SARSIM: Exploring the Impact of Simulation-Based Training on the Medical Skill Comfort Level of Search and Rescue Volunteers

Abstract

Introduction

Search and rescue (SAR) personnel in the United States are mostly volunteers, many of whom work in nonmedical professions. Because SAR volunteers respond to missions intermittently, their opportunities to provide patient care and maintain medical skills are limited, highlighting the need for ongoing training. This study explored the effect of high-fidelity simulation training on the medical skill comfort level of SAR volunteers.

Method

Twenty SAR volunteers participated in high-fidelity training scenarios in an academic medical simulation center. The scenarios included care of both a trauma and a medical patient along with dedicated time to practice perishable medical skills. Participant comfort level in performing patient assessments and medical skills was measured using a 5-point Likert scale, via surveys administered before and after the simulation training.

Results

A significant increase (P<0.05) in participants’ comfort level was observed across nearly all measured medical skills when comparing pre- and post-training survey responses. Participants reported the highest comfort level in obtaining vital signs and the lowest comfort level in splinting a fractured extremity. All participants stated that they would like more SAR trainings in this format in the future and that the training modality helped identify gaps in their medical skills.

Conclusions

High-fidelity simulation training improved the comfort level of SAR volunteers in executing medical skills. For SAR volunteers with limited opportunities to provide direct patient care, simulation training showed promise as a modality for continuing medical education to improve confidence, reinforce team dynamics, and refresh skills.