Accuracy Efficiency and Inappropriate Actions Using JumpSTART Triage in MCI Simulations

Medical students applied JumpSTART triage to evaluate simulated mass casualty patients (moulaged actors and computer-simulated cases) and the authors assessed overall accuracy and time required for triage, and if the performance of unnecessary steps, or failure to perform required steps, in the algorithm was associated with inaccuracy of triage designation or increased time to reach a triage decision. Increasing triage level, performance of inappropriate actions, and omission of recommended actions were all associated with increasing time to perform triage.