Multidisciplinary in-situ simulation to evaluate a rare but high-risk process at a level 1 trauma centre: the 'Mega-Sim' approach

Multidisciplinary simulation has been used to successfully teach crisis resource management in operating room and emergency department settings. This article describes a 'Mega-Sim' approach using an in-situ simulation that moves among multiple hospital departments to enhance multidisciplinary training and assess institutional response to a rare but high-risk event: trauma in a pregnant patient. It appears that a Mega-Sim can be used to identify systems issues, increase medical knowledge and improve perceptions of teamwork and communication within and among hospital departments.
All trauma systems consider trauma in pregnancy (TIP) to be a critical challenge. Successful outcomes for two lives depend on rapid, seamless integration of interventions from multidisciplinary teams along a [...]