2020
Improving Pediatric Administrative Disaster Preparedness Through Simulated Disaster Huddles
Gross IT, Goldberg SA, Whitfill T, Liebling S, Garcia A, Alfano A, Hasdianda A, Cicero MX. Improving Pediatric Administrative Disaster Preparedness Through Simulated Disaster Huddles. Disaster Medicine And Public Health Preparedness 2020, 15: 352-357. PMID: 32172716, DOI: 10.1017/dmp.2020.10.Peer-Reviewed Original ResearchMeSH KeywordsChildDisaster PlanningEmergency Service, HospitalHumansInservice TrainingMass Casualty IncidentsConceptsPediatric EDMass casualty incidentsEmergency department staffFunctional exercisePatient outcomesDisaster preparedness effortsDisaster preparednessDepartment staffFurther studiesDidactic sessionsCasualty incidentsOverall scoreAppropriate trainingPreparedness effortsHuddlesTraining paradigmPreparednessTabletop Application of SALT Triage to 10, 100, and 1000 Pediatric Victims
McGlynn N, Claudius I, Kaji AH, Fisher EH, Shaban A, Cicero MX, Santillanes G, Gausche-Hill M, Chang TP, Donofrio-Odmann JJ. Tabletop Application of SALT Triage to 10, 100, and 1000 Pediatric Victims. Prehospital And Disaster Medicine 2020, 35: 165-169. PMID: 32054549, DOI: 10.1017/s1049023x20000163.Peer-Reviewed Original ResearchConceptsInter-rater reliabilitySingle level 1 trauma centerLevel 1 trauma centerKappa testTrauma patients ageNumber of patientsLife-saving interventionsPoor inter-rater reliabilityHypothesis/ProblemCohen's kappa testPatient agePediatric patientsTrauma centerPediatric victimsPatientsTriage categorizationTriage processSALT triageTriageIncreasing percentageInjuryRaters
2018
Correlation Between Paramedic Disaster Triage Accuracy in Screen-Based Simulations and Immersive Simulations
Cicero MX, Whitfill T, Walsh B, Diaz MCG, Arteaga GM, Scherzer DJ, Goldberg SA, Madhok M, Bowen A, Paesano G, Redlener M, Munjal K, Auerbach M. Correlation Between Paramedic Disaster Triage Accuracy in Screen-Based Simulations and Immersive Simulations. Prehospital Emergency Care 2018, 23: 83-89. PMID: 30130424, DOI: 10.1080/10903127.2018.1475530.Peer-Reviewed Original ResearchConceptsEmergency medical techniciansTriage accuracyEmergency medical services personnelEducational interventionMedical services personnelEvaluation of outcomesCohort studyMore patientsStudy completionCohort dataMedical techniciansMean numberSimilar improvementsPrevious studiesSignificant increaseAmount of improvementInterventionDisaster triageParticipantsGPS Devices in a Simulated Mass Casualty Event
Gross IT, Coughlin RF, Cone DC, Bogucki S, Auerbach M, Cicero MX. GPS Devices in a Simulated Mass Casualty Event. Prehospital Emergency Care 2018, 23: 290-295. PMID: 30118640, DOI: 10.1080/10903127.2018.1489018.Peer-Reviewed Original ResearchConceptsEmergency departmentMass casualty eventsED staffPatient tracking toolCasualty eventsGlobal Positioning SystemEmergency medicine departmentPediatric emergency medicine (PEM) fellowsEmergency medical servicesSecondary outcomesPediatric patientsPrimary outcomeMedical evaluationPatient managementMedicine departmentStaff receptionPatient careReal-time trackingGPS devicesFree-text feedbackMedical servicesPatientsPatient actorsHospitalStaff perceptions
2017
60 seconds to survival: A pilot study of a disaster triage video game for prehospital providers.
Cicero MX, Whitfill T, Munjal K, Madhok M, Diaz MCG, Scherzer DJ, Walsh BM, Bowen A, Redlener M, Goldberg SA, Symons N, Burkett J, Santos JC, Kessler D, Barnicle RN, Paesano G, Auerbach MA. 60 seconds to survival: A pilot study of a disaster triage video game for prehospital providers. American Journal Of Disaster Medicine 2017, 12: 75-83. PMID: 29136270, DOI: 10.5055/ajdm.2017.0263.Peer-Reviewed Original ResearchPediatric Disaster Triage System Utilization Across the United States
Nadeau NL, Cicero MX. Pediatric Disaster Triage System Utilization Across the United States. Pediatric Emergency Care 2017, 33: 152-155. PMID: 27055165, DOI: 10.1097/pec.0000000000000680.Peer-Reviewed Original Research
2016
Pediatric Disaster Triage: Multiple Simulation Curriculum Improves Prehospital Care Providers' Assessment Skills
Cicero MX, Whitfill T, Overly F, Baird J, Walsh B, Yarzebski J, Riera A, Adelgais K, Meckler GD, Baum C, Cone DC, Auerbach M. Pediatric Disaster Triage: Multiple Simulation Curriculum Improves Prehospital Care Providers' Assessment Skills. Prehospital Emergency Care 2016, 21: 201-208. PMID: 27749145, DOI: 10.1080/10903127.2016.1235239.Peer-Reviewed Original ResearchDevelopment of a Pediatric Mass Casualty Triage Algorithm Validation Tool
Donofrio JJ, Kaji AH, Claudius IA, Chang TP, Santillanes G, Cicero MX, Srinivasan S, Perez-Rogers A, Gausche-Hill M. Development of a Pediatric Mass Casualty Triage Algorithm Validation Tool. Prehospital Emergency Care 2016, 20: 343-353. PMID: 26808000, DOI: 10.3109/10903127.2015.1111476.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAlgorithmsChildChild, PreschoolHumansMass Casualty IncidentsReproducibility of ResultsTriageConceptsTriage designationsOutcome toolsMass casualty incidentsPediatric trauma patientsSingle Level IMCI victimsPediatric chartsRetrospective cohortPediatric patientsTrauma patientsClinical outcomesCardiopulmonary statusPediatric populationPediatric victimsTrauma systemTriage outcomesLevel IAnatomic approachTriage algorithmAmerican AcademyPatientsCohortOutcomesCasualty incidentsInterventionComparing the Accuracy of Three Pediatric Disaster Triage Strategies: A Simulation-Based Investigation
Cicero MX, Overly F, Brown L, Yarzebski J, Walsh B, Shabanova V, Auerbach M, Riera A, Adelgais K, Meckler G, Cone DC, Baum CR. Comparing the Accuracy of Three Pediatric Disaster Triage Strategies: A Simulation-Based Investigation. Disaster Medicine And Public Health Preparedness 2016, 10: 253-260. PMID: 26744228, DOI: 10.1017/dmp.2015.171.Peer-Reviewed Original ResearchMeSH KeywordsCross-Sectional StudiesEmergency Medical ServicesFemaleHumansMaleMass Casualty IncidentsPatient SimulationPediatricsProspective StudiesTriageConceptsTriage strategiesBlack patientsTriage levelRed patientsProspective cohort studyBetter patient outcomesEmergency medical services (EMS) providersCross-sectional analysisCohort studyPatient outcomesTriage outcomesMedical service providersPatientsTriageSignificant differencesTriage accuracyTriage resultsOutcomesPDT strategyParticipants
2015
Accuracy, Efficiency, and Inappropriate Actions Using JumpSTART Triage in MCI Simulations
Claudius I, Kaji AH, Santillanes G, Cicero MX, Donofrio JJ, Gausche-Hill M, Srinivasan S, Chang TP. Accuracy, Efficiency, and Inappropriate Actions Using JumpSTART Triage in MCI Simulations. Prehospital And Disaster Medicine 2015, 30: 457-460. PMID: 26323610, DOI: 10.1017/s1049023x15005002.Peer-Reviewed Original ResearchMeSH KeywordsAlgorithmsChildChild, PreschoolClinical CompetenceComputer SimulationHumansMass Casualty IncidentsPediatricsStudents, MedicalTriageComparison of Computerized Patients versus Live Moulaged Actors for a Mass-casualty Drill
Claudius I, Kaji A, Santillanes G, Cicero M, Donofrio JJ, Gausche-Hill M, Srinivasan S, Chang TP. Comparison of Computerized Patients versus Live Moulaged Actors for a Mass-casualty Drill. Prehospital And Disaster Medicine 2015, 30: 438-442. PMID: 26265451, DOI: 10.1017/s1049023x15004963.Peer-Reviewed Original Research
2014
Barriers to Pediatric Disaster Triage: A Qualitative Investigation
Koziel JR, Meckler G, Brown L, Acker D, Torino M, Walsh B, Cicero MX. Barriers to Pediatric Disaster Triage: A Qualitative Investigation. Prehospital Emergency Care 2014, 19: 279-286. PMID: 25349899, DOI: 10.3109/10903127.2014.967428.Peer-Reviewed Original ResearchA Better START for Low-acuity Victims: Data-driven Refinement of Mass Casualty Triage
Cross KP, Petry MJ, Cicero MX. A Better START for Low-acuity Victims: Data-driven Refinement of Mass Casualty Triage. Prehospital Emergency Care 2014, 19: 272-278. PMID: 25153986, DOI: 10.3109/10903127.2014.942481.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAlgorithmsArea Under CurveFemaleHospital MortalityHumansMaleMass Casualty IncidentsMiddle AgedRegistriesTriageConceptsNational Trauma DatabaseTriage levelHospital dischargePatient mortality outcomesTrauma registry dataLow-acuity patientsReceiver operator curveElderly patientsSuch patientsTrauma databaseMortality outcomesSelect subgroupRegistry dataClose monitoringEvidence-based improvementsPatientsTrauma victimsMass casualty eventsData-driven refinementIdentified factorsEvidence basisTriageSimple TriagePrimary predictorCasualty eventsCreation and Delphi-method Refinement of Pediatric Disaster Triage Simulations
Cicero MX, Brown L, Overly F, Yarzebski J, Meckler G, Fuchs S, Tomassoni A, Aghababian R, Chung S, Garrett A, Fagbuyi D, Adelgais K, Goldman R, Parker J, Auerbach M, Riera A, Cone D, Baum CR. Creation and Delphi-method Refinement of Pediatric Disaster Triage Simulations. Prehospital Emergency Care 2014, 18: 282-289. PMID: 24401167, DOI: 10.3109/10903127.2013.856505.Peer-Reviewed Original ResearchConceptsTriage levelSpecial health care needsHealth care needsPDT strategySchool bus crashModified Delphi processPediatric victimsPatient incidentsDelphi consensusTriage categoryGunshot woundsSimilar acuityGlobal assessmentAppropriate interventionsLow fidelity manikinsDelphi processHigh-fidelity manikinEvaluation toolOnline survey toolPatientsStandardized patients
2013
Head-to-Head Comparison of Disaster Triage Methods in Pediatric, Adult, and Geriatric Patients
Cross KP, Cicero MX. Head-to-Head Comparison of Disaster Triage Methods in Pediatric, Adult, and Geriatric Patients. Annals Of Emergency Medicine 2013, 61: 668-676.e7. PMID: 23465555, DOI: 10.1016/j.annemergmed.2012.12.023.Peer-Reviewed Original ResearchConceptsGlasgow Coma ScaleReceiver operator curveOperator curveTriage methodTrauma victimsNational Trauma Data BankGeriatric trauma victimsTrauma registry patientsTrauma Data BankLength of stayTriage accuracyRegistry patientsHospital dischargeSecondary outcomesComa ScaleTrauma patientsGeriatric patientsPatient mortalityEmergency departmentSubgroup analysisTriage levelLarge cohortTriage strategiesTriage assignmentMost subgroups