Get Updates

Simulations at Royal Infirmary Edinburgh

06 May 2019

Last week, we were delighted to have the trauma app included as part of the Royal Infirmary Edinburgh’s major trauma team course.

The training day included five different trauma scenarios. In each scenario two scribes were allocated – one using existing paper forms, one using the trauma app prototype. James (project manager) and Dougie (lead developer) from Daysix were lucky enough to be invited into the emergency room to watch the trauma team perform their roles, and see data being inputted into the prototype app live. Below, James tells us what he learned:

1) The scribe has an important but challenging role.
There were times during the scenarios that I was struggling to keep up with what was being said. The role of the scribe is to record everything as accurately as possible, and to do so well means being a good listener, organised (to keep track of who enters and leaves the emergency room) and able to work quickly. Lots of information can come in a short space of time, which made me realise just how crucial it is that the trauma app allows for speedy data input. It must not be slower than using pen and paper.

2) The emergency room is a busy place.
Although there are times when the emergency room should be quiet – for example, during the preparation stage when the trauma team leader briefs the team and allocates roles, and during handover – it can be a noisy place with lots going on. The patient is in pain and may shout out. There can be multiple voices at one time. Clinicians will move around. Equipment will be set up. Drugs will be prepared. People come in and go out of the room. Monitors may beep. For me, it was really important to experience this environment up close as it will give me greater context for where the trauma app will be used.

3) Trauma clinicians do an amazing job.
One of the simulations at the training day involved a patient who was 28 weeks pregnant (at the time of writing my wife is 27 weeks pregnant), and her cries of ‘the baby, please look after the baby’ brought a lump to my throat. The fact that I was getting emotional during a simulation made me realise just how difficult it must be for clinicians who perform their job under high pressure, literal life-or-death situations. The work they do is nothing short of amazing, and the team at Daysix will do everything we can to build a final tool that is genuinely valuable to clinicians and will help them to perform their professional duties to ultimately save lives.

Thanks to Craig, Dean and Nicola at Royal Infirmary Edinburgh for all their support and input into the trauma app project and for including the trauma app as part of the training day. We are currently working on an updated version of the trauma app and look forward to it being tested in future simulations.