Virtual First Responder

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

http//www.slideshare.net/marqueA2/virtual-first-r
esponder-presentation
2
Lesson Objectives

1. Working in collaborative groups, Medical students
   will explore the use of Second Life as a training
   system to simulate disaster triage.
2. 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

• Simple Triage And Rapid Transportation
• 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
Triage Simulation Activity
Locate the victims
Assess condition

• Assign START level

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/i
  msrg/ehmtp/Shared20Documents/Triage.ppt.
• Wikipedia. (2008). Triage. Wikipedia, the free
  encyclopedia. Retrieved October 18, 2008, from
  http//en.wikipedia.org/wiki/Triage.