1. Integrating Simulation in EMS James DiClemente Professional Ambulance

2. Overview Tour of our Simulation and education facilities Setting up and organizing Making it feel real Assessing your needs Evaluating training effectiveness

3. What can we do? Daily simulation Remediation Skills retention New equipment training ACLS/PALS Case of the month Orientation Student education Live debriefe Hospital training

4. Apartment Sim Lab

6. Hospital Sim Lab

7. Nursery Sim Lab

9. Control Room 1

10. Control Room 2

11. Organize your lab Stock equipment Refill lots of meds Stock for each level of providers Know your audience Prepare extra

12. Organize your staff Keep them consistent Good simulation takes practice Train them Use your resources Know your limitations Use outside resources when needed

13. Assessing you needs Ongoing training? Remediation? Individual Company wide (back boarding) Skill development? New hire? Skill retention? H.A.L.O

14. HALO Airway Management – Intubation – Bougie – Airtraq – King LT – Pedi iGel – QuickTrach NG/OG Tube Needle Decompression Tourniquet CPAP w/neb IO Medication Administration LifePak – Defib – Cardioversion – Pace – ECG Transmit

15. Organize your cases

16. Organize your results

17. Make it feel real Use real cases Use real gear Use real settings Play the part DON’T VERBALIZE

18. Include “bystanders”

19. Don’t just train skills

20. Team Building Decision making Differential Diagnosis Skill Development

21. Evaluating Success Skill retention First time field success Evaluations “Scoring” Be objective

22. Not Just for In House Simulation Integration in PALS

23. Not Just for In House Simulation in Community Training

24. Debrief The learning from simulation comes from the debrief Use your technology to enhance the experience Use this opportunity for skill remediation Archive all your defrief sessions

25. QUESTIONS ?