Integrating Simulation in EMS

James DiClementeProfessional Ambulance

Overview

•Tour of our Simulation and education facilities

•Setting up and organizing

•Making it feel real

•Assessing your needs

•Evaluating training effectiveness

What can we do?

•Daily simulation

•Remediation

•Skills retention

•New equipment training

•ACLS/PALS

•Case of the month

•Orientation

•Student education

•Live debriefe

•Hospital training

Apartment Sim Lab

Apartment Sim Lab

Hospital Sim Lab

Nursery Sim Lab

Nursery Sim Lab

Control Room 1

Control Room 2

Organize your lab

•Stock equipment

•Refill lots of meds

•Stock for each level of providers

•Know your audience

•Prepare extra

Organize your staff

•Keep them consistent

•Good simulation takes practice

•Train them

•Use your resources

•Know your limitations•Use outside resources when needed

Assessing you needs

•Ongoing training?

•Remediation?

•Individual

•Company wide (back boarding)

•Skill development?

•New hire?

•Skill retention?

•H.A.L.O

HALO

• Airway Management– Intubation– Bougie– Airtraq– King LT– Pedi iGel– QuickTrach

• NG/OG Tube• Needle

Decompression

• Tourniquet• CPAP w/neb• IO• Medication

Administration• LifePak

– Defib– Cardioversion– Pace– ECG Transmit

Organize your cases

Organize your results

Make it feel real

•Use real cases

•Use real gear

•Use real settings

•Play the part

DON’T VERBALIZE

Include “bystanders”

Don’t just train skills

Don’t just train skills

•Team Building

•Decision making

•Differential Diagnosis

•Skill Development

Evaluating Success

•Skill retention

•First time field success

•Evaluations

•“Scoring”

•Be objective

Not Just for In House

Simulation Integration in PALS

Not Just for In House

Simulation in Community Training

Debrief

• The learning from simulation comes from the debrief

• Use your technology to enhance the experience

• Use this opportunity for skill remediation

• Archive all your defrief sessions

QUESTIONS ?