Table 3 The systematic ABCDEF approach to simulator briefing
From: How to include medical students in your healthcare simulation centre workforce
ABCDEF | Mannequin | Treatment & Equipment |
|---|---|---|
Airway | • Airway management options • Airway sounds and special effects • Speak • Blood, vomit or other Foreign Body Airway Obstruction | • Suction • Head tilt • Chin lift • Jaw thrust • Nasopharyngeal airway • Oropharyngeal airway • Oxygen devices • Supraglottic airway devices • Intubation |
Breathing | • Respiratory rate • Chest sounds • Auscultation • Cyanosis | • Ventilation • Inhalation • Pulse oximetry • Arterial blood gas • CO2 monitoring |
Circulation | • Pulse • Blood pressure • Capillary refill time • Diuresis • Lack of colours and temperature change | • Peripheral venous access • Central venous access • Intraosseous access • Fluids/blood transfusion • Blood samples • ECG • Urinary catheter |
Disability | • Level of Consciousness AVPU/GCS • Pupils | • Blood glucose |
Exposure/Environment | • Uncover patient • Signs of bleeding • Rash • Edema • Temperature • Vomiting | • Thermometer • Bandages |
Further | • Drugs (administration constraints) | • Phone/pagers • White coats • Camera (if used, and information about confidentiality) • Facilitator (placement) • Operator (placement/function) • Other equipment (defibrillator, ultrasound, ventilator etc. if used in scenario) • Other resources (call for other specialties, X-ray, OR, Resuscitation team etc.) • Documents (patient charts, Early Warning Score sheets etc) |