Related Experiment Video
Updated: Aug 23, 2025
09:52
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
17.3K
Resuscitation Leadership Training: A Simulation Curriculum for Emergency Medicine Residents
Rachel Gartland1, Lauren Conlon2, Scott Livingston3
1Instructor of Clinical Emergency Medicine, Department of Emergency Medicine, University of Rochester Medical Center.
Mededportal : the Journal of Teaching and Learning Resources
|October 27, 2022
Summary
Emergency medicine residents improved resuscitation leadership skills through a simulation-based curriculum. Formal training enhanced team communication and performance in critical care scenarios.
Area of Science:
- Medical Education
- Emergency Medicine
- Simulation-Based Training
Background:
- Emergency medicine residents require leadership skills for high-acuity team situations.
- Formal resuscitation team leadership training is often lacking, with skills typically learned through observation.
- A need exists for structured programs to develop these essential skills.
Purpose of the Study:
- To design and implement a formal simulation-based leadership training program for emergency medicine residents.
- To evaluate the effectiveness of a resuscitation team leadership curriculum on resident performance and confidence.
- To assess the impact of crisis resource management (CRM) principles on leadership in simulated critical care events.
Main Methods:
- A curriculum was developed involving junior emergency medicine residents.
- Residents participated in initial and subsequent simulations, incorporating crisis resource management (CRM) principles.
- Faculty used standardized tools (EM Milestones, Ottawa GRS, checklists) for evaluation, and residents completed self-assessment surveys.
Main Results:
- Residents showed significant improvement in leadership performance (Ottawa GRS, checklists, EM Milestones) after CRM didactics.
- Post-curriculum surveys indicated enhanced resident confidence in leading resuscitations and communicating with teams.
- Simulation-based training effectively improved key leadership metrics.
Conclusions:
- A simulation-based resuscitation team leadership curriculum significantly improved emergency medicine residents' performance.
- The program enhanced residents' comfort and effectiveness in leading and communicating within a team.
- Formal leadership development, particularly with simulation, is recommended for enhancing emergency medicine physician training.
Related Concept Videos
01:21Cardiopulmonary Resuscitation I: Adult
45
Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
45
01:30Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
46
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
46
01:23Cardiopulmonary Resuscitation III: AED Use
51
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
51
01:25Cardiopulmonary Resuscitation IV: Pharmacological Management
65
Pharmacologic intervention is crucial in treating cardiac arrest patients during ACLS or Advanced Cardiovascular Life Support. The ACLS algorithms guide the administration of specific drugs based on the patient's cardiac arrest rhythm, which includes pulseless ventricular tachycardia (VT), ventricular fibrillation (VF), asystole, and pulseless electrical activity (PEA).EpinephrineIndication: Epinephrine is the first-line drug for all cardiac arrest rhythms.Mechanism of Action: Epinephrine...
65
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
66
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
66
01:30Introduction Cardiac Emergencies
40
Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
40