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Simulation for COVID-19 emergency preparedness

Simulation resource personnel from across the country are now being called upon to run in situ simulations in their own hospitals and to prepare and ensure that staff have the right viral protection, as well the correct treatment of COVID-19 patients.

So that techniques and experience can be shared in the current situation, we will take responsibility for collecting and sharing actions and scenarios used by health professionals from across Norway and publish these on under the auspices of RegSim Vest and SAFER.

Please contact Liv Norland:, or Sigrun Qvindesland:


Peer-reviewed articles

Care for Critically Ill Patients With COVID-19

Srinivas Murthy, MD, CM, MHSc; Charles D. Gomersall, MBBS; Robert A. Fowler,MD, CM, MSc. JAMA Published online March 11, 2020.

COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought

Pier Luigi Ingrassia, Giorgio Capogna, Cristina Diaz-Navarro, Demian Szyld, Stefania Tomola & Esther Leon-Castelao. Advances in Simulation volume 5, Article number: 13 (2020)

Hospital surge capacity in a tertiary emergency referral centre during the COVID‐19 outbreak in Italy

Carenzo, L., Costantini, E., Greco, M., Barra, F.L., Rendiniello, V., Mainetti, M., Bui, R., Zanella, A., Grasselli, G., Lagioia, M., Protti, A. and Cecconi, M. (2020), Anaesthesia. doi:10.1111/anae.15072

Intubation of SARS patients: infection and perspectives of healthcare workers

Karen M. Caputo et al. CAN J ANESTH 2006, 53: 2,122–129

Preparing for a COVID-19 pandemic: a review of operating room outbreak response measures in a large tertiary hospital in Singapore

Wong, J., Goh, Q. Y., Tan, Z., Lie, S. A., Tay, Y. C., Ng, S. Y., & Soh, C. R. (2020). Canadian journal of anaesthesia, 67(6), 732–745.

Preparing your intensive care unit for the COVID-19 pandemic- practical considerations and strategies

Ken Junyang Goh1, Jolin Wong, Jong-Chie Claudia Tien, Shin Yi Ng, Sewa Duu Wen, Ghee Chee Phua and Carrie Kah-Lai Leong

Simulation as a tool for assessing and evolving your current personal protective equipment: lessons learned during the coronavirus disease (COVID-19) pandemic

Lockhart, S. L., Naidu, J. J., Badh, C. S., & Duggan, L. V. (2020).  Canadian journal of anaesthesia, 1–2. Advance online publication.

Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19)

Waleed Alhazzani et al. European Society of Intensive Care Medicine and the Society of Critical Care Medicine 2020

The use of simulation to prepare and improve responses to infectious disease outbreaks like COVID-19: practical tips and resources from Norway, Denmark, and the UK

Peter Dieckmann, Kjetil Torgeirsen, Sigrun Anna Qvindesland, Libby Thomas, Verity Bushell & Hege Langli Ersdal

Use of in situ simulation to evaluate the operational readiness of a high-consequence infectious disease intensive care unit

Fregene TE, Nadarajah P, Buckley JF, Bigham S, Nangalia V. Anaesthesia. 2020;75(6):733‐738. doi:10.1111/anae.15048

Non-government organizations (reports and recommendations)


The Australian and New Zealand Intensive Care Society (ANZICS) COVID-19 Guidelines. Version 1.


12 situations hospital leaders should prepare for

Essential tips for creating and conducting simulation scenarios in the clinical environment during the Covid-19 epidemic (april 2020)

Rapid Large-Scale Training During COVID Pandemic: All In This Together

Recommendations from hospitals

Just in time training (JITT) with rapid turnaround Simulations for COVID19

Materials and scenarios as developed and amended during week of 9/3/20 in response to
rapidly evolving clinical situation, from Kings College Hospital, Kings Clinical Training. NHS Foundation trust.

Other articles

Preparing and responding to 2019 novel coronavirus with simulation and technology-enhanced learning for healthcare professionals: challenges and opportunities in China

Li L, et al. BMJ Stel Month 2020


In order to assist UN country teams in scaling up country preparedness and response to COVID-19, WHO has developed these learning modules as a companion to the Operational Planning Guidelines to Support Country Preparedness and Response.


Cardiac arrest training on a COVID-19 patient on the ward

Treat COVID-19 cardiac arrest patient according to resuscitation algorithm, as a team and identify infection prevention measures.

Chest pains with pre-hospital confirmed COVID-19

Use of viral protective equipment in a clinical, pre-hospital treatment situation (dependent upon skills training in practical use of equipment before simulation).

COVID-19 skills and simulation guide (Cardiff & Vale Trust)

Pre-sim learning materials, plan and scenarios, PPE (Pers.Protective Equipt.), Intubation, Cardiac Arrest and Resilience

1. COVID-19 @ CaVHB, pre-sim learning materials March 2020
2. COVID-19 @ CaVHB session plan and scenarios March 2020
3. COVID-19 @ CaVHB, PPE, March 2020
4.COVID-19 @ CaVHB, intubation, March 2020
5. COVID-19 @ CaVHB, cardiac arrest and resilience, March 2020

Critically ill adult with Corona infection

Simulation case including: medical emergency dispatchers, ambulance, volunteer standardized patient,
and Critically Ill Medical team.

Psychiatric clinic simulation

Receiving a patient with, or suspected of having, Corona infection.

Receiving a suspected COVID-19 patient

Receiving a suspected Covid-19 patient in accordance with procedure, with main emphasis on using ABCDE examination methodology
and aintain correct protective measure in accordance with appropriate procedures.

Severe novel COVID-19 infection

Simulator based scenario, Respiratory Treatment and Triage to Admission


The method is designed to train a large number of participants in decision-making prior to simulation training.

– How to create ShadowBox scenarios
– ShadowBox template.pptx

Sick child from COVID-19 family, 7 months old

Identify irregularities in patient status and treat according to best practice, infection transmission prevention in emergency situations, and collaboration, with clear leadership, in order to treat the patient.

Suspected novel COVID-19 infection

Simulator based scenario, Standard Precautions and Triage

Trauma simulation scenario for suspected Covid-19

Simulation involving receiving a trauma patient with suspected Covid virus infection

Team leader training for ward charge nurses during increased activity due to COVID-19
Motivate nurses in taking a sufficient lead and having staff capable of taking quick decisions.
Walk-in patient infected with COVID-19 arrives at hospital reception

Maintain own safety during the handling of infected patients. Follow hospital procedure.


British Columbia, Canada

COVID-19 simulation site with scenarios, tips, checklists for in situ sim etc.

Healthy Simulation

With links til COVID-19 related simulation sites


Simulation Center of Univ. of Chicago

Webinar mm.

Society for Simulation in Healthcare

The Society for Simulation in Healthcare (

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