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| Description of simulation cases with objectives |
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| #1 and #2: dual trauma (test cases) |
| (a) Electrical Injury |
| (i) Demonstrate effective management of high-voltage electrical injuries (including dysrhythmias, rhabdomyolysis, and compartment syndrome) |
| (ii) Demonstrate effective pain management and fluid resuscitation in burn victims |
| (iii) Demonstrate an understanding of the criteria to transfer to a burn a center |
| (iv) Demonstrate effective closed loop communication |
| (b) Neck impalement |
| (i) Prepare for and obtain a difficult airway |
| (ii) Demonstrate effective management of an impaled foreign object in the neck |
| (iii) Demonstrate effective needle decompression followed by emergent placement of a chest tube for tension pneumothorax |
| (iv) Demonstrate effective closed loop communication |
| #3: burn with trauma (jump out of a burning building) |
| (i) Identify and manage airway compromise in a burn victim |
| (ii) Recognize and manage full thickness burns of the chest |
| (iii) Demonstration of escharotomy for circumferential chest/back burns |
| (iv) Demonstrate proper fluid resuscitation in a major burn patient (e.g. Parkland) |
| (v) Identify carbon monoxide and cyanide exposure as potential diagnoses |
| #4: abdominal and Pelvic Trauma (motor vehicle collision) |
| (i) Demonstrate effective management of a severe head injury |
| (ii) Demonstrate ability to perform a FAST exam |
| (iii) Demonstrate ability to apply a pelvic binder |
| (iv) Demonstrate ability to utilize the massive transfusion protocol |
| #5: building collapse with compartment syndrome |
| (i) Recognize and treat crush syndrome |
| (ii) Demonstrate effective use of tourniquets |
| (iii) Demonstrate understanding of team safety above patient care |
| #6: gunshot with penetrating neck, chest, and abdominal injuries |
| (i) Demonstrate ability to prepare and acquire a difficult airway |
| (ii) Recognize potential for intra-abdominal pathology with penetrating injuries to the chest |
| (iii) Demonstrate ability to emergently place a chest tube |
| (iv) Demonstrate ability to utilize the massive transfusion protocol |
| #7: blunt chest trauma with pericardial effusion |
| (i) Demonstrate ability to manage blunt chest trauma |
| (ii) Demonstrate ability to execute FAST exam |
| (iii) Demonstrate ability to perform emergent pericardiocentesis |
| #8. Neurogenic shock |
| (i) Identify neurologic deficits in the primary survey |
| (ii) Recognize signs of neurogenic shock secondary to spinal injury |
| (iii) Demonstrate ability to rule out other cause of hypotension before initiating treatment for neurogenic shock |
| (iv) Demonstrate ability to manage neurogenic shock including utilization of vasopressors and cardiac pacing |
| #9 and #10: dual trauma (test cases) |
| (a) Motor vehicle collision with intracranial hemorrhage |
| (i) Demonstrate ability to obtain a difficult airway |
| (ii) Demonstrate ability to manage a severe head trauma with signs of herniation |
| (iii) Demonstrate effective closed loop communication |
| (b) Lower limb amputation with hemorrhagic shock |
| (i) Demonstrate effective exsanguinating hemorrhage control techniques including the utilization of tourniquets |
| (ii) Demonstrate appropriate management of a distal extremity amputation |
| (iii) Provide appropriate analgesia for an unstable conscious victim |
| (iv) Demonstrate effective closed loop communication |
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