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0043 Combining Promedsim, Isimulate And Immersive Strategies In The Middle East
  1. David Halliwell
  1. Bournemouth University, Bournemouth, UK


MDT global solutions are a pre hospital simulation team working in the Middle East to develop immersive and in situ medical simulations. They work with both the promedsim, Isimulate and human patients to develop quality simulation at an affordable price. Their clients are based in many Middle Eastern countries.

Description MDT global solutions train military medics and paramedics for many of the worlds elite forces, and have for some time been working with the iSimulate alsi device (iPad based) to deliver their training.

The team have introduced the promedsim immersive simulation into their teaching which allows for 360° projection onto classroom walls, and enables pre hospital scenarios to be changed within minutes - from day to night, from collapsed building to motorway, even stages of the patient journey can be adjusted, from home or roadside to emergency dept..

Promedsim also allows for changes to sound, smell and sensory stimulation enhancing the reality of education for paramedics.

The battlefield can be recreated in the classroom... (As I write this it’s 45° outside in Qatar, and far too hot to train outside - so our need for affordable training using inside venues is essential.)

Improvements Recent evidence from Norman et al (2012) suggests only a 1–2% difference between high fidelity and low fidelity resuscitation simulation! but the MDT team have seen that we are able to suspend belief, and our students are better engaged in the simulation journey.

Using iSimulate, elderly manikins, neck breathing manikins, etc the team create some amazing challenges for pre hospital clinicians.

Take home messages Bourne from necessity the team are breaking many of the traditional simulation conventions, and provide a fascinating insight into another world!


  1. Eppich et al. Simulation-BasedTeam Training in Healthcare. Sim Healthcare 2011

  2. Norman G, Adore K, Grierson L. The minimal relationship between simulation fidelity and transfer of learning. Med Educ 2012;46(7):636-47.doi: 10.1111/j.1365-2923.2012.04243.x. Epub 2012 May 23

  3. Rosen et al. In Situ Simulation in Continuing Education for the Health Care Professions: A Systematic Review. Journal of Continuing Education in the Health Professions 2012;32(4)

  • Category: Course or curriculum evaluation/innovation/integration

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