Abstract
Simulation has been shown to improve both learner knowledge and patient outcomes. Many emergency medicine training programs incorporate simulation into their curricula to provide learners with experiences that are rare to encounter in practice, yet performance with a high degree of competence is critical. One rare encounter, which is depicted in the report, is the management of a trauma patient who was hypothermic after falling from an expedition vessel into the cold Southern Ocean. The unique scenario presented in this technical report incorporates CanMEDS learning objectives including the communicator, health advocate, and collaborator roles. Using medical simulation facilities, marine performance simulation facilities, and a video, this scenario provides teaching that is uncommon in traditional emergency medicine training. As such, it is valuable for trainees who intend to practice rural, remote, or expedition medicine, or provide coverage for ships and marine installations.
Highlights
Simulation has been shown to improve both learner knowledge and patient outcomes [1]
The use of non-traditional simulation scenarios can be valuable for trainees who intend to practice rural, remote, or expedition medicine, or provide coverage for ships and marine installations
We have developed a trauma/hypothermia scenario that takes place in the pre-hospital setting aboard a ship off the coast of Antarctica
Summary
Simulation has been shown to improve both learner knowledge and patient outcomes [1]. This scenario, while rare, provides simulated teaching and learning in an extremely challenging pre-hospital setting. Medical management occurs within limits established by the Captain, as patient care is determined by factors including sea state, rescue options, and clinical stability This unusual dynamic requires solid communication skills, as demonstrated in the learning objectives [6]. Given the impact this unique environment can have on the level of care provided, we decided to develop this scenario to utilize both a medical simulation lab and a marine simulation centre.
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