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Effects of a Mass Casualty Incident Tabletop Simulation Educational on Response Confidence and Triage Accuracy in Paramedic Students’ Disaster

  • Journal of The Korea Society of Computer and Information
  • Abbr : JKSCI
  • 2025, 30(11), pp.291~299
  • Publisher : The Korean Society Of Computer And Information
  • Research Area : Engineering > Computer Science
  • Received : September 9, 2025
  • Accepted : October 22, 2025
  • Published : November 28, 2025

Yong-Seok Kim 1 Byoung-Gil Yoon 1 Jung-Hee Park 1

1건양대학교

Accredited

ABSTRACT

This study aimed to examine the effects of a mass casualty incident (MCI) tabletop simulation on disaster response confidence and triage accuracy among paramedic students. Tabletop simulation was selected because it provides a safe and cost-effective method that allows structured decision-making practice before full-scale drills. Unlike previous studies that primarily targeted nursing or medical students, this study focused on paramedic students, in whom evidence of training effectiveness has been scarce. A total of 60 paramedic students who had completed a disaster medicine course participated in the program, which consisted of a 10-minute introduction and a 50-minute MCI tabletop simulation with debriefing. Disaster response confidence and triage accuracy were measured before and after training and analyzed using paired t-tests. Effect sizes (Cohen’s d) were also calculated. Confidence scores increased significantly from 34.50 to 39.68 (p<0.001, d=0.82), and triage accuracy improved from 12.87 to 15.30 (p<0.001, d=0.94). Over-triage significantly decreased (p<0.001), while under-triage reduction was not significant (p=0.196). These findings suggest that MCI tabletop simulation is an effective preliminary training strategy for enhancing paramedic students’ disaster response capacity. Limitations include a single-group design, small sample size, and short-term effect evaluation. Future studies should compare tabletop with full-scale drills and assess long-term effects.

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