Introduction: Mass Casualty Incidents (MCI) require complex training and response, and local response in the first hours is essential. In many places worldwide, this initial local response is provided by the primary health care (PHC) network. The training method for MCI is complex and costly, and may not be integrated into the PHC network. Our objective is to measure self-perception and the impact of a brief training action through an MCI tabletop exercise carried out with primary care doctors and nurses using the “MassCas” tabletop game, specifically designed for this project. Methods: Descriptive intervention study of the impact of a two-hour training intervention in the Health Research Institute of the Principality of Asturias with primary care doctors and nurses from the Principality of Asturias. Self-perception using a Likert scale on methodology, knowledge, and skills was analyzed. We also tested knowledge retention with a multiple-choice knowledge test after two months. Strengths and weaknesses of the methodology, as well as attitudes toward mass casualty incidents, were also identified through open questions. Results: Twenty-seven doctors and nurses participated in the training program. 85% of participants improved their level of knowledge after two months without studying material. Self-perception measured 27 items in 3 dimensions: methodology (Median=9; IQR=2), knowledge (Median=10; IQR=1), and skills (Median=9; IQR=1). All items except one had a median greater than or equal to 9. All items ranked a median 8-10. Conclusion: Primary care health professionals perceive gamification using the “MassCas” tabletop game for mass casualty incidents as a useful tool in their training in mass casualty incidents and in acquiring specific knowledge and skills in this area. This study has been partially financed by the Foundation for Biosanitary Research and Innovation of the Principality of Asturias (FINBA), the managing entity of the Health Research Institute of the Principality of Asturias (ISPA).
Delgado et al. (Sun,) studied this question.