Table 1 Simulation scenarios and medical learning objectives
From: In situ simulation training in helicopter emergency medical services: feasible for on-call crews?
No. | Scenario | Scenario content | Learning objectives | Clinical vignette |
|---|---|---|---|---|
1 | RSI 1 | Subarachnoid bleeding | To safely conduct an RSI in an adult patient with subarachnoid hemorrhage with focus on induction of anesthesia and neurocritical care, team organization, and situational control | Age: 62 years GCS: E2V2M4 = 8 BP: 198/105 HR: 85 |
2 | RSI 2 | Convulsions in an adult patient | To handle a difficult airway during RSI of a fitting patient and apply neuroprotective treatment early in the prehospital phase | Age: 25 years GCS: E1V1M2 = 4 BP: 135/88 HR: 105 |
3 | Trauma 1 | Fall from height | To perform a rapid sequence induction in a trauma patient and apply early neuroprotective treatment whilst managing scene safety for the whole team | Age: 18 years GCS: E1V2M4 = 7 BP: 110/82 HR: 75 |
4 | Trauma 2 | Difficult access to a trauma patient | To 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 team | Age: 37 years GCS: E4V5M6 = 15 BP: 125/80 HR: 95 |
5 | Interhospital retrieval | An ICU patient on CPAP | To undertake the interhospital transfer of a patient on CPAP and step up to BiPAP as required | Age: 70 years GCS: E3V5M6 = 14 BP: 105/75 HR: 84 |
6 | Hypothermia | Continuous cardiopulmonary resuscitation during transportation | To initiate advanced life support and apply a mechanical chest compression device to continue CPR en-route to hospital | Age: 42 years GCS: E1V1M1 = 3 BP: Not recordable HR: 24 Temperature: 18.5 °C |
7 | Intoxication | Cocaine intoxication | To treat a severely intoxicated patient whilst addressing social concerns about the patient’s wellbeing | Age: 21 years GCS: E3V3M4 = 10 BP: 190/110 HR: 135 |
8 | Paediatric RSI | A child with convulsions | To follow the algorithm for anticonvulsant treatment in a child and perform a safe pediatric RSI as a team | Age: 5 years GCS: E1V1M1 = 3 BP: 98/52 HR: 73 |