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Honoring Those Who Say "I'm Possible"

特色故事

We had just dropped off a routine case at the ER. I was talking to a police officer when his radio lit up with a call that shots were being fired. He and I looked at each other. The shooting was occurring right down the street. We could hear the shots in stereo coming over his radio and from a few blocks away.

That is the situation in which Paramedic and Flight Nurse Carlos Tavarez found himself at 2:00 AM as shots rang out from the Pulse Nightclub in Orlando, FL, June 12, 2016. He and his partner, Paramedic Joshua Granada, were the first medical team to respond.

卡洛斯（Carlos）和约书亚（Joshua）在压力下的技能，果断性和韧性导致他们的治疗并将13名受害者运送到医院。每个人都幸存下来。卡洛斯和约书亚的故事是一个非同寻常的例子基于仿真的培训可以使某人准备甚至最不可能的情况，并回答：“我有可能。”

We extend our sincerest gratitude to Carlos and Joshua, to all in EMS, and to those in patient simulation who train them. All work diligently to make zero preventable harm an attainable goal.

卡洛斯和约书亚的故事

Patient No. 1

“We were the first ambulance on the scene,“ said Carlos. “When the call came over the officer’s radio and we heard the gun fire, we took off after him. We arrived in minutes. We heard the gun fire up close now and saw people running but saw only one victim.” The victim, a man later named “Patient No. 1,” collapsed after suffering two bullet wounds to his abdomen. Carlos immediately treated him to control the bleeding and, after surveying the scene for others, he and Joshua delivered him to the ER within minutes. Carlos’s words to the staff there: “I think you’re going to have a bunch of people coming in.”

"We returned to chaos."

卡洛斯（Carlos）和约书亚（Joshua）带走了奥兰多地区医疗中心（Orlando Regional Medical Center）的1号患者的ER，距离脉搏只有四个街区。团队在15分钟内进行了往返。由于危险，其他救护车被阻止。此时，街道被淹没了。卡洛斯回忆说：“那是我们开始看到重大伤害的重伤 - 那些受伤极为严重并且需要离开现场的人。”“我们看到了只读的伤害。约书亚和我参加了全国EMS比赛。通常，最后一个事件是一个大规模的事件，旨在测试您的制作。我们在脉搏之前的最后一场比赛？活跃的射手。”

Improvise, adapt, overcome

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。”

将事物视为“我可能的”。

正如约书亚（Joshua）所说的那样：“卡洛斯（Carlos） - 巴姆！- 将两个针头插在胸前，我看到那个家伙散发出巨大的空气。双针减压 - 这是某人在整个职业生涯中可能会做的事情！”卡洛斯补充说：“约书亚和我训练参加比赛。这种训练为您带来了肌肉记忆，并开车第一次做所有事情。”具有讽刺意味的是，卡洛斯和约书亚不会定期一起工作。约书亚强调：“我们在一起真是一个疯狂的巧合。我要求去那个车站，因为我听说卡洛斯进来了。四年来我们没有一起工作。”卡洛斯·约书亚（Carlos-Joshua）团队在清晨运送并拯救了13名患者。

Simulate twice. Act once.

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。

With sincerest gratitude

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.在模拟和患者安全社区中，您是我们所有人的例子，说明了不可能看待不可能的意义，并回复说：“我有可能。”

在我们的心中

EMS Week In Our Hearts

The loss of life at Orlando’s Pulse Nightclub on June 12, 2016 remains a national tragedy. We extend our thoughts and condolences to the families and friends of the victims of that tragedy.而且，我们尊重奥兰多市消防局和EMS所表现出的辛勤工作和奉献精神。EMS之所以存在，是因为在任何时候我们任何人都可能需要某人来拯救我们。我们感谢EMS中致力于这项工作的每个人。我们希望像Pulse这样的事件再也不会发生。

Zero: The "I'm Possible" Goal

Medical errors take the lives of 250,000 patients annually in the U.S., according to researchers at Johns Hopkins. In response, the patient safety community has committed itself to a goal of zero preventable harm by the year 2020. Without stories like Carlos and Joshua's, it might be easy to conclude that zero preventable harm is idealistic. But, it’s not. It’s a real, tangible and attainable goal. We believe that simulation is a means to getting there.

Tell us your “I’m possible” story

Laerdal's Commitment

Earlier this year, our CEO, Tore Laerdal, declared Laerdal's commitment to achieving zero preventable harm. Hear what he had to say.

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