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Medium-Fidelity Medical Simulators: Use in a Pre-Hospital, Operational, Military Environment
  1. Capt JJ Morrison, RAMC (V)1,2,
  2. Capt K Forbes, QARANC (V)2,
  3. Lt Col L Woolrich-Burt, RAMC, Consultant in Emergency Medicine3,
  4. Lt Col R Russell, Senior Lecturer4 and
  5. Lt Col PF Mahoney, RAMC, Senior Lecturer5
  1. 1E Squadron, 205 (Scottish) Field Hospital (V), Claverhouse Training Centre, 8 Granton Square, Edinburgh, EH5 1HA 0131 552 2392 0131 552 2397 jonny_morrison{at}doctors.org.uk
  2. 2Registrar Gen Surg, Dept Gen Surg, Waikato Hospital, Hamilton, New Zealand 646 7 839 8899 646 7 858 0941
  3. 3A Squadron, 205 (Scottish) Field Hospital (V), Gordon Barracks, Bridge of Don, Aberdeen, Aberdeenshire, AB23 8DB
  4. 4Dept Accident & Emergency, University Hospitals Coventry and Warwickshire NHS Trust, Walsgrave Hospital, Clifford Bridge Road, Walsgrave, Coventry, CV2 2DX
  5. 5Emergency Medicine ADMEMRCDM Institute of Research and Development, University of Birmingham Research Park, Vincent Drive, Edgebaston Birmingham, B15 2SQ
  6. Military Critical Care ADMEMRCDM & SO1 Clinical Adviser 2 Med Bde.

Abstract

On Operation Telic 6, the UK Med Group consisting of 3 Close Support Medical Regiment and 205 Field Hospital (Volunteers) deployed to providemedical support to coalition forces in Iraq. Personnel were drawn from Regular and Territorial Units, plus additional medical support from Armies of the Czech Republic and Denmark. The efficient delivery of operational emergency medical care hinged upon the successful integration of personnel from these units. We report on the use of a medium-fidelity simulator, in a pre-hospital and hospital environment over a three month period on an operational tour. In conducting 42 exercises (12 of which commenced in a pre-hospital environment), we have demonstrated the feasibility of the system in rehearsing the management of the major trauma patient. This training was used to enhance teamwork, identify system deficiencies and practise solutions in a safe environment. This paper discusses our experiences in relation to the current literature on this expanding area of trauma training.

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