Dr Marc X Cicero (Yale University) briefs us and demonstrates the current manifestation of the Serious Games intervention to teach disaster triage concepts of START & JumpSTART

1. Serious Play: A Video Game For
Disaster Triage Education
Mark X Cicero, MD and Marc A Auerbach MD, MSci
Yale-New Haven Children’s Hospital
Serious Game MindMeld – Oct 1, 2015
International Network for Simulation-based Pediatric Innovation, Research and Education

2. • P: Prehospital Care Providers (Paramedics and EMTs)
• I: A web-based video game with automated feedback
• C: Live simulation with debriefing
• O1: Triage accuracy
– Overtriage
– Undertriage
• O2: Effectiveness
– Cost-comparison
– Improvement in summative live simulation
International Network for Simulation-based Pediatric Innovation, Research and Education
PICO / Research Question

3. 1. Video game-based learning of disaster triage will be
associated with better triage accuracy than no intervention,
2. Video game-based learners will approach the accuracy of
live simulation learners
3. Video game-based education for disaster triage is cost-
advantageous compared to live simulation
International Network for Simulation-based Pediatric Innovation, Research and Education
Hypotheses

4. International Network for Simulation-based Pediatric Innovation, Research and Education
Sites (08.13.2015)

5. International Network for Simulation-based Pediatric Innovation, Research and Education
Approach: Efficacy,
Effectiveness, Dissemination
Efficacy
• Intervention
(n=40): Live
simulation 
Video Game 
Live simulation 3
months later
• Play is
controlled, in a
proctored setting
• Control (n=20):
Live Simulation 
3 months later
Effectiveness
• Intervention
(n=540): Video
game players
• Proctored vs. ad lib
• Control: historical
controls (n~80) using
the same disaster
triage method
• Outcomes
• Accuracy
• Over and under
triage
Dissemination
• CECBEMS
• National release
• Commercialization

6. International Network for Simulation-based Pediatric Innovation, Research and Education
Screen Sample: View of
Patients

7. International Network for Simulation-based Pediatric Innovation, Research and Education
Screen Sample: Patient Screen

8. International Network for Simulation-based Pediatric Innovation, Research and Education
Timeline
AHRQ Funding October 2014 Funded!
Assembling programmers and
graphic designers
October 2014 Complete!
IRB Ethics Approval at Yale October 2014 Complete!
Game development November 2014-
August 2015
Complete(?)
Beta testing June – August 2015 Complete!
Efficacy Phase Sep 2015 Ongoing
Effectiveness Phase February 2016
Dissemination Phase Late 2016

9. mark.cicero@yale.edu
marc.auerbach@yale.edu
travis.whitfill@yale.edu
International Network for Simulation-based Pediatric Innovation, Research and Education
Contact Information

10. • Is the historical control in the effectiveness
phase appropriate?
• How might this game be:
– Expanded?
– Disseminated?
– Commercialized?
International Network for Simulation-based Pediatric Innovation, Research and Education
Questions for the group