Chance of survival following cardiac arrest is four times higher in partly rural, partly densely populated Galicia compared with the rest of rural Spain and the more densely populated inner city of Madrid. Their relatively high survival rate of 14% is partially attributed to the facilitated simulation training, where each and every part of the Chain of Survival is highly focused and rehearsed.
Setting the parameters for required performance
The Galician Authorities have now made simulations a mandatory component of medical training for EMS personnel to advance higher competency levels. Training comprises mostly 9 hour courses during which participants solve 8 different clinical care scenarios. These have been developed to ensure exposure to relevant curricula as well as to make certain that all appropriate staff can experience rare but typical EMS events in preparation for a real encounter. Individual and team performance are both a keen focus, as is protocol training. Pre-qualification tests and personalized, lengthy, instructor-led debrief sessions after each scenario augment the learning outcome gained from the actual scenarios. All this illustrates the fact that the Galician EMS Simulation Center has emerged as a regional resource center in Spain.
Great things come in small packages
Their range of training programs can take place outside the Center or in its relatively modest 60sq meters facility, clearly demonstrating that much can be resourcefully achieved with limited space. Comprising 1 simulation room, 1 control room and 1 briefing/de-briefing room, current training equipment includes 2 SimMan, 2 SimBaby, 1 AV system, 7 ALS simulators, in addition to multiple skill trainers and manikins.
Plans are currently underway to build a simulation ambulance.
The Public Emergency Medical System of Galicia
The Galician EMS is part of the local medical district of Galicia. Located in Santiago de Compostela in Spain, the training center opened in 2000 and to date trains 4,500 clinical personnel on an annual basis. EMS staff account for 80% of this number, followed by physicians and nurses in 24/7 primary care and specialists in family medicine.