• Spatial Constraints: Recreate confined environments like stairwells or bathrooms to challenge ergonomics and teamwork. • Props and Visual Cues: Simple details—a cluttered kitchen, scattered medication bottles, fake blood—stimulate critical observation and scene awareness. • Temperature and Distraction: Fans, low lighting, or mock weather effects can evoke the fatigue and discomfort of real scenes, enhancing resilience training. • Technology Integration: Equip rooms with cameras, microphones, and large displays for recording and live instructor feedback. Consider remote observation stations for multi-cohort training. IN-SITU SIMULATION: TRAINING WHERE YOU WORK In-situ simulation—conducted in the actual work environment—bridges class - room learning with operational readiness. Training inside ambulances, emer - gency departments, or dispatch centers reveals system-level issues, such as equipment layout inefficiencies or communication gaps. The AHA 2025 ECC education guidance and SSH best practices both encourage such environ - ment-based training to strengthen team coordination and safety culture. EFFICIENCY AND SCALABILITY Design for rapid reset between sessions. Modular setups using movable walls, projectors, and portable monitors allow multiple scenarios per day without extensive downtime. As simulation demand grows, efficient room turnover keeps your program sustainable.
EXAMPLE LAYOUT A mid-size EMS training center might include: • One multipurpose high-fidelity simulation bay • Two low-fidelity skill labs • A control room with observation windows and recording equip- ment • A debriefing room equipped with playback screens and analytics software Whether your setting is a full lab or a
converted garage bay, the environment should immerse learners in realism that tests decision-making, communication, and procedural precision under pressure.
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