Abstract
The relevance of simulation as a teaching tool for medical professionals working in rural and remote contexts is apparent when low-frequency, high-risk situations are considered. Simulation training has been shown to enhance learning and improve patient outcomes in urban settings. However, there are few simulation scenarios designed to teach rural trauma management during complex medical transportation. In this technical report, we present a scenario using a medevac helicopter (Replica of Sikorsky S-92 designed by Virtual Marine Technology, St. John's, NL) at a rural community. This case can be used for training primary care physicians who are working in a rural or remote setting, or as an innovative addition to emergency medicine and pre-hospital care training programs.
Highlights
In rural and remote locations, access to resources for medical management of complex patients is often limited
We describe a scenario based on an actual case from rural Newfoundland and Labrador (NL) to teach rural family medicine and emergency residents an approach to rural trauma management and complex medical transportation
Learner Verbalizes: A – Airway is protected with C-spine control; B – Breathing is distressed and tachypnic; C – Circulation is adequate; D –Recognize GCS levels and state that GCS is 11; E – Boggy hematoma on occiput
Summary
In rural and remote locations, access to resources for medical management of complex patients is often limited. In Newfoundland and Labrador (NL), 51.7% of the population (265, 772) lives in rural and remote communities according to the 2011 census data [4] This frequently necessitates the use of medical transportation with aircraft, ambulance or ferry. 5) Management of a complex airway during medical transport (*A = Airway maintenance with cervical spine protection, B = Breathing and ventilation, C = Circulation with hemorrhage control, D = Disability/Neurologic assessment, E = Exposure and environmental control) This simulation uses hybrid simulation design, using a combination of high fidelity human patient simulator, confederates, and simulated environments. Once medical management in the rural trauma bay is completed, the HPS is transferred to the helicopter simulator, as seen in Figures 1-4, for complex airway management in a moving medevac.
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