Trainings

INSIDE HOSPITAL SURROUNDING

VITAL EMERGENCIES IN MEDICAL SERVICES

Goals & Content

• Effectively dealing with a life-threatening emergency in a care service, in a multidisciplinary team
• Developing the learning of leadership / followership and teamwork.
• Tackling soft skills in a critical situation.
• Possible themes
  • Cardio-respiratory arrest
  • Respiratory distress
  • Septic & haemorrhagic shock
  • Trouble of consciousness

Procedure

• Duration 7 hours
• Pre-briefing with presentation on the manikin
• High-fidelity simulations followed by collective debriefings

For who

• Doctors,
• Nurses
• Nurses’ aides

Evaluation Procedures

• Pre and post simulation questionnaire
• Live evaluation of the session and the trainers
• Remote assessment: email questionnaire to assess the retention of information

Technical Means

• High fidelity mannequin APOLLO CAE
• Hospital equipment
• Video recording and broadcasting equipment simultaneous

INSIDE HOSPITAL SURROUNDING

VITAL EMERGENCIES IN SURGICAL DEPARTMENTS

Goals & Content

• Effectively dealing with a life-threatening emergency in a care service, in a multidisciplinary team
• Developing the learning of leadership / followership and teamwork
• Tackling soft skills in a critical situation
• Possible themes:
  • Cardio-respiratory arrest
  • Respiratory distress
  • Septic shock, hemorrhagic
  • Trouble of consciousness

Procedure

• Duration 7 hours
• Pre-briefing with presentation on the manikin
• High-fidelity simulations followed by collective debriefings

For who

• Doctors, surgeons
• Nurses
• Nurses’ aides

Evaluation Procedures

• Pre and post simulation questionnaire
• Live evaluation of the session and the trainers
• Remote assessment: email questionnaire to assess the retention of information

Technical Means

• High fidelity mannequin APOLLO CAE
• Hospital equipment
• Video recording and broadcasting equipment simultaneous

INSIDE HOSPITAL SURROUNDING

SEVERE ANAPHYLAXIS AND CARDIAC ARREST ON CT SCANNER / MRI

Goals & Content

• Vital distress in radiology departments is a major source of stress for teams
• The simulated situations will make it possible to optimize the initial care while awaiting reinforcement from the resuscitator or the SMUR (depending on the establishment)
• Two themes are discussed:
  • Anaphylactic reaction to the contrast medium
  • CA

Procedure

• Duration 7h
• Reminders on the emergency cart
• Implementation of adapted protocols on high-fidelity simulator

For who

• Radiologist doctors, radiotherapist
• Electroradiology manipulators

Evaluation Procedures

• Pre and post simulation questionnaire
• Live evaluation of the session and the trainers
• Remote assessment: email questionnaire to assess the retention of information

Technical Means

• High fidelity mannequin APOLLO CAE
• Hospital equipment
• Video recording and broadcasting equipment simultaneous

INSIDE HOSPITAL SURROUNDING

CRITICAL SITUATIONS IN THE OPERATING ROOM

Goals & Content

• Detecting and recognizing intra-operative risk situations
• Developing the synergy between the different stakeholders in the block
• Tackling soft skills in a critical situation
• Possible themes:
  • Peranesthesic malignant hyperthermia
  • Per operation acute hemorrhage
  • Anesthetic complications
  • Anaphylactic shock in the block

Procedure

• Duration 7h
• Reminders on the emergency cart
• Implementation of adapted protocols on high-fidelity simulator

For who

• Anesthesiologists
• Surgeons
• Anaesthetist nurse
• Operating room nurse

Evaluation Procedures

• Pre and post simulation questionnaire
• Live evaluation of the session and the trainers
• Remote assessment: email questionnaire to assess the retention of information

Technical Means

• High fidelity mannequin APOLLO CAE
• Hospital equipment
• Video recording and broadcasting equipment simultaneous

INSIDE HOSPITAL SURROUNDING

VITAL DISTRESSES IN THE EMERGENCY DEPARTMENT

Goals & Content

• Effectively dealing with a life-threatening emergency in a care service, in a multidisciplinary team
• Developing the learning of leadership / followership and teamwork
• Tackling soft skills in a critical situation
• Possible themes
  • Cardio-respiratory arrest
  • Respiratory distress
  • Septic shock, hemorrhagic, anaphylaxis
  • Trouble of consciousness

Procedure

• Duration 7h
• Reminders on the emergency cart
• Implementation of adapted protocols on high-fidelity simulator

For who

• Doctors, residents
• Nurses
• Nurses’ aides

Evaluation Procedures

• Pre and post simulation questionnaire
• Live evaluation of the session and the trainers
• Remote assessment: email questionnaire to assess the retention of information

Technical Means

• High fidelity mannequin APOLLO CAE
• Hospital equipment
• Video recording and broadcasting equipment simultaneous

INSIDE HOSPITAL SURROUNDING

DAMAGE CONTROL FOR TERRORISM VICTIMS IN THE EMERGENCY DEPARTMENT

Goals & Content

• Reminder on the particularities of war wounded or assimilated
• MARCHE / RYAN* support: course and specific techniques, procedural simulations
• High-fidelity simulations
• Possible themes:
  • Hemorrhagic wounded
  • Severe burnt
  • Chest injury
  • Abdominal injury
  • Polycrible

Procedure

• Duration 2 days
• Pre-briefing with presentation of the manikin
• Theoretical and practical reminders on D1 followed by practice on a simulator on D2

For who

• Intensive care and resuscitation doctors
• Nurses
• Nurses’ aides

Evaluation Procedures

• Pre and post simulation questionnaire
• Live evaluation of the session and the trainers
• Remote assessment: email questionnaire to assess the retention of information

* SAFE / MARCHE / RYAN

acronyms detailing the systematic and hierarchical process to take care of an injured person in a logic responding to the urgency of the situation.

Technical Means

• High fidelity mannequin APOLLO CAE
• Hospital equipment
• Video recording and broadcasting equipment simultaneous

OUTSIDE HOSPITAL SURROUNDING

OUT OF HOSPITAL MANAGEMENT OF CRITICAL SITUATIONS

Goals & Content

• The MERS environment frequently complicates support (outdoors, weather hazards, isolation, etc.)
• Adapting to difficult conditions
• Developing teamwork
• Tackling interprofessional communication in stressful situations
• Possible themes:
  • Chest drainage
  • Difficult intubation
  • Management of a multiple trauma patient

Procedure

• Duration 7 hours
• Pre-briefing with presentation on the manikin
• High-fidelity simulations followed by collective debriefings

For who

• Doctors
• Nurses
• Ambulance paramedics
• Chiefs of apparatus

Evaluation Procedures

• Pre and post simulation questionnaire
• Live evaluation of the session and the trainers
• Remote assessment: email questionnaire to assess the retention of information

Technical Means

• High fidelity mannequin APOLLO CAE
• Hospital equipment
• Video recording and broadcasting equipment simultaneous

OUTSIDE HOSPITAL SURROUNDING

CRITICAL PATIENT IN HEMS (Helicopter Emergency Medical Service)

Goals & Content

• Effectively anticipating and taking care of a critical patient in Helicopter-borne MERS
• Developing specific aeronautical knowledge of the Helismur (load constraints, noise, vibrations, etc.)
• Use pre-flight checklists for the medical team
• Possible themes:
  • Intubated-ventilated patient
  • Vital distress in flight
  • The agitated patient
  • Neo-natal transport in Hélismur

Procedure

• Duration 7h
• Pre-briefing with presentation of the manikin
• Theoretical courses on helicopter flight
• Simulations with full crew debriefing

For who

• Doctors
• Nurses
• Pilots and flight assistant

Evaluation Procedures

• Pre and post simulation questionnaire
• Live evaluation of the session and the trainers
• Remote assessment: email questionnaire to assess the retention of information

Technical Means

• High fidelity mannequin APOLLO CAE
• Hospital equipment
• Video recording and broadcasting equipment simultaneous

OUTSIDE HOSPITAL SURROUNDING

DAMAGE CONTROL FOR TERRORISM VICTIMS OUT OF HOSPITALS

Goals & Content

• Reminder on the particularities of war wounded or assimilated
• SAFE / MARCHE / RYAN support: course and specific techniques, procedural simulations.
• High-fidelity simulations
• Possible themes:
  • Haemorrhagic wounded
  • Severe burnt
  • Chest injury
  • Abdominal injury
  • Polycriber

Procedure

• Duration 2 days
• Pre-briefing with presentation of the manikin
• Theoretical and practical reminders on D1 followed by practice on a simulator on D2

For who

• Doctors
• Nurses
• Nurses’ aides

Evaluation Procedures

• Pre and post simulation questionnaire
• Live evaluation of the session and the trainers
• Remote assessment: email questionnaire to assess the retention of information

Technical Means

• High fidelity mannequin APOLLO CAE
• Hospital equipment
• Video recording and broadcasting equipment simultaneous

AIR AMBULANCE / COMMERCIAL AIRLINE

DISCOVERY AND PATIENT CARE ON SITE

Goals & Content

• Arranging and conducting a pre-bed visit
• Initiating a diagnostic process at the foot of the plane (tarmac)
• Improving urgent “fit to fly” decision-making
• Possible themes:
  • Recent worsening
  • Discovery of decompensated pathology other than the cause of repatriation
  • Need for stabilization before take off

Procedure

• Duration 1 day
• Pre-briefing with presentation on the manikin
• High-fidelity simulations followed by collective debriefings

For who

• Flight doctors
• Doctors in regulation desk
• Flight nurses

Evaluation Procedures

• Pre and post simulation questionnaire
• Live evaluation of the session and the trainers
• Remote assessment: email questionnaire to assess the retention of information

Technical Means

• High fidelity mannequin APOLLO CAE
• Hospital equipment
• Video recording and broadcasting equipment simultaneous

AIR AMBULANCE / COMMERCIAL AIRLINE

MANAGEMENT OF CRITICAL SITUATIONS IN FLIGHT

Goals & Content

• Detecting and identifying organ distress in flight
• Optimizing the ergonomics of the workspace
• Improving communication in critical situations
• Possible themes:
  • Unscheduled intubation
  • Management of a shock in the aircraft
  • CA (cardiac arrest) in flight

Procedure

• Duration 1 day
• Pre-briefing with presentation on the manikin
• High-fidelity simulations followed by collective debriefings

For who

• Flight doctors
• Flight nurses

Evaluation Procedures

• Pre and post simulation questionnaire
• Live evaluation of the session and the trainers
• Remote assessment: email questionnaire to assess the retention of information

Technical Means

• High fidelity mannequin APOLLO CAE
• Hospital equipment
• Video recording and broadcasting equipment simultaneous

AIR AMBULANCE / COMMERCIAL AIRLINE

PATIENT TRANSFER & STRETCHERING
on departure and arrival

Goals & Content

• Anticipating and organizing ambulance/plane and plane/ambulance stretcher manoeuvres
• Developing team communication and leadership
• Maintaining team safety in the airport environment

Procedure

• Duration 1 day
• Pre-briefing with presentation on the manikin
• High-fidelity simulations followed by collective debriefings

For who

• Flight doctors
• Flight nurses
• Flight attendant and pilots
• Ambulance paramedics

Evaluation Procedures

• Pre and post simulation questionnaire
• Live evaluation of the session and the trainers
• Remote assessment: email questionnaire to assess the retention of information

Technical Means

• High fidelity mannequin APOLLO CAE
• Hospital equipment
• Video recording and broadcasting equipment simultaneous