Do paramedic students have situational awareness during high-fidelity simulation? A mixed-methods pilot study

•Ensley’s theory of situational awareness can be applied to paramedicine.•Paramedic students are not situationally aware.•Paramedic students lack situational awareness due to being stressed, not focusing, and an overall lack of an organized approach.•Situational awareness research in paramedicine is lacking.•Paramedicine students may not have situational awareness.