"And we would give Ketamine..." - Paramedic trainee/student who is being run through a scenario In EMS, we rely on simulation for a lot of our experience. It isn't everyday that we perform RSI/DSI, assist in childbirth, see De Winter's, etc. So, it is only logical that we rely on simulation. Ideally, the first time we see or perform things like what I just listed, it would be in clinicals. However, that is the topic of another debate (see my Reform Paramedic Education blog).