Mission SIMpossible: An Escape Room for Emergency Medicine Education (1090-002203) (Award Winning SimVentors Entry)
Start time: Tuesday, January 19, 2021, 11:30 AM End time: Tuesday, January 19, 2021, 12:30 PM CE Hours: 0.25 Session Type: SimVentors
Escape rooms have become a popular activity, exploding to more than 2000 rooms throughout the United States. These generally consist of several intertwining puzzles that have to be completed to achieve a single global objective of escaping a locked room or another unified goal. We plan to utilize this ideology to create an interactive, in-training exam learning tool. The target audience is emergency medicine residents. The game incorporates escape room-style puzzles and requires that multiple groups of participants compete against each other. Groups are to complete several didactic tasks in order to appropriately manage a final simulation as a team with the appropriate tools. The tasks to be completed test various pieces of didactic knowledge relevant to emergency medicine. Ten stations are arranged in a circuit and require teams to travel from station to station after completing each objective. Each station involves solving a puzzle and unlocking a crucial item to be used in the final simulation. The objectives for the stations’ tasks are as follows. Objective 1: Calculate an anion gap, osmolar gap, mean arterial pressure and delta compartment pressure. Objective 2: Identify common adverse effects associated with numerous toxins. Objective 3: Recognize essential ECGs and their diagnoses. Objective 4: Identify readily dialyzable conditions and toxins. Objective 5: Identify antidotes to select toxins. Objective 6: Assemble materials for rare and life-saving procedures, such as a ventriculo-peritoneal shunt tap and jet insufflation. Objective 7: Calculate an intravenous fluid amount using the Parkland formula and absolute neutrophil count. Objective 8: Recognize the locations for local nerve blocks. Objective 9: Show various knowledge required to complete a medical-themed crossword puzzle. Objective 10: Recognize and match several acid-base disturbances. Once the teams complete the stations, they partake in the final simulation, which involves most, if not all, the crucial items that the teams obtained from each station. Some items obtained are crucial, but if they are not obtained, teams must adapt and use other resources to complete their simulation. Additionally, one of the group members appointed as team leader is blindfolded and must rely on the communication and teamwork of the remainder of their team to properly treat the patient in the simulation. During the scenario that is presented in the final simulation, participants are responsible for diagnosing and managing acute opioid intoxication as well as infective endocarditis. This simulation presented here can be easily interchanged for another with different objectives allowing for greater flexibility in this project’s use. The victorious team is the first team to finish their simulation with a good outcome. This project allows participants to engage and work as a team to complete tasks and use resourcefulness to complete a simulation that recreates some scarcity of resources. This format improves participant attention and engagement, teamwork, as well as knowledge retention.