| Case Setting |
| A community hospital where the learner (clerk/resident/doctor) is responsible for leading the case and must call for help if necessary. The learner can obtain backup from a qualified surgeon/physician in their community hospital or seek contact with the simulation instructor through telecommunication. The room setup contains a triage report outlining the case as above and chest tube task trainer consisting of three-dimensional (3D)-printed ribs and skin on a stand affixed to a table. |
| Personnel |
| Learners: Medical clerks/Emergency medicine residents/Doctors/Nurses Facilitators: One to two simulation center staff members, one to provide chest tube insertion skills instruction at the Memorial University site, and the other to observe and record information for debriefing technical support: readily available to assist with telecommunication equipment at both locations |
| Moulage |
| Minor to severe injuries depending on simulation difficulty - Diaphoretic - Left chest wall bruising - Pale |
| Supplies |
| Simulation Equipment |
| Chest tube task trainer composed of 3D-printed skin and ribs attached to a stand affixed to a table. Alternatively, learners could use an inflated balloon placed under a rack of pork ribs secured to a stand if a 3D-printed model is unavailable. |
| Medical Equipment |
| Sterile drapes and gloves - Antiseptic - Local anesthetic (Lidocaine) - Scalpel with No. 10 blade - Chest tube - Large Kelly clamps - Mayo scissors - Gauze, occlusive dressing, tape - Silk suture - Needle driver - Forceps -Suture scissors - Pleur Evac |
| Technology Equipment |
| Both sites require the following for two-way audio-visual communication: • Reliable network connections • Computers configured with SKYPE® or similar video calling technology • Microphones and headsets for all participants • At least, one external camera at rural site • Two cameras at Memorial University: a static camera for face-to-face discussion between instructor and trainee, and another camera for hands-free skills demonstration • Dual simulation set-up; so the instructor can demonstrate simulation set-up and skills |
