Texas EMS Conference SIM Games

• All scenario-based challenge rounds will be single elimination.
• Teams must arrive in the staging area 15 minutes prior to their scheduled start time.
• Judges will be provided by GMR – One judge for skills challenges / two or three judges for each of the scenario challenges.
• Scoring based upon adherence to current industry best practices.
  • Points will be earned in 4 areas:
    • Scene Management
    • Patient Assessment
    • Patient Management
    • Crew Communication
  • Scoring will be documented as follows.
    • -2= Detrimental actions
      • Life threat
    • -1=incorrect action(s)
      • Not necessarily harmful
    • 0 = item not addressed in any manner
    • 1 = item addressed
  • Judges’ scores for the first scenario round will be combined with the skills challenges scores to determine which teams will progress to the second round.
  • Judges’ scores for each subsequent round will be added together to determine the highest scores for that round.
  • The team with the highest scores progresses to the next round; should a tie occur, the team with the highest total combined score from all previous rounds (skill stations will be used if the tie is in the first scenario round) will progress to the next round or win the competition. 
• Participants must wear their duty uniform.
• Teams will have 20 minutes to complete the scenario; time begins when you are dispatched.
• Teams will be expected to perform assessment and treatment modalities on the manikins.
  • Manually check for pulses, auscultate lung sounds, assess pupils, etc. during the assessment
  • Medications should be drawn up at appropriate doses and pushed either into the manikin or a provided safe alternative
  • IV fluids should be spiked and should be set to flow at the desired rate
  • Appropriate time amounts should be allotted for onset of medications and other procedures
  • Blood Glucose results will be available 30 seconds after draw time
  • EKGs will be available once the procedure has been appropriately demonstrated
• Medical control or physician assistance will not be available at any time during the scenario.
• Crews may not prepare medications or equipment prior to the start of the scenario.
• Bystander help may or may not be available during a scenario; judges will ensure standardization for each scenario.
• Team members WILL NOT be sequestered until the final round; therefore, they will be able to participate in other conference activities during non-competition time. No members of any team, including the alternate, are permitted to enter any competition site before their competition time(s). We are trusting each team to use the honor system.  We ask that you report to your designated meeting point, as established at the practice / orientation session, ONLY at the time indicated and wait for a competition staff member to escort you to your competition staging area.  However, in the final round of competition the second team to compete will be sequestered by a member of the GMR / Med-Trans Corp host team. During this time there will be no access to mobile devices to include phones, tablets, smart watches, and radios.
• It is expected that all participants will act responsibly, appropriately, and professionally through all phases of the competition.  Points can, and will, be deducted at the judge’s discretion for any behavior that is deemed unprofessional or inappropriate during the competition.

• Manikins: The link provided below will allow you to familiarize yourself with the manikins that will be used during the competition.  We will be using the high-fidelity simulators.

http://www.laerdal.com

• Equipment to be provided by GMR
  • Monitor / defibrillator with appropriate cables and pads
  • Backboards with CID’s and straps
  • Oxygen tank with regulator
  • Portable Suction
• Each team is required to supply their own equipment (jump) bags similar to what is used by their service on a daily basis.  The expectation is for teams to work out of their own equipment bags, so extra medical equipment beyond what you carry into the scenario should not be expected. Please bring extra basic equipment to restock between scenarios. Teams should be prepared to encounter any type of patient population.
• You may reuse equipment opened for previous scenarios.
• One calculator and one length based pediatric assessment device (Broslow Tape) are the only references allowed during the competition.
• No electronic devices may be accessed during the competition, including medical apps.
• No mechanical CPR or ventilation devices are permitted.
• Equipment carried into a scenario on a team member’s person must be approved by the judges prior to the beginning of the competition.
• Teams are responsible for the safe disposal of all sharps.