The Template of Events for Applied and Critical Healthcare Simulation (TEACH Sim): A Tool for Systematic Simulation Scenario Design

Simulation-based training (SBT) affords practice opportunities for improving the quality of clinicians’ technical and nontechnical skills. However, the development of practice scenarios is a process plagued by a set of challenges that must be addressed for the full learning potential of SBT to be realized. Scenario templates are useful tools for assisting with SBT and navigating its inherent challenges. This article describes existing SBT templates, explores considerations in choosing an appropriate template, and introduces the Template of Events for Applied and Critical Healthcare Simulation (TEACH Sim) as a tool for facilitating the formation of practice scenarios in accordance with an established evidence-based simulation design methodology. TEACH Sim’s unique contributions are situated within the landscape of previously existing templates, and each of its component sections is explained in detail

Neonatal cardiac arrest

Scenario overview A 6-day-old child is brought to ED with 2 days of increasing work of breathing, fussiness and poor feeding. He is full term from normal spontaneous vaginal delivery occurring at home. Today he rapidly deteriorated with cyanosis and respiratory distress. Teaching objectives/discussion points Clinical and medical management

Severe Asthma

Scenario overview A 29-year-old morbidly obese man is brought in by EMS with severe respiratory distress. He reports cough, sore throat and worsening asthma symptoms. His wife says he has been worsening over the past 5 days. Over the past several hours he has been using his pump every hour with minimal relief. About an hour ago he began to become confused and his wife called 911. Teaching objectives/discussion points Clinical and medical management

Severe asthma

Scenario overview A 29-year-old morbidly obese man is brought in by EMS with severe respiratory distress. He reports cough, sore throat and worsening asthma symptoms. His wife says he has been worsening over the past 5 days. Over the past several hours he has been using his pump every hour with minimal relief. About an hour ago he began to become confused and his wife called 911. Teaching objectives/discussion points Clinical and medical management