New Training Manikins Simulation using manikins in a pre-hospital environment is an essential part of learning and development for our crews. TVAA have used manikins to practice scenarios outside and these poor ‘dummies’ have served us well over the past 10 years. However, simulation technologies have developed to become more and more adaptable and realistic. With an expanding base of clinicians at TVAA, there has been an ever increasing need for realistic manikins to allow us to train our team to the highest level. This summer the charity invested in three new manikins. How much did they cost each? We have two adults costing £8,995 each. We also have a child, including child airway set totalling £9,990. How are they used? A large component of pre-hospital emergency medicine involves outdoor simulation. This essentially means we need robust manikins that can withstand regular training from our crew in realistic environments. Basically our crew can throw these manikins in lakes, or put them upside down in car, and practice in a whole variety of outdoor environments, in all weather conditions. These high quality manikins can withstand it all. How often are they used? Every day. If our crew are on duty and are not out on task, they can easily unpack the manikins and set up a scenario to practice before they have to head off to the real thing. And of course, the manikins are also used on team training days. Why are they better than the manikins we have had before? Our team can use these manikins anywhere at anytime and not worry about cables and electronics going wrong. They are used with the ‘iSimulate package’ that the charity purchased a few years ago. This is an iPad based system which basically means no wires or power cables. The crew can control the scenario remotely and change how the ‘patient’ is breathing, the heartrate and how they may react to treatment etc. Are we still looking to purchase others? We are looking at how we can continue to use technology to make the training scenarios as realistic as possible to support our crews.