Assessment of the Accuracy of the Medical Response to Major Incidents

The authors used objective evaluation, session recordings, and pre- and post-training self assessments by participants in five Medical Response to Major Incidents (MRMI) trainings in Europe to measure how well the trainees' perceived competencies related to the specific objectives of the training for different categories of staff. The main tool for this 2-day simulation training was a set of magnetized casualty cards that provided data to inform decisions on triage and primary management of victims of a mass casualty incident. Pre-hospital, hospital, and administrative staff all demonstrated significant improvement in perceived competencies after completing the training.