Evaluating the Impact of Large-Scale MCI Training on Disaster Response: Insights from Vista Forge and Hurricane Helene in Western North Carolina

Introduction: The increasing frequency and intensity of natural disasters necessitate robust and effective training for emergency responders. Large-scale multi-casualty incident (MCI) simulations offer a platform for participants to experience high-pressure scenarios that mimic real-world challenges. In February 2024, Charlotte’s Vista Forge Large MCI training exercise provided such an opportunity, involving emergency medical services (EMS) personnel, firefighters, the NC National Guard, and the Air Force. This study evaluates how participation in the Vista Forge MCI influenced responders’ performance during the subsequent real-world emergency: Hurricane Helene, which impacted Western North Carolina. By analyzing survey responses from participants, we assess the perceived effectiveness of training in enhancing readiness, coordination, and response efficiency. Methods: This study utilized a mixed-methods approach, collecting survey data from participants who attended the Vista Forge MCI in February 2024. Surveys were distributed to participants following their deployment in response to Hurricane Helene. Quantitative measures focused on self-reported improvements in readiness, response coordination, decision-making, and overall confidence. Qualitative feedback provided deeper insights into the training’s relevance and the real-world applicability of skills gained. Results: Hurricane Helene occurred in September of 2024. Due to the timeframe, the study and IRB process are currently underway but not completed. Data and full results will be available by March 2025. Conclusion: Hurricane Helene occurred in September of 2024. Due to the timeframe, the study and IRB process are currently underway but not completed. Data and full results will be available by March 2025.