A remote motion analysis of mass casualty incident simulations

Background: Regular training for mass casualty incidents at physical simulation events is vital for emergency services. The preparation and execution of these simulations consume huge amounts of time, personnel, and money. It is therefore important to gather as much information as possible from each simulation while minimizing any influence on the participants, so as to keep the simulation as realistic as possible. In this paper, an analysis of GPS-based remote motion measurements of participants in a mass casualty incident simulation is presented. A combination of different evaluation methods is used to analyze the data. This could reduce the potential bias of the measurement methods. Methods: Movement patterns of participants of mass casualty incident simulations, measured by GPS loggers, were analyzed. The timeline of the simulation was segmented into event sections, based on movement patterns of participants entering or leaving defined areas. Movement patterns of participants working closely together were correlated to analyze their cooperation. Written logs created by observers on the ground were used to reconstruct the events of the simulation, to provide a comparative reference to validate the motion analysis. Results: Recorded motion patterns of the participants were found to be qualitatively related to observer logs and triage allocations, allowing a partial reconstruction of the behavior of the participants during the simulation. By analyzing the times the simulation patients left the site of events some possible misjudgments in the triage decisions were indicated. Conclusions: Analysis of movement patterns from GPS loggers and comparison with observations made on the ground showed that accurate information about the events during the simulation can be automatically delivered. Although the records of observers on the ground are vital to assess details, delegation of the automated analysis of individual and group motion could perhaps allow observers to concentrate on more specific tasks. The partially automated motion analysis methods presented should simplify the process of analyzing mass casualty incident simulations.