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Practical management of emergencies in primary care: taking simulation out of the classroom and into real-life environments
  1. Emer Forde1,
  2. James Bromilow2,
  3. Clare Wedderburn1
  1. 1Centre for General Practice, Bournemouth University, Bournemouth, UK
  2. 2Department of Intensive Care, Poole Hospital NHS Foundation Trust, Poole, UK
  1. Correspondence to Dr Emer Forde, Centre for General Practice, Bournemouth University, Royal London House (R507), Christchurch Road, Bournemouth, BH13LT, UK; eforde{at}bournemouth.ac.uk

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Introduction

General practitioners (GPs) have a responsibility to provide prompt and effective care in an emergency and GPs in the UK are required to undertake annual basic life support (BLS) training. However, most emergencies are peri-arrest and this is an area where GPs lack confidence.1 This may be because life-threatening emergencies in the community are relatively infrequent and therefore provide a challenge for doctors in keeping up to date. The aim of this project was to upskill GPs in managing emergencies that could occur in general practice surgeries.

Classroom-based simulation has a track record for teaching and is often used for BLS courses. However, clinicians need to be able to use their own equipment and medication, and be confident managing emergencies within their surgeries. High-fidelity simulation-based training programmes for managing emergencies have been successfully used in hospital settings2 and have been shown to improve knowledge, including emergency cardiopulmonary resuscitation scenarios.3 ,4 To the best of our knowledge, there is no research investigating its value in primary care settings. This highly innovative project brought simulation out of the classroom and into community environments where emergencies actually occur creating ‘real-life’ scenarios.

Method

Participants

Ten workshops were held in general practice surgeries across Dorset and …

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