Mastery learning of toxicology life support skills by nurses and doctors, utilizing simulation technology in Nepal

Modern Medicine has been at the forefront in the use of patient simulation for research, training and performance assessment. With simulation, no patients are at risk for exposure to novice caregivers or unproven technologies. It becomes very important in field of toxicological emergencies, due to its acute onset of presentation, rapid progression of symptoms, and early deterioration of vitals and adverse outcomes in morbidity and mortality of patients in extremes of ages. Our observational study suggests that Emergency, Forensic Medicine and Toxicology (FMT) residents and Nurses have limited exposure to critically ill patients of trauma and toxicology and the budding forensic professionals lack the skills to manage them. Simulation has the potential to fill this educational void in managing clinical forensic and toxicological emergencies. The following review will attempt to answer this call by quantifying the effect of simulation-based educational interventions on retention of knowledge and clinical performance, as applied to acute care toxicology.