Designing Simulation-Based Training Scenarios for Emergency Medical first Responders

Abstract

Simulation-based training is a promising instructional approach for training military and civilian medical first responders such as EMTs. There is a need for first responder training in cognitively-based skills such as situation assessment and decision making. We are developing a training program for first responders that uses mannequin-based simulation technology effectively to fill this training need for valid meaningful scenarios that can be integrated into the curriculum and applicable for a variety of EMT skill levels. The program will provide detailed scenarios, instructions for administering the program, and measures for performance feedback. Each scenario will exercise a combination of skills and the set of scenarios will span all of the higher-level skills that have been identified as benefiting from targeted training. We discuss here the iterative process of designing and developing the first of these scenarios which has been shown to be capable of tapping into and measuring different skill levels.

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References

Hemman

E. A.

(2002). Improving EMT learning using a computer-based 3D virtual EMT simulator. Proceedings of the 2002 ATACCC Conference, Medical Modeling and Simulation.

Holzman

Cooper

Gaba

Philip

Small

Feinstein

(1995). Anesthesia crisis resource management: Real-life simulation training in operating room crises. J Clin Anesth 7: 675–87, 1995.

Jha

A. K.

Duncan

B. W.

Bates

D. W.

(1999). Simulator-based training and patient safety. http://www.ahrq.gov/clinic/ptsafety/pdf/chap45.pdf.

Kleiner

D. M.

(2002). Report of the NHTSA roundtable for reducing errors in EMS. http://www.saem.org/newsltr/2002/mar-apr/nhtsa.pdf.

Satava

(2004). From validation studies to implementation: How do we proceed? Proceedings of the Medicine Meets Virtual Reality Conference. January 14-17, 2004.

Takuhiro

Matsumoto

Mochizuki

(2003). Use of dynamic simulation for training Japanese emergency medical technicians to compensate for lack of training opportunities. International Meeting on Medical Simulation. San Diego, CA, 2003.