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Methods HEMS crews (doctor, HEMS crew member and pilot) were given the opportunity to do in-situ simulation during on call hours once a week. A simple mannequin and training equipment similar to equipment used in daily practice in the service were used. All training took place locally, either indoors or outdoors near the base. A single facilitator conducted all training during daytime.Scenarios were changed to allow all doctors to go through a set of themes during one year, and to give variability for the rest of the crew. We recorded data on the number of simulations that were carried out and time consumption, and collected data from the participating crews on a feedback form.

Weekly simulation for an on call helicopter emergency medical crew: feasible or impossible?