Simulation Lab

Emergency Medicine Resident Simulation

Every month with 5 Wednesdays, one of the Wednesdays is dedicated to out of the classroom education. This is divided into a procedures lab and case simulation lab.

The Simulation Lab has proven to be effective in preparing the residents for critical cases. Residents will typically run through two different scenarios during the lab. These scenarios are multi-modality. While a resident assesses the "patient," orders may be entered, imaging studies reviewed and therapies implemented. Mannequins have been equipped to have physiologic responses that are appropriate to their presentation, subsequent declines or recoveries and responses to treatment. Following the scenario, there is a debriefing session with an attending who will give appropriate criticism - praising early diagnosis and appropriate management and pointing out missed critical actions as necessary. These cases tend to be either critical, such as cardiac arrest, or rare, such as tricyclic antidepressant overdoses. Other scenarios may include managing multiple patients and trouble-shooting issues related to procedures such as intubations and tube thoracenteses. Residents have found these situations to be high yield and drive home points that they may only have read about prior to the lab.

This lab also creates another environment for research into methodology of education, and assessment of certain procedural skills.
          sim man sim baby
 Sim Man and Sim baby used during simulations.

SimWars is “an interactive simulation competition that allows teams of clinical providers to compete against each other on simulated patient encounters in front of a large audience.” During the 2012 UNMC’s SimWars competition, teams of Emergency Medicine and Anesthesiology residents walked into a large auditorium to find a simulated car accident in which a car hit a pedestrian and then proceeded to crash into a nearby tree. The health professionals on both teams were supplied very limited supplies, and informed that the accident had closed the street so there was no way for assistance to get to them. Each team was on their own now, and must only use the supplied items and authorized items around them to assist. The members of the Emergency Medicine Team were able grab the bull by the horns and lead their team to victory! The leader was able to stay calm and make sure to instruct the other team members on what were the most important situations to handle and to take the silliness seriously. The Emergency Medicine Team claimed the victory trophy and will have their names inscribed on a plaque that will be in the Sorrell’s Simulation Room.

Click Here to view a video of the  2012 UNMC SimWars Event