Enhancing High-Fidelity Simulation Flight-Based Training for Critical Care Paramedics in EMS Aviation: A Systematic...

High-fidelity simulation (HFS) is used with critical care paramedics (CCPs) to enhance preparedness in high-stake scenarios. This systematic review aims to assess the evidence on the role and effectiveness of HFS flight-based training, evaluating its application in education for CCPs operating within emergency medical services aviation settings.

A systematic literature search was performed using a set of inclusion and exclusion criteria, resulting in 7 articles which were appraised using the Critical Appraisal Skills Programme tool.

HFS training equips learners with skills relevant to their practice. CCPs register improved expertise, engagement and motivation, responsiveness, and general mood. There was insufficient evidence on whether this modality enhances self-awareness.

HFS learning is feasible in training CCPs in emergency medical services aviation. However, there is limited evidence on the performance of CCPs trained using HFS learning in the prehospital setting. The findings suggest that standardizing training and assessment methods is recommended to optimize skill acquisition, improve team performance, and enhance patient safety in high-acuity emergencies.