SIMULATION IN PREHOSPITAL EDUCATION KIM D. MCKENNA M.ED. RN EMT-P
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SIMULATION IN PREHOSPITAL EDUCATION
KIM D. MCKENNA M.ED. RN EMT-P
OBJECTIVES
• List simulation modalities • Outline benefits and barriers to use of simulation in
EMS education • Describe benefits of interprofessional simulation • Identify benefits and draw-backs to mass casualty
simulations
WHAT IS SIMULATION? Techniques that imitate prehospital patient situations and are designed to demonstrate procedures, decision-making, and critical thinking. Jeffries, 2005; McKenna et al. 2015
ADVANTAGES OF SIMULATION
• Provides ‘standard’ experiences
• Allows practice for low frequency high-risk situations
• Permits skill development without patient risk
BARRIERS TO SIMULATION
• Faculty training • Personnel
support • Equipment
31% of programs have
simulation equipment sitting idle or unused
SUPER, McKenna et al. 2015
HOW DO WE USE SIMULATION?
• Hiring or promotion
• Skills
• Situational awareness
• Improving safety
• Communication
• Clinical decision-making
• Remediation
• Promoting team work
HOW DO WE USE SIMULATION?
• Hiring or promotion
• Skills
• Situational awareness
• Improving safety
• Communication
• Clinical decision-making
• Remediation
• Promoting team work
HOW DO WE USE SIMULATION?
• Hiring or promotion
• Skills
• Situational awareness
• Improving safety
• Communication
• Clinical decision-making
• Remediation
• Promoting team work
MASS CASUALTY INCIDENT TRAINING
• Goals should be to improve core response competencies such as • Communication • Incident management • Triage
• Should include multiple disciplines to prevent “silos”, identify problems, and build teams
Glow et al., 2013
2010 - MASTERCARD INTERNATIONAL
INTERPROFESSIONAL SIMULATION?
BENEFITS
• More positive attitudes toward teamwork and collaboration
• Improved relationships
• Role clarification
• Viewing others in a positive manner
BARRIERS
• Scheduling
• Class size
• Program proximity
• Administrative buy-in
• Faculty resistance
• Scope of practice boundaries
2011 – STRUCTURAL COLLAPSE – KMART
2011 – STRUCTURAL COLLAPSE – KMART
Mayday
MEMC – MANUFACTURER WITH HAZMAT
MANUFACTURER WITH HAZMAT
MANUFACTURER WITH HAZMAT
TORNADO AFFECTING A WIDE AREA - 2013
Augusta Missouri
Bus collision with car Patients were guests at a winery Night-time challenges
2014 - RACTAC
St. Charles Community College
GOAL: RESPOND TO A MASS SHOOTING EVENT
• Four stations followed by a scenario • Triage • Moving patients • “Walking with police” • Chest decompression/TK
application
TORNADO IN A RURAL PARK
CARDIOCEREBRAL RESUSCITATION – 2015 LINDENWOOD UNIVERSITY
Objectives: Introduce pit crew approach to resuscitation Use feedback modes to improve CPR effectiveness Review MACC procedure Practice a variety of scenarios. Review incident command
CARDIOCEREBRAL RESUSCITATION
FUTURE GOALS
• CCR refresher training November • Planning meeting for 2016 MCI scheduled in
January • Plan to introduce SALT triage
REFERENCES
• Gaba, D. M. (2004). The future vision of simulation in health care. Qual Saf Health Care, 13(13). doi:10.1136/qshc.2004.009878
• McKenna, K. D., Carhart, E., Bercher, D., Spain, A., Todaro, J., & Freel, J. (2015). Simulation use in paramedic education research (SUPER): a descriptive study. PEC, 9. doi:10.3109/10903127.2014.995845
• McKenna, K. D., Carhart, E., Bercher, D., Spain, A., Todaro, J., & Freel, J. l. Factors Related to Paramedic Program Interprofessional Simulation. Poster Presentation. The International Meeting on Simulation in Healthcare. New Orleans, LA., January, 2015. Abstract published in Simulation in Healthcare. 9(6), December, 2014.
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