Victorian Simulation Alliance Inaugural Meeting Aug 2018

I attended this small albeit vibrant meeting last week.   I attended a lot and presented twice.  Highlights were Cameron Knott’s presentation about complexity and simulation in healthcare.  A takeaway quote from that was “Healthcare is a vocational education setting” – that reminder that we are always learning.  Cameron riffed off Victoria Brazil’s Translational Simulation paper and challenged us to see if our work matches our polices – the work imagined as work done view.

A slide I loved but did not grab a photo off was from Cameron’s talk.  A whiteboard post-sim and across the top was “What I learnt” on one side and on the other “What I want to learn”  a reminded about the importance of considering the learners needs in scenario objective design.

There was  a very engaging talk from Tanya Edlington who is a professional simulated patient. Not something I have experience with yet but a great talk.

Some great short presentations about simulation in constrained circumstances – Ebola in Sierra Leone, Samoa and Myanmar.

I had read about Tag Team Patient Safety Simulation before and was keen to attend the workshop.  This approach seems great for larger groups as many people get some engagement in a scenario.  Circling back to the ideas about targeted objectives and learning points, the use of cue cards for the audience focuses attention on learning points.

Overall a great couple of days, thanks VSA committee for putting it together.


The sim educators pause

When transitioning from the scenario to the debrief last week I felt rushed.  I then also felt jumbled in the debrief and realised that I had moved straight from the scenario to the debrief without any pause or gathering my thoughts.  Listening to Simulation Podcast Ep 52 with Jenny Rudolph added some thoughts to the busyness of your thoughts with debriefing.  So I will aim to shoo participants out of the room, collect my thoughts, jot down some notes and then move onto the debrief!

The very small team


While writing a scenario for cervical shock during IUD placement, I reflected on that very small team – the patient, doctor and one nurse.  This is often present during smaller procedures compared to the larger team for something like a procedural sedation.  Thinking then about the objectives for the scenario often being around early recognition of an event and BLS – in this case pallor, sweating, bradycardia, only those two people present benefit from the problem recognition phase.  Hopefully then the button is pressed, help arrives and other useful lessons are used – shared mental model, team leader selection, clear communication.  Is there a role for having the other participants in the room for that first recognition of collapse so they can imagine what they would do next?  This is used with the Tag Team Patient Safety Simulation for CQ University. Or is it better to reflect daily practice and have your other adhoc members off in their own rooms, awaiting the emergency call?

Better Sim Cases – a SimPodcast reflection

In episode eleven, Victoria Brazil and Jesse Spur are joined by Kyla Caners from Emsim cases who’s templates at EMsimcases I have mentioned before.  There were a couple of great reflections for me in this podcast – around ensuring objectives are present for all the disparate members of the team and the point that a team does not need to solve the case.  By not solving the case, the team may have to work all the way through an algorithm and focus on ensuring basics are covered well.