In this episode, recorded at Tactical Trauma 2024, Andrew Petrosoniak discusses real-world experiences in trauma care, and the innovative use of simulation to resolve systematic issues in blood delivery and overall trauma resuscitation protocols.
Key takeaways include the concept of intelligent failure, reducing cognitive overload for medical staff, and the creation of efficient medical environments. Moreover, the episode delves into the significant improvements achieved through simulation, such as a 50% reduction in blood delivery times, and the integration of performance data to enhance CPR and clinical space design. Emphasizing the importance of using data to drive improvements, the conversation explores the implementation of roles like a CPR coach and the scalable application of these practices across individual, team, and systemic levels.
Listeners are encouraged to view failures constructively and leverage simulations and data for better patient outcomes and team performance.
00:00 Introduction to Simulation in Emergency Medicine
01:05 A Real-Life Trauma Case
02:18 Identifying Systemic Issues
02:46 Implementing and Testing Solutions
05:45 The Concept of Intelligent Failure
09:41 Scaling and Impact of Simulation
10:22 The Power of Simulation in Experimentation
10:56 Data Integration in Healthcare and Sports
11:29 Evaluating CPR Quality Through Simulation
12:14 Using Data to Improve Clinical Performance
13:47 Designing Clinical Spaces with Simulation Data
15:28 Scaling Impact with Simulation
18:02 Efficient Team Communication in Trauma Bays
19:04 Broadcasting and Recording Simulations for Education
19:39 Conclusion and Future Directions
The Speaker
Dr. Andrew Petrosoniak is an emergency physician and trauma team leader at St. Michael’s Hospital and an Assistant Professor in the Department of Medicine at the University of Toronto. He has completed a Master of Science in medical education where he focused on the use of in situ simulation (practice in the actual workplace) in procedural skill acquisition.
Andrew’s field of research includes in situ simulation and simulation-based technical skill acquisition. His work focuses on usability testing and the identification of personnel- and systems-based safety threats within acute care medicine. He is the principal investigator of the TRUST study (Trauma Resuscitation Using in Situ simulation for Team Training) that includes a partnership with human factors experts to evaluate systems and processes during high-stakes trauma simulations.
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