Abstract

to describe the teaching strategy based on the Multiple Victims Incident (MVI) simulation, discussing and evaluating the performance of the students involved in the initial care of trauma victims. a cross-sectional, and quantitative study was performed. A realistic MVI simulation involving students, and professionals from nursery and medical schools, as well as a prehospital care team was performed. it was possible to notice that the classification according to the START method (Simple Triage and Rapid Treatment) was correct in 94.1% of the time from the analysis of 17 preestablished checklists. Following the primary evaluation with the ABCDE mnemonic, all steps were performed correctly in 70%. However, there was only supply of oxygen in high flow in 64.7% of the examination. The search for visible and hidden bleeding was performed in 70.6% of the examination. The neurological evaluation with the Glasgow coma scale and pupillary evaluation occurred in 70.6% of the victims. The victims exposure was performed in 70.6% of the examination. a simulated environment allows the consolidation and improvement of professional skills, especially when we are talking about a poorly trained area during the undergraduate program, such as the MVI. Early training and teamwork encourage clinical thinking, integration and communication, essential abilities when facing chaotic situations.

Highlights

  • The World Health Organization (WHO) defines multiple victims incident (MVI) as an event that simultaneously generates a large number of victims so that it compromises the ability to a local response routinely available[1]

  • The objective of this study was to describe the teaching strategy to undergraduates by using an MVI simulation, analysing the outcomes regarding the application of the START method and of the initial care by the ABCDE mnemonic

  • One victim who presented with parameters to be classified as yellow was considered green

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Summary

Introduction

The World Health Organization (WHO) defines multiple victims incident (MVI) as an event that simultaneously generates a large number of victims so that it compromises the ability to a local response routinely available[1]. In Brazil, the Ministry of Health calls an MVI an incident that involves a number that equals of surpasses five victims[2] Care within this scenario is dynamic and complex, demanding urgency services, organization, planning, and qualification of professionals[3,4]. This is a big challenge to be met in Brazil, where there is no line of care for trauma implemented, which is needed to face this serious public health issue[1,5]. It classifies victims by colors, red meaning immediate priority and the other colors in descending order of priority are yellow, green and black[5,8,9,10,11]

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