Singapore Pre-hospital Simulation Challenge

1. Objectives

The objectives of the SEMS Emergency Medical Services (EMS) SIMWars is to create a challenging, educational and yet fun pre-hospital simulation experience for emergency medical personnel.


Through this simulation challenge, the organizer hope that pre-hospital providers can be better prepared for the tough challenges that they may face out on the road. The simulation would introduce both competitors and audiences to new techniques and technology that can be used to manage patients of all levels of criticality. The simulation challenge also enables participants to share their expertise, experience, techniques and technology with other EMS colleagues from throughout the world.


Differentiating itself from other EMS competition, the SEMS  EMS SIMWars is not created to test a team’s ability to recite management protocols. The challenge aims to put together team dynamics, communications and teamwork in the assessment of patient care, and teams are able to complete assigned tasks at a rapid, but efficient pace.

2. About the Singapore Pre-hospital Simulation Challenge

The simulation challenge is a 15 to 20-minute, pre-hospital scenario-based event that challenges each team’s ability to manage multiple patients with different illnesses or injuries in front of a large audience. There will be a preliminary round held, venue and date to be confirmed. The top teams shall proceed to the finals on 23rd Feb 2019 at Sengkang General Hospital.


The Competition focuses directly on each team’s capability to:

  • Work as a team;

  • Take control of the scene (with potential hazard);

  • Patient(s) and crowd management;

  • Ability to identify patient’s illness or injury and to manage each condition.


3. Team Composition

  • The team will comprise of three (3) members, they must have a fourth (4th) alternate member on standby. Participant that are eligible to participate include paramedics, EMTs, registered nurses, first responders and first aiders

  • The fourth (alternate) team member may be registered with the team and can be substituted in the event of illness or injury of one of the three main team members or other reason acceptable to SEMS  EMS SIMWars officials. The alternate must be identified at the time of registration and may only be substituted with the advance notification and approval of the SEMS  EMS SIMWars Coordinator.

  • Physician, Paramedic, EMTs and registered nurse within the organizing committee are not eligible for this competition.


4. Check-in

  • Proceedings for SEMS  EMS SIMWars will begin with individual team check-in to confirm their current certification.

  • Team Check-in venue and time will be advised closer to the date.

  • All team members will be required to present original relevant certification cards from their respective countries, e.g. ACLS (AHA), ACLS (NRC) at check-in.


5. Team Holding area

On the simulation challenge day, all teams would be held in a holding room away from the simulation challenge venue and away from spectators. The teams are not allowed to have their communication devices with them and there should be no communication between the teams and the spectators.


Any team caught utilising their communication devices or communicating with any spectator would be disqualified.


While the teams are held in the holding area, light refreshments are provided.


In an event any team members would like to utilise the washroom, a staff from the organising committee shall accompany the team member to the washroom.


6. Equipment Inspection & Team Meeting

The organiser will provide all the necessary equipment.  All teams will carry the same equipment.

Review/reference or “cheat sheets” will not be allowed in the competition. Examples include printed or electronic field drug guides, quick reference drug calculations or formulas, radio report summary cards, and any other material that would provide an advantage to the competing team.


The only exception is a paediatric, length-based resuscitation tape (Browselow Tape), which the teams may find in their kits/bags.



7. Team Briefing & Equipment Orientation

All competitors will be offered an orientation familiarisation with the Laerdal manikins/simulators that will be positioned and used throughout the competition as well as all the team equipment that is being supplied. This briefing will be advised closer to the date, usually before the preliminary competition.

This will be the only scheduled opportunity for orientation of the competition and simulation manikins/ equipment


8. Scoring of the Final Competition

Scoring will place an emphasis on each team’s ability to assess and treat multiple patients efficiently and effectively in the 20 minutes maximum time frame.


As with any Competition, the decision of the judges and the competition Lead Judge will be final and not subject to debate or challenge.



9. Skills for the challenge

During the pre-hospital simulation challenge, teams would be given scenario in accordance to Advance Cardiac Life Support (ACLS) and Pre-hospital trauma life support (PHTLS) guidelines.



10. Drugs provided

Teams would be provided the following drugs for the simulation challenge;

  • Ventolin

  • Lidocaine

  • Morphine Sulphate

  • Magnesium Sulfate

  • Naloxone

  • Nitroglycerin

  • Pralidoxime Chloride 

  • Sodium bicarbonate

  • Syntometrine 

  • Sedative drugs (Midazolam, Etomidate, Ketamine)

  • Paralytics drugs (Succinylcholine)

  • Hydrocortisone

  • Adenosine                                                          

  • Amiodarone

  • Amyl Nitrite

  • Aspirin

  • Atropine

  • Calcium Gluconate

  • Diltiazem

  • Dextrose 50% (D50) and 10% (D10)

  • Diazepam

  • Dopamine

  • Epinephrine 1:1,000 and 1:10,000

  • Furosemide

  • Fentanyl

  • Verapamil



11. Photography and Videography

There would be photography and videography during the simulation challenge. By participating in the challenge, it is implied that the team has consented for photography and videography.  

12. Registration for SIMWars

  • All team members must be registered as full participants of SEMS ASM 2020 conference.

  • Registration will be closed on 1 December 2019. 

  • Confirmation of the participating teams will be sent via email within 2 weeks following the closing date of the registration.

  • Further details will be furnished at a later date to these teams.

  • In the event of a withdrawal, the team shall inform the organisers at least 1 month before the event (by 22 January 2020), to give sufficient time for any replacement team to prepare.