• Urs Pietsch, Jürgen Knapp, Ludwig Ney, Armin Berner, and Volker Lischke.
• Kantonsspital St Gallen Klinik für Anästhesiologie, Intensiv-, Rettungs- und Schmerzmedizin, St Gallen, Switzerland; Klinik für Anästhesiologie und Schmerztherapie, Unispital Bern, Bern, Switzerland; Air Zermatt Heliport Raron, Raron, Switzerland. Electronic address: urs.pietsch@kssg.ch.
• Air Med. J. 2016 Sep 1; 35 (5): 301-4.

ObjectiveMountain helicopter rescue operations often confront crews with unique challenges in which even minor errors can result in dangerous situations. Simulation training provides a promising tool to train the management of complex multidisciplinary settings, thus reducing the occurrence of fatal errors and increasing the safety for both the patient and the helicopter emergency medical service (HEMS) crew.MethodsA simulation-based training, dedicated to mountain helicopter emergency medicine service, was developed and executed. We evaluated the impact of this training by the means of a pre- and posttraining self-assessment of 40 HEMS crewmembers.ResultsMultidisciplinary simulation-based educational training in HEMS is feasible. There was a significant increase in self-assessed competence in safety-related items of human factors and team resource management. The highest gain of competence was demonstrated by a trend in the domain of structured decision making.ConclusionsInterprofessional simulation-based team training could have the potential to impact patient outcomes and improve rescuer safety. Simulation trainings lead to a subjective increase of self-assuredness in the management of complex situations in a difficult working environment.Copyright © 2016 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.

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