Trigger Video of Simulated Intraoperative Cardiac Arrest

Abstract

OPEN ACCESSJanuary 19, 2010Trigger Video of Simulated Intraoperative Cardiac Arrest Sara Goldhaber-Fiebert, MD, Kyle Harrison, MD, Sesh Mudumbai, MD, Steven K. Howard, MD, Kam McCowan, David M. Gaba, MD Sara Goldhaber-Fiebert, MD Stanford University School of Medicine Google Scholar More articles by this author , Kyle Harrison, MD VA Palo Alto Health Care System and Stanford University School of Medicine Google Scholar More articles by this author , Sesh Mudumbai, MD Stanford University Medical Center Google Scholar More articles by this author , Steven K. Howard, MD VA Palo Alto Health Care System and Stanford University School of Medicine Google Scholar More articles by this author , Kam McCowan VA Palo Alto Health Care System and Stanford University School of Medicine Google Scholar More articles by this author , David M. Gaba, MD VA Palo Alto Health Care System and Stanford University School of Medicine Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.7826 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail AbstractAbstract Introduction: At Stanford University School of Medicine and the Veterans Affairs Palo Alto Healthcare System, anesthesia residents felt they were missing an understanding of, and the ability to practice, the principles of crisis resource management (CRM) during an intraoperative crisis. Given residents extensive training using a high-fidelity patient simulator, and appreciation for the ability to both make mistakes without hurting patients, we created this intraoperative cardiac arrest simulation. This resource is a first step in bridging the gap between the theoretical and active application of team management principles by trainees. Methods: The session for both resident and instructor training begins with a trigger video for interactive discussion. The video is not presented as a perfect model, but rather as a practical example of how principles of CRM may be applied in situ. Participants are encouraged to discuss how specific principles were applied effectively or not and how this affects patient care. Participates then proceed to several simulated scenarios during which they can practice, reflect on, and discuss how they themselves apply the principles of CRM. Results: The use of this trigger video in our CRM simulation course, has been positively received by all participants. One trainee stated: “It was extremely helpful to see a model of how to actually put into action the principles of CRM. In watching and discussing the video, I became better equipped to implement the principles myself in subsequent simulations and in actual patient care.” Discussion: It is important to give medical trainees a controlled environment in which to practice CRM and reflect on their medical/teamwork management of the scenario. This trigger video and simulation are a favorable tool for creating a controlled environment. Educational Objectives By the end of this session, learners will be able to: Discuss principles of crisis resource management (CRM).Discuss examples of CRM principles in action. Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: Instructor's Guide.doc Crisis Resource Management Tools.ppt CRM Key Points Poster Notes.pdf CRM Key Points Poster Worksheet.pdf CRM Trigger Video with Titles 1.2.mp4 CRM Trigger Video without Titles 1.2.mp4 To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. This publication includes large downloadable files. If you experience difficulty downloading these files, please contact [email protected] to receive a free DVD version via mail. Download editor’s noteThis publication may contain technology or a display format that is no longer in use. Copyright & Permissions© 2010 Goldhaber-Fiebert et al. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-No Derivatives license.KeywordsAnesthesiaCardiac ArrestCrisis Resource Management Disclosures None to report. Funding/Support None to report. Loading ...