Mariana Ferrandini Price1, Damián Escribano Tortosa2, Antonio Nieto Fernandez-Pacheco3, Nuria Perez Alonso4, José Joaquín Cerón Madrigal5, Rafael Melendreras-Ruiz6, Ángel Joaquín García-Collado6, Manuel Pardo Rios7, Laura Juguera Rodriguez4. 1. Doctoral Program in Health Sciences, Catholic University of Murcia (UCAM), Spain. 2. Department of Food and Animal Science, Faculty of Veterinary Medicine, Autonomous University of Barcelona, Spain. 3. Doctoral Program in Health Sciences, Catholic University of Murcia (UCAM), Spain; Emergency Service 061 of the Region of Murcia, Spain. 4. Emergencies and Special Unit Care, UCAM, Spain. 5. Interdisciplinar Laboratory of Clinical Analysis of Murcia University (Interlab-UMU), Campus of Excelence, University of Murcia, Spain. 6. Bachelor's Degree in Telecommunication System Engineering, UCAM, Spain. 7. Emergency Service 061 of the Region of Murcia, Spain; Emergencies and Special Unit Care, UCAM, Spain. Electronic address: mpardo@ucam.edu.
Abstract
OBJECTIVES: The main objective of the study is to determine the efficiency in the execution of the START (Simple Triage and Rapid Treatment) triage, comparing Virtual Reality (VR) to Clinical Simulation (CS) in a Mass Casualty Incident (MCI). The secondary objective is to determine the stress produced in the health professionals in the two situations described. MATERIALS: A comparative study on the efficiency and the stress during triage in a MSI was conducted. The basal and post levels of salivary α-amylase (sAA) activity were measured in all the participants before and after the simulation. RESULTS: The percentage of victims that were triaged correctly was 87.65% (SD = 8.3); 88.3% (SD = 9.65) for the Clinical Simulation with Actors (CSA) group and 87.2% (SD = 7.2) for the Virtual Reality Simulation (VRG) group, without any significant differences (p = 0.612) between both groups. The basal sAA was 103.26 (SD = 79.13) U/L with a significant increase (p < 0.001) with respect to the post-simulation levels (182.22, SD = 148.65 U/L). The increase of sAA was 80.70 (SD = 109.67) U/mL, being greater for the CSA group than the VRG group. CONCLUSION: The results show that virtual reality method is as efficient as clinical simulation for training on the execution of basic triage (START model). Also, based on the sAA results, we can attest that clinical simulation creates a more stressful training experience for the student, so that is should not be substituted by the use of virtual reality, although the latter could be used as a complementary activity.
OBJECTIVES: The main objective of the study is to determine the efficiency in the execution of the START (Simple Triage and Rapid Treatment) triage, comparing Virtual Reality (VR) to Clinical Simulation (CS) in a Mass Casualty Incident (MCI). The secondary objective is to determine the stress produced in the health professionals in the two situations described. MATERIALS: A comparative study on the efficiency and the stress during triage in a MSI was conducted. The basal and post levels of salivary α-amylase (sAA) activity were measured in all the participants before and after the simulation. RESULTS: The percentage of victims that were triaged correctly was 87.65% (SD = 8.3); 88.3% (SD = 9.65) for the Clinical Simulation with Actors (CSA) group and 87.2% (SD = 7.2) for the Virtual Reality Simulation (VRG) group, without any significant differences (p = 0.612) between both groups. The basal sAA was 103.26 (SD = 79.13) U/L with a significant increase (p < 0.001) with respect to the post-simulation levels (182.22, SD = 148.65 U/L). The increase of sAA was 80.70 (SD = 109.67) U/mL, being greater for the CSA group than the VRG group. CONCLUSION: The results show that virtual reality method is as efficient as clinical simulation for training on the execution of basic triage (START model). Also, based on the sAA results, we can attest that clinical simulation creates a more stressful training experience for the student, so that is should not be substituted by the use of virtual reality, although the latter could be used as a complementary activity.
Authors: Kyle Couperus; Scott Young; Ryan Walsh; Christopher Kang; Carl Skinner; Robyn Essendrop; Kristin Fiala; Jillian F Phelps; Zachary Sletten; Matthew T Esposito; Jason Bothwell; Chad Gorbatkin Journal: Cureus Date: 2020-05-11