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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 ?