Objective: To improve knowledge, skills, and confidence in mass casualty management through design and im-plementation of a formal educational curriculum.
Design: Observational study using a mixed-methods formal educational training curriculum.
Setting: Rural Emergency Medical Services (EMS) system in Pennsylvania.
Introduction: The aim of this study was to assess the effectiveness of written and moulage scenarios using video instruction for mass-casualty triage by evaluating skill retention at six months post intervention.
Methods: Prehospital personnel were instructed in the START method of mass-casualty triage using a video. Moulage and written testing were completed by each participant immediately after instruction and at six months post instruction.