Simulation based training has been around for many years in industries like aviation, nuclear power and medicine, but it is only recently that we are starting to see the prehospital care sector embrace and take full advantage of these developments.  This study is aimed at reviewing what current Virtual Reality Simulation (VRS) methods are currently in use within the prehospital setting, what effect this is having on student paramedic development and if the use of VRS has the potential to change the direction of paramedic training as we see it today. From the literature reviewed as part of this study and from the applications of how VRS is being currently utilised by three groups who also participate as part of this study, it was clearly evident the benefits VRS technology has brought into industry already and just what the future could possibly hold.  While there is still much work to be done to fully appreciate the impact of integrating VRS into a prehospital curriculum, the evidence identified within this initial research from Australia and around the Globe is promising. With the success VRS has had in other industries such as aviation, nuclear power and medicine, it shows just how the successful implementation of such technology, can provide high levels of quality assurance and safety within industry today. Further research is now needed to fully investigate just how VRS can be implemented into the prehospital care curriculum and the benefits this can bring, at both a local and international level.