尊敬那些说“我可能”的人

卡洛斯说：“我们是现场的第一批救护车。”“当电话打来电话时，我们听到了枪火的声音，我们追赶他。我们在几分钟后到达。我们现在听到枪口近距离射击，看到人们在奔跑，但只有一个受害者。”受害人，后来被称为“病人1号”的男子，在他的腹部遭受了两次子弹伤后崩溃了。卡洛斯立即治疗他控制出血，在对他人进行调查后，他和约书亚在几分钟之内将他交给了急诊室。卡洛斯（Carlos）对那里的工作人员的话：“我认为您将有一群人进来。”

The ER where Carlos and Joshua took Patient No. 1, Orlando Regional Medical Center, is only four blocks from Pulse. The team made the round trip in 15 minutes. Other ambulances were being held back due to the danger. The streets were flooded at this point. “That’s when we started seeing the big, big injuries — the people whose injuries were extremely critical and needed to be off the scene,” Carlos recounted. “We saw injuries we’d only read about. Joshua and I participate in national EMS competitions. Typically, the final event is a mass-casualty event designed to test what you’re made of. Our last competition before Pulse? Active shooter.”

卡洛斯分享道：“对我来说最突出的病人是一个我现在几乎每天与我交谈的人。”“我们真的很接近。当我们发现他时，他过度换气，苍白，没有远端脉搏，然后昏倒了。我到处搜寻伤口。我终于在他的肩blade骨之间找到了它。我没有遮挡的调味料，所以我即兴了。我使用了defib垫！一旦我的伤口覆盖，我都会对两个肺进行解压缩。病人的胸部看起来充满了空气，我确定他的一个肺倒塌了。我只是不知道哪一个，也没有时间考虑。”

As Joshua recounted, “Carlos just — bam! — stuck two needles in the chest, and I saw the guy take a huge gasp of air. A double-needle decompression — that’s something someone might do once in their entire career!” Carlos added, “Joshua and I train to compete. That kind of training gives you a muscle memory and drive to do everything right the first time.” Ironically, Carlos and Joshua don’t regularly work together. Joshua emphasized, “It was such a crazy coincidence that we were together. I’d asked to be at that station because I heard Carlos was coming in. We hadn’t worked together in four years.” The Carlos-Joshua team transported and saved 13 patients that early morning.

卡洛斯（Carlos）和约书亚（Joshua）的故事说明了如何使用模拟来灌输一种使准备使人成为患者安全基石的心态。卡洛斯（Carlos）和约书亚（Joshua）是国家模拟中心的训练和比赛。国家护理委员会（NCSNB）现在建议模拟可用于更换多达50％所需的临床时间。在整个医疗保健中，正在使用模拟，不仅是教授临床技能，还可以教授批判性思维，领导和团队合作技能。它甚至被用来教压力管理。这些都是卡洛斯和约书亚所展示的所有技能。“模拟两次，一次行动”正在成为训练挽救生命的公理。

We extend our sincerest respect, admiration, and gratitude to Carlos (right) and Joshua (left) for their acts of valor. We would also like to thank those in simulation who are dedicated to training people like them to achieve zero preventable harm—a goal that Carlos and Joshua pursued relentlessly without thought of self. By their own account, if it were not for their simulation-based training, they would not have been able to think as clearly and act as decisively as they did that morning.You are examples to all of us in the simulation and patient safety community of what it means to look at the impossible and reply back, “I’m possible.”