EMS Stress Training Concept "Kobayahsi Maru" Scenarios

Academic Emergency Medicine, 2003

Objectives: To determine participant perceptions of Emergency Medicine Crisis Resource Management (EMCRM), a simulation-based crisis management course for emergency medicine. Methods: EMCRM was created using Anesthesia Crisis Resource Management (ACRM) as a template. Thirteen residents participated in one of three pilot courses of EMCRM; following a didactic session on principles of human error and crisis management, the residents participated in simulated emergency department crisis scenarios and instructor-facilitated debriefing. The crisis simulations involved a computer-enhanced mannequin simulator and standardized patients. After finishing the course, study subjects completed a horizontal numerical scale survey (1 = worst rating to 5 = best rating) of their perceptions of EMCRM. Descriptive statistics were calculated to evaluate the data. Results: The study subjects found EMCRM to be enjoyable (4.9 ± 0.3) (mean ± SD) and reported that the knowledge gained from the course would be helpful in their practices (4.5 ± 0.6). The subjects believed that the simulation environment prompted realistic responses (4.6 ± 0.8) and that the scenarios were highly believable (4.8 ± 0.4). The participants reported that EMCRM was best suited for residents (4.9 ± 0.3) but could also benefit students and attending physicians. The subjects believed that the course should be repeated every 8.2 ± 3.3 months. Conclusions: The EMCRM participants rated the course very favorably and believed that the knowledge gained would be beneficial in their practices. The extremely positive response to EMCRM found in this pilot study suggests that this training modality may be valuable in training emergency medicine residents.

Disease-a-Month, 2011

Academic Emergency Medicine, 2002

Objectives: To determine participant perceptions of Emergency Medicine Crisis Management (EMCM), a simulation based crisis management course for emergency medicine. Methods: EMCM was created using Anesthesia Crisis Resource Management (ACRM) as a template. Thirteen residents participated in one of three pilot courses of EMCM; following a didactic session on principles of human error and crisis management, the residents participated in simulated emergency department crisis scenarios and instructor-facilitated debriefing. The crisis simulations involved a computer-enhanced mannequin simulator and standardized patients. After finishing the course, study subjects completed a horizontal numerical scale survey (1=worst rating to 5=best rating) of their perceptions of EMCM. Descriptive statistics were calculated to evaluate the data. Results: The study subjects found EMCM to be enjoyable (4.9±0.3) and reported that the knowledge gained from the course would be helpful in their practice (4.5±0.6). The subjects believed that the simulation environment prompted realistic responses (4.6±0.8) and that the scenarios were highly believable (4.8±0.4). The participants reported that EMCM was best suited for residents (4.9±0.3) but could also benefit students and attending physicians. The subjects believed that the course should be repeated every 8.2±3.3 months. Conclusions: EMCM participants rated the course very favorably and believed that the knowledge gained would be beneficial in their practice. The extremely positive response to EMCM found in this pilot study suggests that this training modality may be valuable in training EM residents., coupled with the proven success of its closely related predecessors in aviation and anesthesia, provides ample evidence to justify further development and investigation of simulator-based crisis management training for emergency medicine.

The western journal of emergency medicine, 2018

In today's team-oriented healthcare environment, high-quality patient care requires physicians to possess not only medical knowledge and technical skills but also crisis resource management (CRM) skills. In emergency medicine (EM), the high acuity and dynamic environment makes CRM skills of physicians particularly critical to healthcare team success. The Accreditation Council of Graduate Medicine Education Core Competencies that guide residency program curriculums include CRM skills; however, EM residency programs are not given specific instructions as to how to teach these skills to their trainees. This article describes a simulation-based CRM course designed specifically for novice EM residents. The CRM course includes an introductory didactic presentation followed by a series of simulation scenarios and structured debriefs. The course is designed to use observational learning within simulation education to decrease the time and resources required for implementation. To assess...

International e-Journal of Science, Medicine & Education

Background: House-officers and medical officers are at the forefront during medical emergencies in the ward and casualty which impose cognitive, communication, social and system challenges and yet, training in this area is commonly lacking. A workshop was conducted using simulation to provide training on some acute medical emergencies like cord prolapse, post-partum haemorrhage with collapse, poly-trauma and acute exacerbation of asthma. Objective: To determine the effectiveness of simulation in developing competency in managing selected clinical emergencies Methodology: There were 22 participants consisting of house-officers, junior medical officers and nursing clinical instructors. Only doctors were included in the study. Four medical emergencies were chosen viz.: Cord prolapse; post-partum haemorrhage with collapse; poly-trauma and acute exacerbation of asthma. The simulated sessions were conducted using high fidelity manikins and simulated patients. Simulated patients were trained and moulage was applied accordingly. The skills stations were on airway equipment and techniques of application, latest cardiac life support algorithm and hands on chest compression using manikins. Results: A 5 point Likert scale used to rate the sessions. The skills station had 65% (n=13) rating as excellent and 35% (n=7) good. The skills simulation was rated excellent by 75% (n=15) and good by 25% (n=5) of participants. Verbal feedback was that it was very refreshing, informative, and helpful in terms of improving their skills. Conclusion: The simulated skills training for the junior doctors was very well received and maybe beneficial for work preparedness and in the long run address patient safety.

2012

In the field of emergency medicine (EM), health professionals should be able to function effectively in the dynamic, uncertain, time-pressured, and high-stakes environment of the emergency department. Simulation training in emergency medicine (STEM) can be a tool to create an environmental milieu which allows developing health professionals' knowledge, skills and attitudes. It amplifies realistic experience in a safe and controlled environment and in an interactive fashion, providing feedback and hence, effective and experiential learning. It also provides a basis for teaching and assessment by simulating encounters on complex issues, multidisciplinary issues, team dynamics, communication skills and professionalism and dealing with challenging patients and family members. This article highlights the current evidence on the usefulness of simulation in training residents in EM and its need to be integrated into the basic framework of the Accreditation Council for Graduate Medical Education − International (ACGME-I) accredited emergency medicine residency curriculum and assessment in Singapore. This will eventually lead to transfer of skills into real world settings and have an impact on patient safety, and hence improve patient outcomes.

Anesthesiology, 2020

Background High-fidelity simulation improves participant learning through immersive participation in a stressful situation. Stress management training might help participants to improve performance. The hypothesis of this work was that Tactics to Optimize the Potential, a stress management program, could improve resident performance during simulation. Methods Residents participating in high-fidelity simulation were randomized into two parallel arms (Tactics to Optimize the Potential or control) and actively participated in one scenario. Only residents from the Tactics to Optimize the Potential group received specific training a few weeks before simulation and a 5-min reactivation just before beginning the scenario. The primary endpoint was the overall performance during simulation measured as a composite score (from 0 to 100) combining a specific clinical score with two nontechnical scores (the Ottawa Global Rating Scale and the Team Emergency Assessment Measure scores) rated for ea...

MedEdPORTAL, 2021

Introduction: Emergency medicine resident physicians are required to complete observational ride-alongs with emergency medical services (EMS) units as part of their curriculum as per the ACGME. We created this curriculum to expose emergency medicine residents to the equipment they will encounter in the prehospital setting, discuss basic EMS operations and the challenges of working in the prehospital environment, and review the limitations that restrict care provided by EMS professionals. Methods: We created a series of five simulation cases for resident physicians participating in an EMS ride-along rotation. Each case was implemented with three to four residents at a time. A critical action checklist was used to assess participants during the scenarios. Following each simulation, a debriefing was conducted to discuss EMS operations and the impact on providers. At the conclusion of the session, participants completed a course evaluation survey. Results: Thirteen emergency medicine resident physicians took part in this curriculum from October 2020 through January 2021. Results indicated that the participants gained insight into the prehospital environment, felt more prepared to complete their ride-alongs, and were engaged and satisfied with the introduction to EMS program. Discussion: Simulation allowed emergency medicine residents to be exposed to the complex nature of prehospital care and prepared them for their ride-along sessions. The five cases provided significant breadth and depth of potential prehospital care issues, and the residents were able to discuss the medical, policy, and operational challenges presented as part of each case.

2007

The impact of stress on performance is well known in many fields, such as sports, but it is also important to industry in emergency response management where the consequences of poor decision-making may result in unnecessary loss of life, financial cost, or ...

یادداشتی در بارهٔ ریشه‌شناسی اسطورهٔ «ابراهیم» و بازتاب آن در قرآن, 2024

تا کنون به این نکته کمتر پرداخته شده که چرا در قرآن نام «ابراهیم» ۵۴ بار به همینگونه و ۱۵ بار (و عمدتاً در سورهٔ دوم یعنی «گاو») به گونه‌ای که در بین مسلمانان غیرمعمول است، با نگارش «ابرَهِم» آورده شده است. با توجه به اینکه تغییر نام ابراهیم در منابع یهودی نیز همیشه مورد گفتگو بوده، آیا می‌توان، همانگونه که برخی از متفکران یهودی به آن اشاره کرده‌اند، این تغییر نام قرآنی را با دو بخش از زندگی ابراهیم ارتباط داد؟