• Patrick T Reeves, Matthew A Borgman, Nicole W Caldwell, Leela Patel, James Aden, John P Duggan, Maria L Serio-Melvin, and Elizabeth A Mann-Salinas.
• United States Army Institute of Surgical Research (USAISR), 3698 Chambers Pass Fort Sam, Fort Sam Houston, TX 78234, United States; Brooke Army Medical Center, Department of Pediatrics, United States; Uniformed Services University of Health Sciences, United States; Brooke Army Medical Center, Simulation Center, United States. Electronic address: patrick.t.reeves.mil@mail.mil.
• Burns. 2018 Aug 1; 44 (5): 1106-1129.

ObjectiveThe Advanced Burn Life Support (ABLS) program is a burn-education curriculum nearly 30 years in the making, focusing on the unique challenges of the first 24h of care after burn injury. Our team applied high fidelity human patient simulation (HFHPS) to the established ABLS curriculum. Our hypothesis was that HFHPS would be a feasible, easily replicable, and valuable adjunct to the current curriculum that would enhance learner experience.MethodsThis prospective, evidenced-based practice project was conducted in a single simulation center employing the American Burn Association's ABLS curriculum using HFHPS. Participants managed 7 separate simulated polytrauma and burn scenarios with resultant clinical complications. After training, participants completed written and practical examinations as well as satisfaction surveys.ResultsFrom 2012 to 2013, 71 students participated in this training. Simulation (ABLS-Sim) participants demonstrated a 2.5% increase in written post-test scores compared to traditional ABLS Provider Course (ABLS Live) (p=0.0016). There was no difference in the practical examination when comparing ABLS-Sim versus ABLS Live. Subjectively, 60 (85%) participants completed surveys. The Educational Practice Questionnaire showed best practices rating of 4.5±0.7; with importance of learning rated at 4.4±0.8. The Simulation Design Scale rating for design was 4.6±0.6 with an importance rating of 4.4±0.8. Overall Satisfaction and Self-Confidence with Learning were 4.4±0.7 and 4.5±0.7, respectfully.ConclusionsIntegrating HFHPS with the current ABLS curriculum led to higher written exam scores, high levels of confidence, satisfaction, and active learning, and presented an evidenced-based model for education that is easily employable for other facilities nationwide.Copyright © 2018 Elsevier Ltd and ISBI. All rights reserved.

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