Rural Emergency Room Simulation Teaching and Education Resource
Why do Emergency Simulation Rounds'?
Most current Health Authorities have credentialing standards for rural family doctors working in emergency departments. This usually involves being current in ACLS and often ATLS. Although both these courses have some merit, the reality is that for every patient seen in a rural hospital requiring a chest tube, cric, or even cardiac arrest, you will usually see 5 - 10 patients or more with acute pulmonary edema, anaphylaxis, sepsis and other immediate life threatening critical illnesses for which no ongoing credentialing standards are required.
The field of emergency medicine is changing rapidly and the treatment of critical illnesses in the ER is part of this change. Family doctors have to realize that although the vast majority of patients presenting to an ER department (both in the urban and rural setting) are the same things we would see in our offices, there is that small proportion of patients in an ER that simply writing a prescription will not suffice. We need to be aware of the 'critical care' side of medicine. I believe family doctors need to be knowledgeable, comfortable and willing to use IV drugs, ventilators, emergency procedures and all the other aspects that are entailed in treating immediate life threatening illnesses. In other words, family doctors have to be able to be 'resuscitationists'.
I believe that patients being treated in a rural emergency should not be denied the same level of care they would receive in an urban emergency.
The video below, entitled 'Just a routine operation' highlights what can happen to health professionals when they become 'focused on the problem and not the solution'. It demonstrates why practicing simulations, debriefing, and then doing them again leads to better team work, success and patient outcomes.
Remember - "FOCUS ON THE SOLUTION, NOT THE PROBLEM'.