Evidence map›Paper›PMID 31139741›Full record

ArticleMedEdPORTAL : the journal of teaching and learning resources2019

A Simulated Mass Casualty Incident Triage Exercise: SimWars.

Suzanne Bentley, Laura Iavicoli, Lorraine Boehm, George Agriantonis, Barbara Dilos, Julia LaMonica, Colleen Smith, Lillian Wong, Tania Lopez, Anju Galer and 1 more

Erratum issuedOpen access · diamondAbstract read
In one paragraph

Article in MedEdPORTAL : the journal of teaching and learning resources, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Mass casualty training for prehospital and emergency providers in Kigali, Rwanda: a quasi-experimental pre-post educational study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026
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  15. Disaster Preparedness Training for Emergency Medicine Residents Using a Tabletop Exercise.MedEdPORTAL : the journal of teaching and learning resources · 2021
    Article
  16. Correction: A Simulated Mass Casualty Incident Triage Exercise: SimWars.MedEdPORTAL : the journal of teaching and learning resources · 2019
    Article
  17. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Suzanne BentleyMedical Director, Simulation Center, NYC Health + Hospitals/Elmhurst.
Laura IavicoliAssociate Director, Emergency Department, NYC Health + Hospitals/Elmhurst.
Lorraine BoehmSimulation Specialist, Simulation Center, NYC Health + Hospitals/Elmhurst.
George AgriantonisDirector, Trauma, NYC Health + Hospitals/Elmhurst.
Barbara DilosDirector, Anesthesia, NYC Health + Hospitals/Elmhurst.
Julia LaMonicaAssociate Nurse Practitioner, Emergency Medicine, NYC Health + Hospitals/Elmhurst.
Colleen SmithAssistant Program Director, Emergency Medicine Residency, NYC Health + Hospitals/Elmhurst.
Lillian WongAttending Physician, Emergency Medicine, NYC Health + Hospitals/Elmhurst.
Tania LopezAssistant Program Director, Pediatric Residency, NYC Health + Hospitals/Elmhurst.
Anju GalerTrauma Program Manager, NYC Health + Hospitals/Elmhurst.
Stuart KessleDirector, Emergency Medicine, NYC Health + Hospitals/Elmhurst.
Elmhurst Hospital Center · USIcahn School of Medicine at Mount Sinai · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This multipatient simulation exercise encompasses triage by hospital medical providers during a mass casualty incident (MCI) involving gas line explosion with building collapse. The SimWars format allows two teams to participate in identical simulations coupled with active audience observation, followed by facilitated group discussion. The exercise requires real-time knowledge application of MCI management and helps learners develop a framework for rapidly classifying and dispositioning MCI patients. Methods: Two teams of provider pairs completed MCI triage of 12 simulated patients in 8 minutes with an objective of quickly and accurately dispositioning within hospital bed availability. Participants included emergency medicine and surgery physicians, with active observation by mixed provider audiences. Observers completed a checklist per patient (category: urgent/emergent/not emergent, disposition: bed type/location). At simulation conclusion, a 45-minute facilitated discussion compared observers' self-assessment of MCI patient management with the simulation teams' decisions. Finally, an expert panel discussed management decisions and MCI triage pearls. Results: Team performances ( Discussion: The two-team format allows comparison of how different teams handle MCI triage, and active observation allows comparison of audience and team decision making.

Indexed as

CommunicationEmergency MedicineMass Casualty IncidentsSimulation TrainingSurgeonsTriageHumansInterprofessional RelationsPatient SimulationClinical Reasoning/Diagnostic ReasoningCommunication SkillsEmergency MedicineFireInterprofessional EducationMass Casualty IncidentSimulationSurgeryTraumaTriage

Identifiers

PMID31139741
PMCPMC6521923
OpenAlexW2944388114

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.