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Primary care emergencies: improved confidence in clinical and non-clinical members of the multidisciplinary team using a simulation programme
  1. Elizabeth Iris Lamb1,2,
  2. Nichola Jenkins3,
  3. Phillipa Male1,2,
  4. James McFetrich3,
  5. Maria Towart1,
  6. Mark Sudlow2,3
  1. 1 Ponteland Medical Group, Northumbria Primary Care, Newcastle upon Tyne, UK
  2. 2 School of Medical Education, Newcastle University, Newcastle upon Tyne, UK
  3. 3 Northumbria Healthcare NHS Foundation Trust, North Shields, UK
  1. Correspondence to Dr Elizabeth Iris Lamb, Ponteland Medical Group, Northumbria Primary Care, Newcastle upon Tyne, Ne20 9SD, UK; elizabeth.lamb3{at}nhs.net

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Background

Emergencies occur infrequently in primary care, and when they do can be daunting for those involved, particularly those who have a non-clinical background. Previous work has described the importance of extending basic life support training to include management of emergencies using the available team and facilities.1 Simulating waiting room emergencies has been demonstrated to increase confidence in the clinical team in managing these challenging situations,2 but we are not aware of publications supporting the use of simulation in the wider primary care team including non-clinical colleagues.

Northumbria Primary Care (NPC) is an innovative collaboration between six General Practices and Northumbria Healthcare NHS Foundation Trust (NHFT), serving a population of over 40 000 patients. With the aim of increasing confidence in management of potential encountered medical emergencies in primary care, a shared simulation programme for the clinical and non-clinical multidisciplinary team was developed at the Dinwoodie Assessment and Simulation Hub within NHFT. This state-of-the-art facility consists of multiple simulation areas, including consultation rooms and a waiting area, and several low-fidelity and high-fidelity manikins, which were used to recreate potential primary care emergencies.

Primary care emergency simulation scenarios

A programme was developed based on emergencies that may be encountered in a primary care environment, including meningococcal sepsis in a baby, myocardial infarction (MI) leading to cardiac arrest and anaphylaxis to a vaccine (table 1).

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Table 1

Scenarios used …

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