category includes patients who will probably not survive but who should transported and treated after priority one (red) but before priority two (yellow) patients.
    • This would relieve prehospital personnel from making some of the decisions regarding expectant cases.
      • This category however, is not generally accepted.
    (Momeni, 2007, slide 15)
  • 7. Pre-hospital triage: START (Momeni, 2007, slide 16)
  • 8. Play2Train Facility Play2Train is a virtual training space in Second Life designed to support Strategic National Stockpile (SNS), Simple Triage and Rapid Transportation (START), Risk Communication and Incident Command System (ICS) Training. (IBAPP, 2008, screenshots)
  • 9. Triage Simulation Activity Your team arrives on the scene of a mass casualty incident…
  • 10.
    • Assign START level
    Triage Simulation Activity Locate the victims Assess condition
  • 11. Virtual First Responder Activity
    • Break into groups of 3-4 students.
    • Each group will work together to identify the 8 victims at the scene and assign each victim a color-coded triage level.
      • Students will click on the victim mannequin to simulate the initial assessment.
        • This will deliver a text notecard to the student which will identify the victim number for tracking, and describes the status of the victim.
        • Based on this data the team should make its assessment and assign a color to the victim. Each team should make note of their assessment for each victim privately (do not put colored objects on the mannequins in SL).
    • All of the groups come together for a whole-class discussion and analysis of each victim.
        • Color-coded cards are placed on victims as each case is discussed.
        • Examine the scene as a whole. Where should the emergency response vehicles rally to receive the victims?
    • Close with discuss of the activity itself.
  • 12. References
    • Idaho Bioterrorism Awareness and Preparedness Program. (2008). Training in virtual environments. IBAPP Website . Retrieved October 18, 2008, from http://irhbt.typepad.com/play2train/.
    • Momeni, A. (2007). Disaster Triage. Emergency Health Manager Training Program . Retrieved October 10, 2008, from http://talented.mui.ac.ir/imsrg/ehmtp/Shared%20Documents/Triage.ppt .
    • Wikipedia. (2008). Triage. Wikipedia, the free encyclopedia . Retrieved October 18, 2008, from http://en.wikipedia.org/wiki/Triage.