Simulation Competition Performance and Rules

All teams execute tasks in compliance with the primary aim:
“It is both training and a game – do all you can for the patient’s benefit!”

a) The time allocated to each scenario will be set to a maximum of approximately 12 minutes, which begins once the first member of the team gets off the vehicle or approaches the scene. A judge will warn participants 2 minutes before the end of time limit. When the time is up, participants must stop, get into the vehicle and leave the scene, or leave the room.

b) During each scenario, listen to and follow instructions from the judges and organizers.

c) The evaluation of the scenarios will be done by positive points (e.g. the better the result, the more points earned). The number of acquired points will not be announced by judges until immediately after the scenario.

d) Imitations of ambulance equipment will be accepted if they are visibly marked (e.g. a shoebox with a cord and visible title “suction unit”). The same box will cannot be used for multiple uses.

e) If there are other people (e.g. photographers) in the ambulance, this will need to be announced to the Chair or Co-Chair before the start of a scenario. They must follow the instructions from the organisers.

f) If a team is “miraculously” informed of a particular scenario, more strict scoring criteria will be used. Beware: players and their injuries are not fixed.

g) If an actor’s vital signs are not a part of the scenario, they will be provided by a judge after examination of the patient. Vital signs should be consciously obtained by measurement on the patient:

  • heart rate: needs to be measured for at least 10 seconds by feeling for a pulse, or may be obtained from an ECG machine or pulse oxymeter.
  • blood pressure: it is not necessary to perform an actual BP measurement, but you have to place the cuff on the patient’s arm and to have the stethoscope ready (unless you use a BP monitor).
  • pulse oxymetry: your own pulse oxymeter may be used, but the expected value will be announced by a judge.
  • It is prohibited to ask about vital signs of the patient without examining her/him first! If the crew has pre-prepared material (e.g. an IV set) and within 10 seconds wants to know all vital signs, a judge will provide them in a real time range

h) Oxygen – the cylinder with breathing equipment must be near the patient; the face mask or tracheal cannula must be near the head of patient.

i) The monitor (oxymeter) must be switched on beside the patient, with cables at least in contact with the patient or in place on the mannequin.

j) When administering medication, you must physically put the box (ampoule) with the drug near the administration site and report to the judge the name of the drug, dose and the route (e.g.: Valium, 10 milligrams, intravenous administration. You must really show the appropriate drug to the judge, with only the exception of narcotics – in this case you can show another ampoule and declare it by the correct name). It is not possible to report drugs administration only through words.

k) You will simulate intravenous administration by fixing the hose of the set (without the needle) to the corresponding part of the patient’s body and putting the bag of fluid beside the patient. You must report to the judge “intravenous line ready”.

l) Neck immobilization: you are expected to use the neck collar as in a real situation, or immobilise the neck manually for the whole scenario. 

m) In the case of “patient transportation”, you must declare the correct way to load the patient into the vehicle, and the whole team should step into the vehicle and close all doors.

n) In the case of “patient’s preparedness for transportation“ (or transfer into another hospital unit), you must put the patient in the correct position on the stretcher (or transport chair, etc) and declare to a judge “ready for transport”.

o) When declaring a correct routing in the task, announce your decision from the task legend to the judge.

p) Intubation and establishing an intravenous line can be performed on a mannequin (make sure it is done where appropriate for that mannequin).

q) Using splints requires complete application, unless otherwise  specified by a judge.

r) Treat all scenarios as real!

Team member evaluation

A team is marked out of 100 total points.

There are 4 levels of point award for the team effort: 

  • perfect – 25 points
  • not absolutely perfect (only small mistakes) – 20 points
  • imperfect (essential part missing) – 10 points
  • whole part missing (approach, communication, kindness, empathy) – 0 points

Individual aspects of scoring

  • Approach: introduction, calm and self-conscious approach, one member of crew talking to the patient, understandable lay-person explanation (e.g. non – Latin expressions)
  • Communication: explains the progress of primary and secondary examination, explains diagnosis to the patient, explanation of treatment and routing, informs the patient before sudden changes of positioning, explains well to relatives
  • Kind manipulation: gentle positioning, careful manipulation during immobilisation, gentle undressing
  • Empathy: protection from weather and temperature, does not over-step the patient, does not undress the patient in public

[Last update: Tuesday, Jun 11, 2013]



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