Original Publication
Open Access

Mass Casualty Triage and Tagging Scenario in the Pre-hospital Setting Simulated Event

Published: November 13, 2012 | 10.15766/mep_2374-8265.9264

Included in this publication:

  • Blank Feedback Form.pdf
  • Disaster Medicine and MCI Events.ppt
  • Feedback-MCI Overall.doc
  • Instructor Guide.doc
  • MCI Pre-Hospital Simulation Curriculum.doc
  • Moulage Basics & Tips.doc
  • Moulage Pictures.pdf

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.

Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.


This Mass Casualty Simulation Event was started and designed by medical students from the Emergency Medicine Interest Group in conjunction with our emergency medicine service fellows. It teaches students the essential tips and tools needed to triage, assess, and stabilize patients during a mass casualty event. We have been doing this event for at least the last 4 years with great enthusiasm from the participants. The module includes a simulation scenario file, an instructor’s guide, a PowerPoint presentation, images, basic tips, and an evaluation form. The total time to run the scenario is approximately 3 hours. Organized by students within the organization, it was put on with the assistance of emergency medicine faculty, residents, and fellows. The target audience were first- through fourth-year medical students. This past year, survey and feedback were collected from the participants of the event. Thirteen participants responded to the feedback form giving the exercise an average rating of 9.3 out of 10. Limitations to full implementation of this curriculum are mostly financial and time constraints. The professional moulage kits used are not inexpensive, but worthy investment. There are also less expensive ways to moulage patients, as instructed in the moulage basics & tips supplemental sheet. Additionally, recruiting enough actors for the scenario is also important and not always possible.

Educational Objectives

By the end of the module, learners will be able to:

  1. Understand the definition and general response to a mass casualty disaster.
  2. Understand the basic incident command structure and out-of-hospital response system during a multiple/mass casualty event.
  3. Practice the Simple Triage and Rapid Treatment (START) tool in assessing multiple patients during a mass casualty using the color tagging system.
  4. Learn to reassess the patients using the above START triage tool and give a report to incident command.
  5. Learn proper communication techniques when communicating with victims, other providers, and incident command during a mass casualty simulated event.

Author Information

  • Paul Y. Ko, MD, FACEP: State University of New York Upstate Medical University
  • Shaunna L. Escobar: State University of New York Upstate Medical University
  • Harry J. Wallus, DO: State University of New York Upstate Medical University
  • McKenna J. Knych: State University of New York Upstate Medical University
  • Anthony S. Rossettie: State University of New York Upstate Medical University
  • Christopher A. Dunham: State University of New York Upstate Medical University
  • Jay M. Scott: State University of New York Upstate Medical University

None to report.

None to report.


Ko P, Escobar S, Wallus H, et al. Mass casualty triage and tagging scenario in the pre-hospital setting simulated event. MedEdPORTAL. 2012;8:9264. https://doi.org/10.15766/mep_2374-8265.9264