In-Flight Emergency: A Simulation Case for Emergency Medicine Residents

Introduction In-flight medical emergencies are common occurrences that require medical professionals to manage patients in an unfamiliar setting with limited resources. Emergency medicine (EM) residents should be well prepared to care for patients in unusual environments such as on an aircraft. Meth...

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Autores principales:	Claire Hailey, Charles Lei, Laurie Lawrence
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Emergency Flight Tension Pneumothorax Pulseless Electrical Activity Emergency Medicine Airplane Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/119ca5fcc0584200a19059a7401c722a
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spelling	oai:doaj.org-article:119ca5fcc0584200a19059a7401c722a2021-11-19T14:11:27ZIn-Flight Emergency: A Simulation Case for Emergency Medicine Residents10.15766/mep_2374-8265.109492374-8265https://doaj.org/article/119ca5fcc0584200a19059a7401c722a2020-08-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10949https://doaj.org/toc/2374-8265Introduction In-flight medical emergencies are common occurrences that require medical professionals to manage patients in an unfamiliar setting with limited resources. Emergency medicine (EM) residents should be well prepared to care for patients in unusual environments such as on an aircraft. Methods We developed a simulation case for EM residents featuring a 55-year-old male passenger who suffers a cardiac arrest secondary to a tension pneumothorax. We conducted this case eight times during a 5-hour block of scheduled simulation time. Participants included EM residents of all training levels from one residency program. We arranged the simulation lab as an airplane cabin, with rows of chairs representing airplane seats and a mannequin in a window seat as the patient. Residents were expected to manage cardiac arrest and perform needle thoracostomy on the patient. Residents also evaluated and treated a flight attendant with a near syncopal episode. Throughout the case, residents were expected to practice teamwork skills, including leadership, communication, situational awareness, and resource utilization. Participants were debriefed and completed voluntary anonymous evaluations of the session. Results Seventeen EM residents participated in the simulation. Overall, all 17 found the simulation to be a valuable educational experience. In addition, all agreed or strongly agreed that they felt more prepared to respond to an in-flight emergency after participating in the simulation. Discussion This simulation was determined to be a valuable part of EM resident education. The challenges presented and skills practiced in this in-flight medical emergency simulation case are transferable to other resource-limited environments.Claire HaileyCharles LeiLaurie LawrenceAssociation of American Medical CollegesarticleEmergencyFlightTension PneumothoraxPulseless Electrical ActivityEmergency MedicineAirplaneMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Emergency Flight Tension Pneumothorax Pulseless Electrical Activity Emergency Medicine Airplane Medicine (General) R5-920 Education L
spellingShingle	Emergency Flight Tension Pneumothorax Pulseless Electrical Activity Emergency Medicine Airplane Medicine (General) R5-920 Education L Claire Hailey Charles Lei Laurie Lawrence In-Flight Emergency: A Simulation Case for Emergency Medicine Residents
description	Introduction In-flight medical emergencies are common occurrences that require medical professionals to manage patients in an unfamiliar setting with limited resources. Emergency medicine (EM) residents should be well prepared to care for patients in unusual environments such as on an aircraft. Methods We developed a simulation case for EM residents featuring a 55-year-old male passenger who suffers a cardiac arrest secondary to a tension pneumothorax. We conducted this case eight times during a 5-hour block of scheduled simulation time. Participants included EM residents of all training levels from one residency program. We arranged the simulation lab as an airplane cabin, with rows of chairs representing airplane seats and a mannequin in a window seat as the patient. Residents were expected to manage cardiac arrest and perform needle thoracostomy on the patient. Residents also evaluated and treated a flight attendant with a near syncopal episode. Throughout the case, residents were expected to practice teamwork skills, including leadership, communication, situational awareness, and resource utilization. Participants were debriefed and completed voluntary anonymous evaluations of the session. Results Seventeen EM residents participated in the simulation. Overall, all 17 found the simulation to be a valuable educational experience. In addition, all agreed or strongly agreed that they felt more prepared to respond to an in-flight emergency after participating in the simulation. Discussion This simulation was determined to be a valuable part of EM resident education. The challenges presented and skills practiced in this in-flight medical emergency simulation case are transferable to other resource-limited environments.
format	article
author	Claire Hailey Charles Lei Laurie Lawrence
author_facet	Claire Hailey Charles Lei Laurie Lawrence
author_sort	Claire Hailey
title	In-Flight Emergency: A Simulation Case for Emergency Medicine Residents
title_short	In-Flight Emergency: A Simulation Case for Emergency Medicine Residents
title_full	In-Flight Emergency: A Simulation Case for Emergency Medicine Residents
title_fullStr	In-Flight Emergency: A Simulation Case for Emergency Medicine Residents
title_full_unstemmed	In-Flight Emergency: A Simulation Case for Emergency Medicine Residents
title_sort	in-flight emergency: a simulation case for emergency medicine residents
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/119ca5fcc0584200a19059a7401c722a
work_keys_str_mv	AT clairehailey inflightemergencyasimulationcaseforemergencymedicineresidents AT charleslei inflightemergencyasimulationcaseforemergencymedicineresidents AT laurielawrence inflightemergencyasimulationcaseforemergencymedicineresidents
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In-Flight Emergency: A Simulation Case for Emergency Medicine Residents

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