Original Publication
Open Access

Emergency Department Procedural Sedation Simulation Package (SLIPSTREAM Program Scenarios A+B)

Published: January 11, 2012 | 10.15766/mep_2374-8265.8220

Included in this publication:

  • How to Use This Package.doc
  • SLIPSTREAM Study Protocol.doc
  • Scenario A Materials
  • Scenario B Materials

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.

Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.


Emergency department procedural sedation (EDPS) is increasingly employed for a broad spectrum of applications, yet adverse event rates as high as 17% are reported. Improvement in complication rates may potentially be achieved through effective implementation of patient safety systems and training programs in pertinent knowledge, specific skills, and teamwork behaviors for EDPS operators. Fully interactive manikin-based simulation features unique capabilities that advocate for its ability to safely and effectively assist with efforts at addressing EDPS patient safety concerns. The Simulation Learning Initiative in Procedural Sedation Training for Routine Engagement of Anticipatory Maneuvers (SLIPSTREAM) research project aims to apply high-fidelity simulation in situ in the emergency department clinical environment to assess upper-level emergency medicine residents (EM-3/EM-4) as EDPS operators during adult shoulder dislocation reduction scenarios. This package contains two EDPS simulation scenarios, scenario-related props (e.g., X-ray images, manikin programming, patient safety probes), study research protocol, EDPS assessment checklist, research tools, and debriefing materials.  The scenarios, props, and study tools have undergone pilot-testing, troubleshooting, and debugging under the research protocol with 10 pilot subjects—the materials’ utility for EDPS research has been demonstrated within the originating study institution. As a stand-alone package featuring two full, interchangeable, and complementary EDPS scenarios, the materials are designed to function as a tested methodology to assess EDPS clinical performance within in situ EDPS simulations. Although the included materials’ EDPS concepts, system-probing objectives, and outcome measures are universal and institution-independent, study investigators suggest that the package contents be considered as a starting point and a sophisticated toolbox to create a user-modified EDPS simulation education and research methodology. Materials should be modified by users to meet their institutional needs, settings, and protocols.

Educational Objectives

By the end of these simulations, learners will be able to:

  1. Understand emergency department procedural sedation (EDPS) education and assessment.
  2. Develop the cognitive and technical skills necessary for EDPS.
  3. Understand and implement patient safety/quality management during EDPS.

Author Information

  • Leo Kobayashi, MD: The Warren Alpert Medical School of Brown University
  • Frank Overly, MD: Alpert Medical School of Brown University
  • John Gosbee, MD, MS: University of Michigan Health System

None to report.

This research was supported by a Junior Faculty Research Development Grant from University Emergency Medicine Foundation (PI practice group) with limited clinical release for Leo Kobayashi and Frank Overly, and a consultant fee for John Gosbee.

Prior Presentations
Kobayashi L, Dunbar-Viveiros J, Devine J, Jones M, Overly F, Jay G. In situ medical simulation with experimental clinical guidance intervention for emergency department procedural sedation education and assessment. Presented at: 6th European Congress on Emergency Medicine; 2010; Stockholm, Sweden. 


Kobayashi L, Overly F, Gosbee J. Emergency department procedural sedation simulation package (SLIPSTREAM program scenarios A+B). MedEdPORTAL. 2012;8:8220. https://doi.org/10.15766/mep_2374-8265.8220