Virtual Manikin™ — Interprofessional Trauma Management

Case Description

Set in a community hospital, participants will evaluate injured patients who require immediate stabilization and resuscitation before eventually being transferred to a trauma center. There are options to start the scenario in a home garage, a rural roadside, or the hospital trauma Bay. Patients can be transported via ambulance to the hospital. This Virtual Manikin scenario allows the moderator full customization, including a broad range of injury patterns, including blunt, penetrating, and burn injuries. This Virtual Manikin scenario provides educators the ability to create their own tailor-made cases for ongoing training using the trauma curriculum package.

Learning Objectives

1. Identify steps to prepare the team and equipment prior to the patient’s arrival.
2. Understand a team-based approach to trauma assessment and management, including assigning a team leader and other roles.
3. Don appropriate personal protective equipment (PPE) prior to patient assessment.
4. Understand to obtain a handoff from emergency medical providers prior to starting the primary survey, as patient condition allows.
5. Assess a trauma patient’s condition efficiently and accurately. Establish management priorities in a trauma situation.
6. Demonstrate appropriate stabilization and resuscitation of trauma patients according to their injury priority.
7. Demonstrate the concepts and principles of a primary trauma assessment.
8. Demonstrate appropriate spinal precautions when appropriate and interpret radiographic results to determine significant spinal injury.
9. Demonstrate ability to obtain and interpret ultrasound exams in trauma.
10. Demonstrate the concepts and principles of secondary trauma assessments.
11. Evaluate and manage patients after a traumatic injury who are in shock, recognizing life-threatening hemorrhage.
12. Interpret various modalities for radiographic identification of thoracic injuries, including tension pneumothorax and suspected hemothorax.
13. Understand the importance of CT imaging for evaluating injured patients and interpret cross-sectional imaging appropriately for major traumatic injuries.
14. Determine when an injured patient’s needs exceed the resources of a particular treatment facility or available medical providers. Arrange for a patient’s transfer appropriately either within a hospital or between hospitals.
15. Frequently re-evaluate a patient’s condition to determine if the patient’s status has deteriorated during the evaluation, resuscitation or transfer process.
16. Evaluate patients with significant head injury, including being able to determine a Glascow Coma Score (GCS).
17. Evaluate musculoskeletal trauma and manage appropriately, reducing fractures and applying splints when indicated.
18. Demonstrate appropriate pain management for an injured patient.
19. Demonstrate the following skills as appropriate: airway establishment and initiation of assisted ventilation, orotracheal intubation, emergency surgical airway placement, intraosseous access placement, chest decompression via needle, finger, and chest tube insertion, recognition of cardiac tamponade and know the appropriate treatment.
20. Understand indications for emergent transfusion, available blood products, and appropriate massive transfusion protocols. Consider tranexamic acid (TXA).
21. Demonstrate appropriate wound care management for traumatic injuries, including updating tetanus immunization as indicated and appropriate management of open fractures including early antibiotics.
22. Identify patterns of intimate partner violence.