EMS SIM Games Competition Rules


Any Alaska DHSS licensed EMS agency currently providing pre-hospital basic or advanced life support services is invited to compete in ALS or BLS division. Must be registered attendees of the Alaska EMS symposium. A total of four (4) team slots are available for each division. All team members must be either certified/licensed providers in Alaska, to be eligible to compete. Team members will not be sequestered, therefore able to participate in other conference activities during non-competition time. Team slots will be filled on a first come first serve basis.

ALS Division

Each team will be composed of two (2) persons who must function in a pre-hospital setting. Paramedics, and EMT-II/III AEMT are eligible; at least one team member must be a paramedic. Each team may have one (1) EMT in place of an ALS member. Physicians , Nurses and Mid-Level Providers are not eligible to compete. One member of each team shall be the team captain.

BLS Division

Each team will be composed of two (2) persons who must function in a pre-hospital setting. First Responders and EMTs who function in the EMS environment are eligible, at least one team member must be an EMT I. The BLS Competition will be scored on BLS skills only. Paramedics, physicians, nurses, mid-level, advanced EMTs and EMT-II/III are not eligible to compete in this division. Advanced EMTs and EMT-II/III are welcome to participate in the ALS division. One member of each team shall be the team captain.

Judging Criteria

ALS/BLS division will be judged based on current AHA, PHTLS, BTLS, and ABLS Guidelines. Each division will be judged on their particular scope of practice.


Each team is expected to supply their own equipment bags, of a size that are commonly available and used in the pre-hospital environment.

  • Equipment may be inspected prior to the competition and will be sequestered until the competition begins
  • No charts, drug cards, rulers, measuring or counting devices or calculators will be allowed except for one length-based pediatric assessment device. Use of such items during the contest is grounds for disqualification.
  • No computers, radios, PDA’s or cellular telephones will be allowed in the competition areas. Use of such items during the contest is grounds for disqualification.
  • Backboards, stretchers and hand carts will not be allowed into the competition areas.
  • Each team must have their own equipment. The sharing of equipment between teams will be allowed only with the prior permission of Competition officials.
  • No mechanical CPR or ventilation devices will be allowed.
  • No equipment with the exception of stethoscope and personal issue scissors, clamps that are normally found in a holster may be carried on a team member’s person.  All this equipment must be approved by the competition coordinator prior to commencement of the competition.
  • Teams are responsible for the safe disposal of all sharps.

The following equipment will be provided to each team for use during the Competition.

  • Monitor/defibrillator with patient and pacer cables or AED trainer with patient defibrillator cables and pads.
  • Backboards with CID (blanket rolls) and straps.
  • One (1) BLS airway kit containing an oxygen tank, regulator, adult BVM and oxygen masks.
EMS Games 2


The competition will start at the designated time. All teams must be in the designated area at least ten (10) minutes prior to their designated start time. No equipment may be opened prior to the start of the competition unless otherwise specified by the Chief Judge for that scenario.

  • A maximum time limit will apply to each scenario. Time to complete the scenario or to the initiation of an intervention within the scenario may be used to determine a winner in the case of a tie. Failure to complete the scenario within the time limit will result in point deductions for that scenario.
  • Scenarios will not be provided prior to team start time. Adequate time for the scenario will be built into your start time and will not reflect on your completion time.
  • All team members shall be in uniform and wear appropriate Personal Protective Equipment. (PPE), which includes a minimum of gloves and eye protection. PPE must be used at all times during the scenario. Masks will not be required. Teams may don PPE after the dispatch information and prior to entering the scenario.
  • Procedures will be carried out in as realistic a manner as possible and may include simulated or real patients or any combination of both.
  • Medication administration shall take place in real time. IV infusion rates will be monitored. All procedures will be actually carried out unless specified by the Chief Judge for that scenario.
  • During patient assessments examination elements will only be scored if they are actually performed and verbalized.
  • Events outside of a teams control that prevents the team from completing the scenario within the time given, at judge’s discretion a team may be allowed a “re-do” on their scenario.
  • Requests for back up or assistance from other agencies must be requested if required. You will be advised at the time of request as to the availability of such resources

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