How efficient have you become at man down drills?....are you ready for a crisis?

Crisis management is an intricate part of many professions. For decades, airplane pilots and anesthesiologists have recognized the importance of teaching and developing crisis management skills. With critical incidents occurring so infrequently during an individual's career, it was recognized decades ago that book knowledge was not sufficient enough to prepare someone to successfully manage an event like landing a commercial airliner in the Hudson River or salvaging a pediatric cardiac arrest in the operating room. Both professions dedicated significant resources toward developing training protocols that provided real time realistic crisis scenarios.  Flight simulation training began developing over 50 years ago and Anesthesiology related simulation saw its beginnings in the early 1980s. In a protected, non life threatening environment, trainees were able to experience critical events over and over where in reality the same incident may not actually occur ever on one's career.Simulation allows book knowledge to be interwoven into hands on critical thinking. Creating a parallel between the vital situations faced by a pilot or anesthesiologist with those faced by a law enforcement officer is not difficult to imagine. An officer involved shooting may never occur in a officer's career but it is something that is thought about and trained for by every law enforcement officer in the United States. Simulation training for law enforcement officers is becoming mainstream for deadly force scenarios like an active shooter or hostage rescue. This style of training has become an intricate part of the training of almost all special operation teams.  How efficient have we become in getting a severely hurt, dead weight 220lb teammate in full gear out of a second story bedroom to a rally point where medics can start needed care? Can this style of training be adapted to teach and train law enforcement officers in life saving medical techniques? When help is too far away, can we save a critically injured teammate by utilizing skills learned through simulation medical training? Is book knowledge enough to manage this crisis?