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A comparison of SIEVE, SORT, and START triage training effectiveness between immersive interactive 3D learning materials using virtual reality (VR-SSST) and traditional methods in mass casualty incidents

Kritsada Chumvanichaya, Chaiyaporn Yuksen, Promphet Nuanprom, Kasamon Aramvanitch

2025 · International Journal of Emergency Medicine, 18, 55 · Empirical study

Full-text sections checked

Publisher PDF, 12 pages: Methods pp. 2–7, Results/Tables 2–4 pp. 8–9, Discussion/limitations pp. 9–11

Checked 16 October 2026 · Paramedic students, Ramathibodi, Mahidol University

Thai/English summaries are project paraphrases, not official translations or endorsement of the original study.

Research question

Does VR improve mass-casualty triage learning beyond tabletop training?

Method and context

Eighty-three students were randomized to VR (42) or traditional training (41); tests, motivation surveys and one-week simulated performance followed.

Study summary

Both groups received lectures; two experts assessed practical performance on ten standardized patients.

Findings

VR had higher SORT scores (14.39 versus 12.10, Table 4) and motivation; SIEVE/START accuracy and timing differences were nonsignificant.

Contribution

Distinguishes observed procedural scores from self-reported motivation.

Interpretation limits

Authors note one institution and absent blinding; long-term retention remains unknown, and clinical effectiveness was not measured.

Connect evidence to KSEC / OBE

Project-proposed critical-appraisal evidence, not research findings or accreditation criteria from the original authors.

K
Explain the question, concepts and findings with locators in the original.
S
Compare methods, variables and limitations with another study before designing a test or CPX.
E
Separate reported results from your proposals, cite originals and examine implications for vulnerable groups.
C
Record responses to critique and revisions after new evidence. Observe behaviour repeatedly, not from a single reading.

Related learning modules

Related knowledge domains

Original-study citation

Kritsada Chumvanichaya; Chaiyaporn Yuksen; Promphet Nuanprom; Kasamon Aramvanitch (2025). A comparison of SIEVE, SORT, and START triage training effectiveness between immersive interactive 3D learning materials using virtual reality (VR-SSST) and traditional methods in mass casualty incidents. International Journal of Emergency Medicine, 18, 55. https://doi.org/10.1186/s12245-025-00850-2

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