SEMS Inter-Hospital SIMWars

1. Introduction 
SIMWars was created by Dr Andy Godwin, Dr Haru Okuda and Dr Scott Weingart, as a platform for teams to showcase their communication, teamwork and clinical management skills in a competitive and fun environment.

Teams will manage clinical case scenarios in a high-fidelity simulation environment that is both supportive and engaging in order to experience an exciting learning experience.



2. Event Dates and Prizes

  • The SEMS Inter-Hospital SIMWars is a single-elimination challenge.

  • There will be two rounds: the preliminary round and the final round.  The preliminary round will be an offsite event a week prior to SEMS ASM 2020 while the final round is an on-stage event, in front of a live audience during the conference.

  • The preliminary rounds will tentatively be held on 15 February 2020 at Sengkang General Hospital. 

    • All teams will go through the same scenario for the preliminary round and their performances will be assessed by a panel of judges. All teams will be blinded to one another’s performances.

  • The top two teams from the preliminary round will go on to the final round, which will be held on Sunday, 23 February 2020 at Sengkang Community Hospital. 

    • The final score for the final round will be a combination of both the judges’ assessment as well as voting from the live audience. In the event of a tie in either round, an additional scenario may be run, at the discretion of the judges and organizers.

  • The victorious team will win prizes worth $750, and bring back and keep the SEMS SIMWars Challenge Trophy for the year. The Runners-up will win a prize worth $250. 



3. Team Composition

  • The team must be a multidisciplinary team comprising of 4 to 6 doctors and nurses.

    • Each team must have 2 to 3 doctors and 2 to 3 nurses.

  • It is preferable (though not compulsory) that team members practise in the Emergency Department.

  • Doctors must be non-specialists i.e. staff registrars, resident physicians, senior residents, residents, medical officers and/or house officers. 

    • There will be a maximum of 2 staff registrars or senior residents in the team.

  • Nurses can be Advance Practice Nurses (APN), Assistant Nurse Clinicians (ANC), Registered Nurses and/or Enrolled Nurses .

    • There will be a maximum of 1 APN or ANC in the team.

  • The same team participating in the preliminary round must also participate in the final round. There will be no replacement of team members unless permission and approval is obtained from the organizing committee, only on account of extenuating circumstances.

  • A maximum of 12 teams will be in the challenge.

  • Each institution may register a maximum of 2 teams. In the event that more than 12 teams are registered, preference will be given to the first team of each institution. The second team from each institution will then be accepted on a first-come, first-served basis until all 12 teams are filled. This is to allow a wider spread of participating institutions.


4. Check-in

  • Proceedings for SIMWars will begin with each team’s check-in to confirm their current certification.

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


5. Holding area

  • On the day of the preliminary competition, all teams will be held in a holding room.

  • The teams are not allowed to have their communication devices with them and there should be no communication between teams.

  • Any team caught utilizing their communication devices or communicating with external parties will be immediately disqualified.

  • Light refreshments will be provided in the holding area.

  • In the event any team members would like to utilize the washroom, an official from the organizing committee will 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, or any other material that would provide an advantage to the competing team.

  • The only exception is a paediatric, length-based resuscitation tape (Broselow Tape), which will be provided to each team.


7. Team Briefing & Equipment Orientation

  • All competitors will be offered an orientation familiarization with manikins/simulators that will be positioned and used throughout the competition, as well as the team equipment being supplied.

  • This briefing will be advised closer to the date, usually before the preliminary competition. This will be the only opportunity to be exposed to the simulation manikins and provided equipment.



8. Scoring of the Final Competition

  • Scoring will place an emphasis on each team’s ability to assess and treat patient efficiently and effectively in the 20-minute time frame.

  • The decision of the judges is final and not subject to debate or challenge.



9. Skills for the Challenge

  • Participants should have knowledge and practical expertise spanning the breadth of emergency medicine and familiarity with the latest resuscitation guidelines which include but are not limited to Advance Cardiac Life Support (ACLS), Advance Trauma Life Support (ATLS), Advance Paediatric Life Support (APLS), as well as communication skills and teamwork. 



10. Photography and Videography

  • There will be photography and videography during the SEMS Inter-Hospital SIMWars. By participating in the challenge, it is implied that the team has consented for photography and videography.



11. Drugs Provided

Teams would be provided the following drugs during the SIMWars.

  • Adenosine

  • Amiodarone

  • Amyl Nitrite

  • Aspirin

  • Atropine

  • Calcium Gluconate

  • Diltiazem

  • Dextrose 50% (D50) & 10% (D10)

  • Diazepam

  • Dopamine

  • Epinephrine 1:1,000 & 1:10,000

  • Furosemide

  • Fentanyl

  • Verapamil

  • Ventolin

  • Lidocaine

  • Morphine Sulphate

  • Magnesium Sulfate

  • Naloxone

  • Nitroglycerin

  • Pralidoxime Chloride

  •  Sodium bicarbonate

  • Syntometrine

  • Sedative drugs (Midazolam, Etomidate, Ketamine)

  • Paralytics drugs (Succinylcholine)

  • Hydrocortisone



12. Registration for SIMWars

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

  • Registration will be closed on 8 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 organizers at least 1 month before the event (by 22 January 2020), to give sufficient time for any replacement team to prepare.