Physical health risks during simulation-based COVID-19 pandemic readiness training
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CORRESPONDENCE
Physical health risks during simulation-based COVID-19 pandemic readiness training Michelle Chiu, MD, FRCPC . Simone Crooks, MD, FRCPC . Amy B. Fraser, MD, MSc, FRCPC, MHPE . Purnima Rao, MD, FRCPC . Sylvain Boet, MD, PhD
Received: 3 June 2020 / Revised: 10 June 2020 / Accepted: 10 June 2020 Ó Canadian Anesthesiologists’ Society 2020
To the Editor, Simulation is an effective modality for team training under realistic conditions; it is commonly used to practice new, complex, or uncommon procedures without incurring risks to patients.1 Simulation can be invaluable when creating clinical or educational tools that require real-time practice and team coordination, particularly when a novel, rapidly evolving healthcare crisis mandates adaptations in
M. Chiu, MD, FRCPC Department of Anesthesiology and Pain Medicine, University of Ottawa, Civic Campus, 1053 Carling Ave, B3, Ottawa, ON K1Y 4E9, Canada Department of Innovation in Medical Education, University of Ottawa, Ottawa, Canada S. Crooks, MD, FRCPC P. Rao, MD, FRCPC Department of Anesthesiology and Pain Medicine, University of Ottawa, General Campus, 501 Smyth Rd, Critical Care Wing 1401, Ottawa, ON K1H 8L6, Canada A. B. Fraser, MD, MSc, FRCPC, MHPE Department of Anesthesiology and Pain Medicine, University of Ottawa, Civic Campus, 1053 Carling Ave, B3, Ottawa, ON K1Y 4E9, Canada S. Boet, MD, PhD (&) Department of Anesthesiology and Pain Medicine, University of Ottawa, General Campus, 501 Smyth Rd, Critical Care Wing 1401, Ottawa, ON K1H 8L6, Canada e-mail: [email protected] Department of Innovation in Medical Education, University of Ottawa, Ottawa, Canada Office of Francophone Affairs, Faculty of Medicine, University of Ottawa, Ottawa, Canada Faculty of Education, University of Ottawa, Ottawa, ON, Canada
both the work environment and team functioning. The usual risks to healthcare workers (HCWs) during training via simulation are most often limited to psychologic safety considerations (e.g., stress).2,3 We describe a case of physical health risk resulting from simulation-based HCW training to prepare for the coronavirus disease (COVID-19) pandemic. In anticipation of the increasing likelihood of caring for COVID-19 patients in the perioperative environment, our University’s Department of Anesthesiology and Pain Medicine Simulation Education Team (ASET) rapidly mobilized to deliver simulation training. This included personal protective equipment (PPE) training, and two in situ interprofessional simulation scenarios to perioperative staff, including that of a stable COVID-19 patient presenting to the operating room (OR) for emergency surgery and an unstable COVID-19 patient requiring urgent intubation in a remote emergency department isolation room. One hundred and fifty staff were trained in PPE donning and doffing procedures over two days (16–17 March 2020). Two hundred and thirtynine staff participated in the simulations over three days (18–20 March 2020): 99 anesthesiologists (staff, residents, fellows), 34 surgeons (staff, residents, fellows), an
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