@article{ref1,
title="Integration of in situ simulation into an emergency department code orange exercise in a tertiary care trauma referral center",
journal="AEM education and training",
year="2021",
author="Carmichael, Harrison and Mastoras, George and Nolan, Caroline and Tan, Hung and Tochkin, Jeffrey and Poulin, Cari and Willmore, Andrew and Posner, Glenn",
volume="5",
number="2",
pages="e10485-e10485",
abstract="OBJECTIVES: Disaster-preparedness and response are a commonly overlooked aspect of hospital policy and can frequently be outdated and undertested. Simulation-based education has become a core education modality within Canadian medical training programs. We hypothesized that integrating in situ simulation (ISS) into a hospital-wide, mass-casualty response exercise would enhance realism and our ability to identify latent safety threats (LSTs). <br><br>METHODS: Using ISS we created a simulated mass shooting scenario with 20 patients, played by actors in full moulage, presenting to a large tertiary care hospital over a 50-minute period. <br><br>RESULTS: Integrating ISS into our exercise created a realistic experience for the participants involved and improved participant education, while imparting enough systemic stress to expose LSTs associated within patient care and hospital policy. <br><br>CONCLUSION: Overall, ISS was successfully used and enhanced a large-scale test of our hospital's mass-casualty response plan.<p /> <p>Language: en</p>",
language="en",
issn="2472-5390",
doi="10.1002/aet2.10485",
url="http://dx.doi.org/10.1002/aet2.10485"
}