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. 2017 Dec 26;9(12):e1990.
doi: 10.7759/cureus.1990.

Management of Cold Water-induced Hypothermia: A Simulation Scenario for Layperson Training Delivered via a Mobile Tele-simulation Unit

Cody L Dunne  1 , Michael Parsons  2
Affiliations

Management of Cold Water-induced Hypothermia: A Simulation Scenario for Layperson Training Delivered via a Mobile Tele-simulation Unit

Cody L Dunne et al. Cureus. .

Abstract

Newfoundland and Labrador (NL) has one of the highest provincial drowning rates in Canada, largely due to the many rural communities located near bodies of water. Factor in the province's cold climate (average NL's freshwater temperature is below 5.4°C)and the prevalence of winter recreational activities among the population, there exists an inherent risk of ice-related injuries and subsequent hypothermia. Oftentimes, these injuries occur in remote/rural settings where immediate support from Emergency Medical Services (EMS) may not be available. During this critical period, it frequently falls on individuals without formal healthcare training to provide lifesaving measures until help arrives. Training individuals in rural communities plays an important role in ensuring public safety. In recent years, simulation-based education has become an essential tool in medical, marine and first aid training. It provides learners with a safe environment to hone their skills and has been shown to be superior to traditional clinical teaching methods. The following case aims to train laypeople from rural settings in the immediate management of an individual who becomes hypothermic following immersion into cold water. However, reaching these individuals to provide training can be a challenge in a province with such a vast geography. To assist with overcoming this, the development of a simulation center that is portable between communities (or Mobile Tele-Simulation Unit) has occurred. By utilizing modern technology, this paper also proposes an innovative method of connecting with learners in more difficult to reach regions.

Keywords: cold water induced hypothermia; mobile tele-simulation unit; rural healthcare; simulation-based education.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Learners' progression through the simulation scenario: management of a deteriorating hypothermic individual.
Figure 2
Figure 2. Mobile tele-simulation unit prototype outside Memorial University of Newfoundland (Photo by: HSIMS, MUN).
See this image and copyright information in PMC

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References

    1. Drowning Prevention Research Center Canada. Lifesaving Society Canada; Canadian Drowning Report. 2016.
    1. Government of Newfoundland and Labrador Department of Environment and Conservation Water Resources Management Division. 2000; 2000. Temperature Contours Based on Canada-Newfoundland Water Quality Monitoring Agreement Data.
    1. Accidental hypothermia. Brown DJA, Brugger H, Boyd J, et al. N Engl J Med. 2012;367:1930–1938. - PubMed
    1. Accidental hypothermia. Danzl DF, Pozos RS. N Engl J Med. 1994;331:1756–1760. - PubMed
    1. Cold water immersion: kill or cure? Tipton MJ, Collier N, Massey H, et al. Exp Physiol. 2017;102:1335–1355. - PubMed

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