Comparative study of a simulated incident with multiple victims and immersive virtual reality

Mariana Ferrandini Price, Damián Escribano Tortosa, Antonio Nieto Fernandez-Pacheco, Nuria Perez Alonso, José Joaquín Cerón Madrigal, Rafael Melendreras-Ruiz, Ángel Joaquín García-Collado, Manuel Pardo Rios, Laura Juguera Rodriguez

    Research output: Contribution to journalArticleResearch

    11 Citations (Scopus)


    © 2018 Objectives: The main objective of the study is to determine the efficiency in the execution of the START (Simple Triage and Rapid Treatment) triage, comparing Virtual Reality (VR) to Clinical Simulation (CS) in a Mass Casualty Incident (MCI). The secondary objective is to determine the stress produced in the health professionals in the two situations described. Materials: A comparative study on the efficiency and the stress during triage in a MSI was conducted. The basal and post levels of salivary α-amylase (sAA) activity were measured in all the participants before and after the simulation. Results: The percentage of victims that were triaged correctly was 87.65% (SD = 8.3); 88.3% (SD = 9.65) for the Clinical Simulation with Actors (CSA) group and 87.2% (SD = 7.2) for the Virtual Reality Simulation (VRG) group, without any significant differences (p = 0.612) between both groups. The basal sAA was 103.26 (SD = 79.13) U/L with a significant increase (p < 0.001) with respect to the post-simulation levels (182.22, SD = 148.65 U/L). The increase of sAA was 80.70 (SD = 109.67) U/mL, being greater for the CSA group than the VRG group. Conclusion: The results show that virtual reality method is as efficient as clinical simulation for training on the execution of basic triage (START model). Also, based on the sAA results, we can attest that clinical simulation creates a more stressful training experience for the student, so that is should not be substituted by the use of virtual reality, although the latter could be used as a complementary activity.
    Original languageEnglish
    Pages (from-to)48-53
    JournalNurse Education Today
    Publication statusPublished - 1 Dec 2018


    • Alpha amylase
    • Emergency medical services
    • Simulation
    • Virtual reality


    Dive into the research topics of 'Comparative study of a simulated incident with multiple victims and immersive virtual reality'. Together they form a unique fingerprint.

    Cite this