MACSIM ®

MACSIM was initially developed for scientific purpose and includes input- and output data complete and accurate enough to be a base for scientific evaluation of different methods in the medical response to major incidents.

One important field in which it so far has been used is comparison and evaluation of different methods for triage. The cards give sufficient data for both "physiological triage" (based on physiologic parameters, as in the "ABCD-part" of the card) and "anatomical triage" (based on anatomical findings at examination, as in the "Exposure"-part of the card).

The first study, comparing anatomical triage and Triage Sort, has recently been published and opens a new field for evaluation and also development of different methods within major incident response which is very difficult to perform as prospective studies in real incidents.

References:

Lennquist Montán K, Khorram-Manesh A, Örtenwall P, Lennquist S: Development of a new simulation model for evaluation and comparison of different triage methods. Prehosp Disast Med 2009;24(2): s 144-145

Lennquist Montán K, Khorram-Manesh A, Örtenwall P, Lennquist S: Experiences from a new simulation model designed both for training and evaluation of methodology in major incident response. Eur J Trauma Emerg Surg 2010;Suppl 1; s111

Lennquist Montán K, Khorram-Manesh A, Örtenwall P, Lennquist S: Comparative study of physiological and anatomical triage in major incidents using a new simulation model. Am J Disaster Med, 2011;6;5: 289-298