Using full immersive simulation to prepare trauma teams to work in a major trauma centre

A reconfiguration of trauma services in the UK has led to the development of trauma networks with major trauma centres. This article describes the use of fully immersive simulation to train whole trauma teams in both a traditional simulation centre setting and 'in situ' in the clinical environment. Carefully designed scenarios that are driven by experienced faculty allow modern trauma management concepts, such as damage control resuscitation and massive transfusion to be explored within a hospital's own organisational structure. Human factors specific to the trauma team can also be explored as part of a video-assisted debrief.