Pocket Nurse Shares Strategies for Running a Mass Casualty Incident Simulation Scenario

how to create a mass casualty simulation training

Pocket Nurse recently supported a mass casualty incident (MCI) at the Des Moines Area Community College (DMACC). At the event, the Pocket Nurse team got the opportunity to see the DMACC nursing, paramedic, and criminal justice students in action in a simulated multiple vehicle accident involving around 20 victims. They shared a blog post on the great educational lessons they saw from the mass casualty simulation training exercise, a few of which were:

Make a lot of blood. In general, a convincing MCI scenario needs a lot of materials. Stock up on moulage kits, bandages and gauze, manikins, and stabilization tools. Enough standardized patients (SPs) need to be recruited; both SPs and manikins should be strategically deployed.

Choose a spacious location. An MCI scenario requires space for several scenes, environmental hazards, and the healthcare students themselves. Account for a triage area, emergency vehicles, and press and community members.


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Don’t make it easy. A true MCI is chaotic, so a simulation should integrate real-world challenges. In addition to belligerent standardized patients, a simulation should have lots of noise, for instance, a car horn honking continuously or sirens from rescue vehicles. Develop difficult subtasks within the usual triage challenges. In a recent simulation, one patient with a possible neck injury was found in the bed of a pickup truck. Students had to get creative in order to transfer the patient out of the truck and over to the distant triage area.

Running an EMS program and looking for more knowledge on how to setup and run in-situ simulation training experiences in the yard? Check out the HealthySim 2-part special focusing on EMS Simulation programs sponsored by CAE Healthcare.

Learn the rest of the mass casualty simulation training secrets on the SimTalk Blog!


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