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Table 1 Course curriculum

From: Efficacy and efficiency of indoor nighttime human external cargo mission simulation in a high-fidelity training Centre

Day 1 Focus on HEC in the darkness

Safety first. Even in a simulation, there are real risks and hazards. During the training, the maximal fall could be 25 m.

Classroom

Team resource management and HF

HF and CRM refresher

Task management

Teamwork and leadership

Situational awareness

Decision making

Medical topics (e.g. ACLS of a hypothermic patient; simple and advanced trauma treatment)

Safety briefing

Simulator

Safety briefing

Six different simulated scenarios focusing on safe HEC in the darkness.

Scenarios (increasing in complexity):

- Preparing a patient (recumbent in a rescue bag or sitting) for an HEC rescue in “safe” terrain.

- Picking up in a steep wall with self-belaying in combination with or without a patient (recumbent and sitting)

Day 2 Focus on consolidating knowledge and skills

Simulator

Five different simulated scenarios and debriefings

Focus: Onsite interventions and treatment in challenging terrain, with reduced personnel resources, and limited monitoring.

Day 3 Transfer of what has been learned into future daily clinical practice

Classroom

Moderated discussion involving all participants, instructors, and the medical director, on what has been learned