Honoring Those Who Say "I'm Possible"

“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.”

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。”

“The patient that stands out most for me is a man who I talk to almost every day now,” Carlos shared. “We’ve become really close. When we found him he was hyperventilating, pale, had no distal pulse, and then passed out. I searched everywhere for the wound. I finally found it on his back between his shoulder blades. I didn’t have an occlusive dressing so I improvised. I used a defib pad! Once I had the wound covered, I decompressed both lungs. The patient’s chest looked full of air, and I was sure one of his lungs had collapsed. I just didn’t know which one, and there wasn’t time to think about it.”

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。

卡洛斯和约书亚的y illustrates how simulation is being used to instill a mindset that makes preparedness the cornerstone of patient safety. The training and competitions in which Carlos and Joshua are national champions center on simulation. The National Council of State Boards of Nursing (NCSNB) now recommends that simulation can be used to replace up to 50% of required clinical hours. Across healthcare, simulation is being used, not only to teach clinical skills, but to teach critical thinking, leadership, and teamwork skills. It is even being used to teach stress management. These are all the skills exhibited by Carlos and Joshua. “Simulate twice, act once,” is becoming an axiom for training to save lives.

我们对卡洛斯（右）和约书亚（左）表示最真诚的尊重，钦佩和感激之情，以表彰他们的英勇行为。我们还要感谢那些致力于培训像他们这样的人以实现零预防伤害的人的人，这一目标是卡洛斯和约书亚在不考虑自我的情况下不懈地追求的目标。根据自己的说法，如果不是基于模拟的培训，他们将无法像那天早上那样清晰地思考和果断地行事。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.”