High-Fidelity Simulation—Emergency Medicine

Abstract

igh-fidelity simulation (HFS) has become an essential tool for training any health care providers in virtually every field of medicine. The rimary benefit of using HFS as an educational and evaluative tool is that earners can practice medical decision-making and procedural skills on imulated patients in an environment where the risk of error will not harm n actual patient. These technologies and the educational constructs esigned around their use were developed to practice skills without ncurring risk. Medicine followed precedents set by model high reliability rganizations such the military with its war games exercises, the aeropace industry with flight training of pilots and astronauts, and the nuclear ower industry to train personnel to deal effectively and resiliently in rises situations. Bridging the gap between other industries and mediine, Gaba and DeAnda pioneered the use of simulation in anesthesia to rain anesthesiologists. Their report described the creation of a compreensive anesthesia simulation environment that re-created an operating oom. Appropriate monitoring equipment was included as was a realistic ntubation/thorax mannequin, which allowed for the formulation of ealistic problems within the operating room. Built on Gaba’s work in the 1980s, the subspecialty of anesthesia was he first to adopt it as an educational tool within the field of medicine. he first study regarding training in emergency medicine occurred in 999 and emphasized airway training. This advanced airway course used imulation to teach rapid sequence intubation skills as well as how to anage problems during rapid sequence intubation. The idea of using HFS to limit human error and improve safety was nitially introduced by the airlines and National Aeronautics and Space dministration as a Crew Resource Management (CRM) Curriculum. It as then used to create an Anesthesia Crisis Resource Management