ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
Mass Casualty Incident (MCI) training in a metropolitan university hospital: short-term experience with MAss Casualty SIMulation system MACSIM
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Reframing disaster simulation as a translational systems intervention: a design-based comparative analysis of MRMI and the Emergo Train System (ETS).BMC emergency medicine · 2026Article
- Developing a hospital response plan for mass casualties in traumatic incidents: A study protocol.Journal of education and health promotion · 2026Article
- Can a Generative Artificial Intelligence Model Be Used to Create Mass Casualty Incident Simulation Scenarios? A Feasibility Study.Healthcare (Basel, Switzerland) · 2025Article
- Article
- Use of simulation models when developing and testing hospital evacuation plans: a tool for improving emergency preparedness.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- Determining surgical surge capacity with a hybrid simulation exercise.Frontiers in public health · 2023Article
- Hospital preparedness for mass gathering events and mass casualty incidents in Matera, Italy, European Capital of Culture 2019.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
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Abstract
aimThe aim of this study was to test and validate a new hospital Mass Casualty Incident (MCI) training using MACSIM
methodsThe original MCI training format called MACSIM-PEMAF (Piano di Emergenza per il Massiccio Afflusso di Feriti, i.e., hospital disaster plan for massive influx of casualties) was developed for the Italian Society for Trauma and Emergency Surgery (SICUT) in 2016. It uses MACSIM
resultsMACSIM-PEMAF was tested over 7 courses, with a total of 258 participants. Pre- and post-course questionnaires showed a significant improvement for hospital staff in self-reported perceptions of knowledge and skills in MCI management. In total, on a 1-10 scale, all the staff increased their competencies from a value of 4.4 ± 2.5 to 7.5 ± 1.9 (p < 0.001).
conclusionMACSIM-PEMAF demonstrated efficacy in fulfilling the requirements of Italian law for PEMAF implementation, testing local resources and resilience, as well as increasing the self-reported perception of the hospital staff ability to respond to a MCI.
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Registered trials
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