Henri de Lesquen, Raphael Paris, Marguerite Fournier, Jean Cotte, Anthony Vacher, Damien Schlienger, Jean Philippe Avaro, Bruno de La Villeon
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Phase 1 lectures reviewed French Forward Combat Casualty Care (FFCCC) practices based on the acronym MARCHE (Massive bleeding, Airway, Respiration, Circulation, Head, hypothermia, Evacuation) for the detection of care priorities and implementation of life-saving interventions, triage, and medical evacuation (MEDEVAC) requests. Phase 2 was a case-control study that consisted of a traditional text-based simulation of MCIs (control group) or SG training (study group). Phase 3 was clinical: military students had to simultaneously manage five combat casualties in a prehospital setting. MCI management was evaluated using a standard 20-item scale of FFCCC benchmarks, 9-line MEDEVAC request, and time to evacuate the casualty collection point (CCP). Emotional responses of study participants were secondarily analyzed.</p><p><strong>Results: </strong>Among the 81 postgraduate military students included, 38 took SG training, and 35 trained with a text-based simulation in Phase 2. Regarding the error rates made during STX (Phase 3), SG improved FFCCC compliance (11.9% vs. 23.4%; p < .001). Additionally, triage was more accurate in the SG group (93.4% vs. 88.0%; p = .09). SG training mainly benefited priority and routine casualties, allowing faster clearance of the CCP (p = .001). Stress evaluations did not demonstrate any effect of immersive simulation.</p><p><strong>Conclusion: </strong>A brief SG-based curriculum (2 hours) improved FFCCC performance and categorization of casualties in MCI STX.</p>","PeriodicalId":53630,"journal":{"name":"Journal of special operations medicine : a peer reviewed journal for SOF medical professionals","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Toward A Serious Game to Help Future Military Doctors Face Mass Casualty Incidents.\",\"authors\":\"Henri de Lesquen, Raphael Paris, Marguerite Fournier, Jean Cotte, Anthony Vacher, Damien Schlienger, Jean Philippe Avaro, Bruno de La Villeon\",\"doi\":\"10.55460/IJCP-BLY6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>To prepare military doctors to face mass casualty incidents (MCIs), the French Army Health Service contributed to the development of TRAUMASIMS, a serious game (SG) for training medical responders to MCIs.</p><p><strong>Methods: </strong>French military doctors participated in a three-phase training study. The initial war trauma training was a combination of didactic lectures (Phase 1), laboratory exercises (Phase 2), and situational training exercises (STX) (Phase 3). Phase 1 lectures reviewed French Forward Combat Casualty Care (FFCCC) practices based on the acronym MARCHE (Massive bleeding, Airway, Respiration, Circulation, Head, hypothermia, Evacuation) for the detection of care priorities and implementation of life-saving interventions, triage, and medical evacuation (MEDEVAC) requests. Phase 2 was a case-control study that consisted of a traditional text-based simulation of MCIs (control group) or SG training (study group). Phase 3 was clinical: military students had to simultaneously manage five combat casualties in a prehospital setting. MCI management was evaluated using a standard 20-item scale of FFCCC benchmarks, 9-line MEDEVAC request, and time to evacuate the casualty collection point (CCP). 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引用次数: 1
摘要
简介:为了让军医做好面对大规模伤亡事件(MCIs)的准备,法国陆军卫生局参与开发了一款训练大规模伤亡事件医疗反应者的严肃游戏——trauma - asims (SG)。方法:法国军医参加三期训练研究。最初的战争创伤训练是教学讲座(第一阶段)、实验室演习(第二阶段)和情境训练演习(STX)(第三阶段)的结合。第一阶段的讲座回顾了基于MARCHE(大出血、气道、呼吸、循环、头部、体温过低、撤离)首字母缩写的法国前线战斗伤亡护理(FFCCC)实践,以发现护理重点和实施救生干预、分流和医疗撤离(MEDEVAC)请求。第二阶段是一项病例对照研究,包括传统的基于文本的MCIs模拟(对照组)或SG训练(研究组)。第三阶段是临床阶段:军校学生必须在院前环境中同时处理5名战斗伤员。MCI管理采用FFCCC基准的20项标准量表、9行医疗后送请求和疏散伤员集合点(CCP)的时间进行评估。其次分析研究参与者的情绪反应。结果:81名军校研究生中,38人接受SG训练,35人接受第二阶段文本模拟训练。关于STX(第3阶段)期间的错误率,SG提高了FFCCC合规性(11.9% vs. 23.4%;P < 0.001)。此外,SG组的分诊更准确(93.4% vs 88.0%;P = .09)。SG训练主要有利于优先和常规伤亡,允许更快地清除CCP (p = .001)。压力评估没有显示沉浸式模拟的任何效果。结论:一个简短的以sg2小时为基础的课程提高了FFCCC的表现和MCI STX的伤亡分类。
Toward A Serious Game to Help Future Military Doctors Face Mass Casualty Incidents.
Introduction: To prepare military doctors to face mass casualty incidents (MCIs), the French Army Health Service contributed to the development of TRAUMASIMS, a serious game (SG) for training medical responders to MCIs.
Methods: French military doctors participated in a three-phase training study. The initial war trauma training was a combination of didactic lectures (Phase 1), laboratory exercises (Phase 2), and situational training exercises (STX) (Phase 3). Phase 1 lectures reviewed French Forward Combat Casualty Care (FFCCC) practices based on the acronym MARCHE (Massive bleeding, Airway, Respiration, Circulation, Head, hypothermia, Evacuation) for the detection of care priorities and implementation of life-saving interventions, triage, and medical evacuation (MEDEVAC) requests. Phase 2 was a case-control study that consisted of a traditional text-based simulation of MCIs (control group) or SG training (study group). Phase 3 was clinical: military students had to simultaneously manage five combat casualties in a prehospital setting. MCI management was evaluated using a standard 20-item scale of FFCCC benchmarks, 9-line MEDEVAC request, and time to evacuate the casualty collection point (CCP). Emotional responses of study participants were secondarily analyzed.
Results: Among the 81 postgraduate military students included, 38 took SG training, and 35 trained with a text-based simulation in Phase 2. Regarding the error rates made during STX (Phase 3), SG improved FFCCC compliance (11.9% vs. 23.4%; p < .001). Additionally, triage was more accurate in the SG group (93.4% vs. 88.0%; p = .09). SG training mainly benefited priority and routine casualties, allowing faster clearance of the CCP (p = .001). Stress evaluations did not demonstrate any effect of immersive simulation.
Conclusion: A brief SG-based curriculum (2 hours) improved FFCCC performance and categorization of casualties in MCI STX.