Cicero, M.X., Whitfill, T., Overly, F., et al. (2016). Pediatric Disaster Triage: A Multiple Simulation Curriculum Improves Prehospital Care Providers’ Assessment Skills. Prehospital Emergency Care. 21(2): 201-208.
Paramedics and emergency medical technicians at four training sites showed sustained improvement in primary triage decisions in three different simulations: a school shooting scenario, a multiple family house fire, and a school bus rollover. Participants completed a first simulation with debriefing, and then returned to perform a second simulation two weeks later, showing 10% improvement in triage accuracy. The improvement was sustained six months after the initial training, as demonstrated by completing a third simulation.