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. This is the fourth year SEMS will be hosting this prestigious challenge, after a successful debut that drew much support and cheers.

Teams will manage clinical case scenarios in a high-fidelity simulation environment that is both supportive and engaging. 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. In the end, it aims to allow the participants and audience to have fun learning.


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 2018 while the final round is an on-stage event, in front of a live audience during the conference.
  • The preliminary rounds will be held on Saturday, 20 January 2018 Centre for Healthcare Simulation (CHS), Blk MD6, Level 3, Yong Loo Lin School of Medicine, National University of Singapore (NUS). 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, 28 January 2018 at Ng Teng Fong General 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. In the end, it aims to allow the participants and audience to have fun learning.


3. Team Composition

  • The team must be a multidisciplinary team comprising of doctors, nurses and/or allied health professionals.
  • Each team will comprise of 4 to 5 members.
  • Each team must minimally have at least 1 doctor and 2 nurses. The other 1 to 2 members may be doctors, nurses or allied health professional. It is preferable (though not compulsory) that the team members practise in the emergency department of the institution.
  • The doctors must be non-specialists i.e. senior residents, residents, medical officers and/or house officers.  The nurses can be Advance Practice nurses, Senior Staff/Registered nurses, Staff/Registered nurses and/or Enrolled/Assistant nurses. Allied health professionals can be of any grade.
  • It is recommended that each team has at least one senior resident/medical officer and one senior staff/registered nurse, though this is not compulsory.
  • A maximum of 8 teams will be in the challenge.
  • Each hospital may register a maximum of 2 teams. Preference will be given to the first team of each institution, in the event that more than 8 teams are registered. This is to allow a wider spread of participating institutions. 
  • The second team from each institution will be accepted on a first-come, first-served basis until all 8 teams are filled.


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.
  • During check-in, all team members will be required to present original relevant certification cards from their respective countries such as ACLS (AHA), ACLS (NRC).


5. Holding area

  • On the day of the preliminary competition, all teams would be held in a holding room away from the SIMWars venue. 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 would 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 Laerdal 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
During the simulation challenge, teams would be given emergency medicine scenario and when relevant, guidelines such as Advance Cardiac Life Support (ACLS), Advance Trauma Life Support (ATLS), Advance Paediatric Life Support (APLS) etc. will be followed accordingly.


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 2018 conference.
  • Registration will be closed on 30 November 2017.
  • 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 (ie, by 26 December 2017), to give sufficient time for any replacement team to prepare.