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practice
service evaluation

An evaluation of high fidelity simulation training for paramedics in Ireland

01 January 2013
Features
02 January 2013
Volume 3 · Issue 1

Abstract

• Introduction: The requirement for pre-hospital practitioners to perform additional interventions is ever increasing. In Ireland the training of pre-hospital practitioners is currently developing and evolving to meet this demand. This requires the use of simulators with the capability to simulate more advanced interventions.

• Objectives: We wished to explore the views of pre-hospital care practitioners post participation in a pilot high fidelity simulation in emergency care, to gauge its acceptability, relevance and application.

• Method: Pre-hospital care practitioners’ participated in 12 full immersion high-fidelity simulated scenarios, over three consecutive days. Live video recording was during the scenarios and replayed during debriefing sessions. The participants completed a voluntary and anonymous evaluation of the training using six statements on a five point Likert scale and free text written comments to three open-ended questions.

• Results: The overall response to the training was overwhelming positive with 94.4 % of the participants either strongly agreed or agreed that the course met their learning needs. All agreed that they found the course relevant to their stage of training and that the course will impact beneficially on their clinical practice.

• Conclusion: This pilot study has shown that high-fidelity simulation is both applicable and relevant to pre-hospital practitioner.

The requirement for pre-hospital practitioners such as emergency medical technicians, paramedics and advanced paramedics, to perform additional interventions is ever-increasing. In Ireland, the training of pre-hospital practitioners is currently developing and evolving to meet this demand.

Simulated scenarios during basic paramedic training focus mainly on teaching practitioners how to implement the Pre-Hospital Emergency Care Council Clinical Practice Guidelines (PHECC, 2012). These scenarios are normally of low fidelity reflecting a low level of realism and often delivered in a classroom environment. Road traffic collisions and other outdoor scenarios are conducted in car-parks or other outdoor spaces using student paramedic peers as role-players. The training of advanced paramedics ideally requires the use of patient simulators with the capability to simulate more advanced interventions including; advanced airway management, intravenous administration of medication and fluids, and intraosseous catheter insertion (Figures 1 and 2).

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Education
Emergency medicine
High-fidelity
Pre-hospital
Simulation