Experience learning - lessons from 25 years of ATACC - Mark Forrest and Halden Hutchinson-Bazely - TBS24
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A talk by Mark Forrest and Halden Hutchinson-Bazely from TBS24
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Experience learning - lessons from 25 years of ATACC - Mark Forrest and Halden Hutchinson-Bazely - TBS24
- 6. Integrated Emergency Care Programme Sim-crit, Critical care transfer, Extrication, -ator series
- 12. MOVE!
- 13. What do we do?
- 18. 50:50
- 40. Voice of God FLOW
- 41. POCUS-sim Pre-alert Live actor Cas-sim Monitor Blood products Blood gases Props Response to inputs Handover Wearable Environment
- 43. Do a resuscitative hysterotomy live on stage? Run the sim from scene to hospital? Is it possible to…..
- 52. Why do we do it?
- 59. ‘DIFFICULT’ Orthopaedic Surgeon ‘BURNT OUT’ Emergency Physician ‘AUTISTIC’ Anaesthetist Dr Geoff Roberts Memorial Award
- 62. How do we do it?
- 66. Flattened hierarchy after arrival Ground zero: Orange suits, first names, mixed capability, new kit, mentor
- 69. Candidate Autonomy Instructor Input Lecture Skill Station Master Class ISL Immersive Simulation
- 70. Nightclub V Dark - lights Smoky Loud Illegal rave Dancers Equipment First aiders/ Friends Louder Difficult actors More smoke Extra risk More medicine More smoke! Lost objectives Sensory overload Impossible Unrealistic Safety? GREAT FUN! That was awesome! -Cliff Reid
- 71. Failed simulation Sensory fail Lost objectives No solution Unrealistic expectations Totally overwhelming
- 72. First scenario - day 1 Screaming live actor Major bleeding from thigh Expose Tourniquet END Team Leader PPE Environmental shock Small bed sit - access! Knife on the bed Coordinating the team Kit management Live actor, combative, screaming & bleeding Accessing the bleeding limb Stopping the bleed - options? Safety Team Patient
- 73. Final scenario day 3 ROSC post thoracotomy Bleeding artery VF Aortic occlusion Trauma Induced Coagulopathy Cardiogenic Shock Ongoing care plan Busy & loud ED resus - stimulation Resource limitations Other specialities - communication Rapidly evolving case Saturation Complex conflicting physiology Decision paralysis Team Patient Safety
- 75. Leadership Followership Emotional Intelligence Situational Awareness Communication Metacognition Emotional Intelligence Mutual Support Restorative Practice Behaviour
- 80. 21.13hrs: 27Y F, central chest stabbing, becoming unconscious 14.00hrs: Plane crash: Car-Fest, Oulton Park, Little Budworth, Cheshire
- 82. Where do we go next?