Abstract

Trauma is a major cause of premature death and disability worldwide, with a disproportionate number of deaths occurring in rural and remote areas. Prehospital care is a key link in the chain of trauma survival and its role may be currently underestimated. Therefore, addressing deficiencies in prehospital trauma care may help to improve outcomes. Several potential solutions have been proposed to address the disparities that exist in rural prehospital trauma care, some of which focus on educational endeavors. Simulation-based medical education (SBME) is one cost-effective strategy to train healthcare providers in high-acuity, low-opportunity (HALO) scenarios, such as those encountered during major trauma. The aim of this technical report is to present a mass casualty simulation scenario that is intended for healthcare providers in rural and remote locations to refine their skills and comfort level with such cases. It emphasizes prehospital trauma management and effective communication skills among healthcare teams, which are two key elements in improving trauma outcomes.

Highlights

  • Trauma is a major cause of premature death and disability worldwide [1,2]

  • We have described several educational strategies that may better prepare healthcare providers, especially those in resource-poor, remote locations, to treat patients suffering from major trauma in the prehospital setting

  • Simulation-based medical education (SBME) provides an opportunity for healthcare providers to improve their knowledge and skills, becoming more comfortable with considerations of rural and remote medicine, and prehospital care [9,11,14]

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Summary

Introduction

Trauma is a major cause of premature death and disability worldwide [1,2]. Trauma deaths in rural and remote areas are disproportionately high, and they increase with the degree of rurality [1,3,4]. One initiative developed a Rural Trauma Team Development course that focused on effective assessment and resuscitation, along with team communication [13] This training resulted in reduced transport times, which may translate into improved outcomes for patients. It is well-established that simulation-based medical education (SBME) is an effective way for healthcare providers in rural areas to learn both procedural skills as well as teamwork and communication skills [9,11,14]. We describe a simulation scenario based on an actual case in rural Brazil The purpose of this simulation scenario is to teach healthcare providers an approach to rural and remote trauma care in the prehospital setting through involvement in a simulated mass casualty case. To perform a systematic trauma assessment with associated stabilization in the prehospital setting

To prepare a patient for safe transport to hospital care
Casualty identification and triage
Discussion
Conclusions
Disclosures
Renouf T
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