PT - JOURNAL ARTICLE AU - Nori L. Bradley AU - Kelsey Innes AU - Christa Dakin AU - Andrew Sawka AU - Nasira Lakha AU - S. Morad Hameed TI - Multidisciplinary in-situ simulation to evaluate a rare but high-risk process at a level 1 trauma centre: the “Mega-Sim” approach AID - 10.1503/cjs.005417 DP - 2018 Oct 01 TA - Canadian Journal of Surgery PG - 357--360 VI - 61 IP - 5 4099 - http://canjsurg.ca/content/61/5/357.short 4100 - http://canjsurg.ca/content/61/5/357.full SO - CAN J SURG2018 Oct 01; 61 AB - Multidisciplinary simulation has been used to successfully teach crisis resource management in operating room and emergency department settings. This article describes a “Mega-Sim” approach using an in-situ simulation that moves among multiple hospital departments to enhance multidisciplinary training and assess institutional response to a rare but high-risk event: trauma in a pregnant patient. It appears that a Mega-Sim can be used to identify systems issues, increase medical knowledge and improve perceptions of teamwork and communication within and among hospital departments.