Urs Pietsch1, Jürgen Knapp2, Ludwig Ney3, Armin Berner4, Volker Lischke5. 1. Kantonsspital St Gallen Klinik für Anästhesiologie, Intensiv-, Rettungs- und Schmerzmedizin, St Gallen, Switzerland; Klinik für Anästhesiologie und Schmerztherapie, Unispital Bern, Bern, Switzerland; Air Zermatt Heliport Raron, Raron, Switzerland. Electronic address: urs.pietsch@kssg.ch. 2. Klinik für Anästhesiologie und Schmerztherapie, Unispital Bern, Bern, Switzerland; Air Zermatt Heliport Raron, Raron, Switzerland. 3. Klinik für Anästhesiologie und Schmerztherapie, Unispital Bern, Bern, Switzerland; Bergwacht Schwarzwald, Hessen, Bayern, Germany; Klinik für Anaesthesiologie, Klinikum der Universität München, München, Germany. 4. Klinik für Anästhesiologie und Schmerztherapie, Unispital Bern, Bern, Switzerland; Bergwacht Schwarzwald, Hessen, Bayern, Germany; Abteilung für Anästhesie und operative Intensivmedizin, Klinikum Garmisch - Partenkirchen, Garmisch - Partenkirchen, Germany. 5. Klinik für Anästhesiologie und Schmerztherapie, Unispital Bern, Bern, Switzerland; Bergwacht Schwarzwald, Hessen, Bayern, Germany; Hochtaunus-Kliniken gGmbH Krankenhaus Bad Homburg, Abteilung für Anästhesie und operative Intensivmedizin, Bad Homburg, Germany.
Abstract
OBJECTIVE: Mountain helicopter rescue operations often confront crews with unique challenges in which even minor errors can result in dangerous situations. Simulation training provides a promising tool to train the management of complex multidisciplinary settings, thus reducing the occurrence of fatal errors and increasing the safety for both the patient and the helicopter emergency medical service (HEMS) crew. METHODS: A simulation-based training, dedicated to mountain helicopter emergency medicine service, was developed and executed. We evaluated the impact of this training by the means of a pre- and posttraining self-assessment of 40 HEMS crewmembers. RESULTS: Multidisciplinary simulation-based educational training in HEMS is feasible. There was a significant increase in self-assessed competence in safety-related items of human factors and team resource management. The highest gain of competence was demonstrated by a trend in the domain of structured decision making. CONCLUSIONS: Interprofessional simulation-based team training could have the potential to impact patient outcomes and improve rescuer safety. Simulation trainings lead to a subjective increase of self-assuredness in the management of complex situations in a difficult working environment.
OBJECTIVE: Mountain helicopter rescue operations often confront crews with unique challenges in which even minor errors can result in dangerous situations. Simulation training provides a promising tool to train the management of complex multidisciplinary settings, thus reducing the occurrence of fatal errors and increasing the safety for both the patient and the helicopter emergency medical service (HEMS) crew. METHODS: A simulation-based training, dedicated to mountain helicopter emergency medicine service, was developed and executed. We evaluated the impact of this training by the means of a pre- and posttraining self-assessment of 40 HEMS crewmembers. RESULTS: Multidisciplinary simulation-based educational training in HEMS is feasible. There was a significant increase in self-assessed competence in safety-related items of human factors and team resource management. The highest gain of competence was demonstrated by a trend in the domain of structured decision making. CONCLUSIONS: Interprofessional simulation-based team training could have the potential to impact patient outcomes and improve rescuer safety. Simulation trainings lead to a subjective increase of self-assuredness in the management of complex situations in a difficult working environment.
Authors: Urs Pietsch; Volker Lischke; Stephen J M Sollid; Stephan Prückner; Lorenz Theiler; Robert Greif; Roland Albrecht Journal: Scand J Trauma Resusc Emerg Med Date: 2020-06-29 Impact factor: 2.953
Authors: Henrik Langdalen; Eirik B Abrahamsen; Stephen J M Sollid; Leif Inge K Sørskår; Håkon B Abrahamsen Journal: BMC Health Serv Res Date: 2018-07-03 Impact factor: 2.655