Simulation Based Training Improves Airway Management for Helicopter EMS Teams

The use of paralytic medications in the performance of RSI intubation is a high risk intervention used by many HEMS crews. There is no margin for error in RSI intubation as the results can be fatal. Operating room access for airway management training has become more difficult, and is not representative of the environment in which HEMS crews typically function. LifeEvac of Virginia designed and implemented an SST airway management program to provide a realistic , consistent training platform. The dynamic program incorporates standardized scenarios, and real life challenging cases that this and other programs have encountered. SST is done in a variety of settings including the helicopter, back of ambulances, staged car crashes and simulation centers. The result has been the indoctrination of a well defined , consistent approach to every airway management intervention. The SST program facimates enhancement of technical skills. as well as team dynamics and communication. Nomenclature (symbols/definitions): CAMTS-Commission on Accreditation for Transport Services ETI, Endotracheal Intubation HEMS, Helicopter EMS NMBA, Neuromuscular blocking agent RSI, Rapid Sequence Induction, SBT, Simulation Based Training