TABLE 1.

Comparison of Model Objectives Between Two Piloted Scenarios

Objectives	Burn Scenario	Hypoxia Scenario
Initial assessment and interventions	Accuracy of burn size	Identification of possible causes of hypoxiaAdministration of antibiotics for pneumonia/sepsis
	Initial fluid resuscitation rate
	Recognition of need to evacuate/attempts to do so
		Recognition of need to evacuate/attempts to do so
Resuscitation	Completion of Lund and Browder chart	20–30 mL/kg fluid bolus according to sepsis guidelines
	Calculation of formal fluid requirements	Urinary catheter placement
	Urinary catheter placement
Identification and management of complications	Lower extremity eschar syndrome	Worsening hypoxia with fluid resuscitation
	Lower extremity escharotomy
		Cessation of crystalloid fluids
Ongoing resuscitation	Adjustment of hourly fluid rate according to urine output	Tolerance of mild hypotension given adequate urine output
	Wound care	Initiation of oxygen therapy
		Patient positioning (upright)
		Possible noninvasive positive pressure ventilation
Identification and management of complications	Recognition of the need for intubation to protect airway	Recognition of need to intubate to protect airway and provide mechanical ventilation
	Intubate or perform cricothyrotomy
		Intubate or perform cricothyrotomy
Ongoing management	Analgesia and sedation management	Analgesia and sedation management
	Continued fluid adjustment according to urine output
Identification and management of complications		Tension pneumothorax from positive pressure ventilation
		Needle decompression followed by tube thoracostomy
Documentation	Care documentation accuracy and completeness throughout	Care documentation accuracy and completeness throughout
Duration	8 hr real time, 14 hr simulation time	8 hr real time, 14 hr simulation time