One challenge in simulation is teaching medication management, dosing information, and administration. In the past, instructors had to search out expired medication and buy oranges in bulk (oranges being the stand-ins for injectable flesh). But let’s face it, expired meds are dangerous to use in simulation. And oranges are for eating, not injecting.

Currently, more than one-third of U.S. adults are obese, with the rate holding at 34.9 percent or 78.6 million adults. EMS transport and prehospital care for these bariatric patients looks very different than it does for patients in a normal weight range. Special care needs to be ...