Skip to main content

Table 1 Simulation scenarios and medical learning objectives

From: In situ simulation training in helicopter emergency medical services: feasible for on-call crews?

No.ScenarioScenario contentLearning objectivesClinical vignette
1RSI 1Subarachnoid bleedingTo safely conduct an RSI in an adult patient with subarachnoid hemorrhage with focus on induction of anesthesia and neurocritical care, team organization, and situational controlAge: 62 years
GCS: E2V2M4 = 8
BP: 198/105
HR: 85
2RSI 2Convulsions in an adult patientTo handle a difficult airway during RSI of a fitting patient and apply neuroprotective treatment early in the prehospital phaseAge: 25 years
GCS: E1V1M2 = 4
BP: 135/88
HR: 105
3Trauma 1Fall from heightTo perform a rapid sequence induction in a trauma patient and apply early neuroprotective treatment whilst managing scene safety for the whole teamAge: 18 years
GCS: E1V2M4 = 7
BP: 110/82
HR: 75
4Trauma 2Difficult access to a trauma patientTo control a trauma scene with a patient with an entrapped extremity and provide proper analgesia perform a safe trauma RSI including optimal use of the teamAge: 37 years
GCS: E4V5M6 = 15
BP: 125/80
HR: 95
5Interhospital retrievalAn ICU patient on CPAPTo undertake the interhospital transfer of a patient on CPAP and step up to BiPAP as requiredAge: 70 years
GCS: E3V5M6 = 14
BP: 105/75
HR: 84
6HypothermiaContinuous cardiopulmonary resuscitation during transportationTo initiate advanced life support and apply a mechanical chest compression device to continue CPR en-route to hospitalAge: 42 years
GCS: E1V1M1 = 3
BP: Not recordable
HR: 24
Temperature: 18.5 °C
7IntoxicationCocaine intoxicationTo treat a severely intoxicated patient whilst addressing social concerns about the patient’s wellbeingAge: 21 years
GCS: E3V3M4 = 10
BP: 190/110
HR: 135
8Paediatric RSIA child with convulsionsTo follow the algorithm for anticonvulsant treatment in a child and perform a safe pediatric RSI as a teamAge: 5 years
GCS: E1V1M1 = 3
BP: 98/52
HR: 73
  1. All scenarios also included learning objectives for non-technical skills
  2. BiPAP bilevel positive airway pressure, BP blood-pressure, CPR cardiopulmonary resuscitation, CPAP continuous positive airway pressure, E Eye response, GCS Glasgow coma scale, HR heart rate, ICU intensive care unit, M motor response, RSI rapid sequence induction, V verbal response