Oral Themed Presentation


Are you Prepared for a Disaster? Using Simulation for Pediatric Disaster Triage Education

Tuesday, May 15
11:00 - 12:30
Location: Neptune 1&2

Course Goal or Outcome: : This immersive, hands-on workshop will begin with an overview of pediatric disaster triage and disaster training principles. We will discuss triage algorithms, resource utilization, policies and procedures, as well as unique aspects of care of children involved in a disaster. Participants will then experience three different types of simulation modalities that may be used for disaster triage education:
1) Participants will run through a tabletop simulation exercise to highlight disaster planning and logistics of a response
2) Video game-based simulation will be used to review and apply jumpSTART/START and mass casualty triage algorithms
3) Live simulation will be used to provide an overview of triage and resource utilization
Workshop leaders will facilitate a discussion about nuances of each type of simulation, potential real life applications and integrated training strategies. Participants will discuss skill retention, just-in-time training and team dynamics. Participants will work in small groups, then share their ideas and experiences in teaching and practicing disaster exercises. Workshop leaders and participants will also review how these three simulation modalities may apply to other educational endeavors.

Learning Objectives: : 1) Participants will review and evaluate pediatric disaster triage algorithms and disaster training principles.
2) Participants will compare and contrast various simulation modalities that may be used in pediatric disaster education.
3) Participants will identify specific education gaps that simulation could address in pediatric disaster triage training.

Intended Audience: : educators, intermediate level

Relevance to the Conference: : Disasters are high-stakes, low-frequency events that may potentially overwhelm healthcare resources. Accurate and effective triage of disaster victims helps to ensure that available resources are efficiently allocated to a large number of patients with a range of immediate needs. Disaster triage is a crucial tool, yet existing education and training on this topic is limited. Simulation educational modalities are interactive and can be effective tools for disaster education. Simulation helps individual learners and teams acquire disaster-specific knowledge and skills that focus on injury and illness, policies and activation protocols, resource utilization and psychosocial issues.

Workshop Timeline: : Welcome/Introductions/Objectives (5 minutes)
Overview of pediatric disaster triage and disaster training principles (15 minutes)
Simulation stations – participants rotate through each station (60 minutes)
1. Station #1 – Tabletop exercise
2. Station #2 – Live simulation
3. Station #3 – Video game simulation
Large group discussion (10 minutes):
1. Feedback
2. Advantages and disadvantages of each type of simulation
3. Summary

Maria Carmen G. Diaz, MD, FAAP, FACEP

Medical Director of Simulation
Nemours Institute for Clinical Excellence, Nemours/Alfred I. duPont Hospital for Children
Wilmington, DE


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Mark Cicero, MD

Director, Pediatric Disaster Preparedness
Yale, CT

Mark X. Cicero MD, FAAP is an associate professor of pediatric emergency medicine (PEM) at the Yale School of Medicine, and director of the pediatric disaster preparedness program. Dr. Cicero is the principal investigator for the Pediatric Research In Disaster Education (PRIDE) network, which has been funded by the US federal agencies Emergency Medical Services for Children and the Agency for Healthcare research and quality. He has been appointed to the National Biodefense Safety Board, and chairs the pediatrics committee of the National Association of EMS Physicians.


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Travis Whitfill, MPH

Research Scientist
Yale University School of Medicine, CT

Travis Whitfill is an Associate Research Scientist in the Department of Pediatrics. His background began in molecular biology and biochemistry, after receiving scientific training at the MD Anderson Cancer Center and Duke University. He is the co-founder of several additional startup companies, including a Connecticut-based microbiome company, Azitra Inc. He brings strong background in entrepreneurship and business, and is also a partner in a venture capital fund, Bios Partners, bringing experience in public markets, drug development, and venture capital investments.

His research interests are in pediatric emergency medicine and health policy and to improve pediatric acute care across the United States.


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Barbara M. Walsh, CMQ/OE, PMP, MD

Associate Professor of Pediatrics, Director, In Situ and Mobile Outreach Simulation
Boston Medical Center, Boston University School of Medicine
Lexington, Massachusetts

Barbara Walsh is a Clinical Associate Professor in Pediatrics (PEM) at Boston Medical Center, BU School of Medicine. She started her career at UMASS PED ED where, during her time there she created a simulation program for the community called COMET: community outreach mobile education training. In this program she used simulation to train community providers on better care of critically ill children. This pilot program served as a segue for a multi-institutional collaborative called ImPACTS – Improving Pediatric Acute Care Through Simulation. This group was funded by R Baby, a private foundation, and were able to study and compare the care provider to acutely ill children across a spectrum of EDS (PEM and community). This work has been published in several journals and multiple national and international workshops have been given on this topic. Barbara is part of INSPIRE the international network of simulation-based pediatric innovations in research and education. She is a simulation expert having taken advanced simulation courses at the Center for Medical Simulation in Charlestown, MA program as well as with Laerdal. She was the Director of Pediatric Simulation at UMASS, then the director at Cohens Children’s medical center and currently the Director of Pediatric Emergency Medicine In Situ and Mobile Simulation. She also is part of the PRIDE group – Pediatric Research In Disaster Education which has created and implemented a pediatric disaster curriculum for prehospital providers as well as created a serious game, 60 seconds to survival. At BMC she is working on creating an outreach network with community sites, community health centers and with local EMS services.


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Are you Prepared for a Disaster? Using Simulation for Pediatric Disaster Triage Education

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