Related Experiment Video
Updated: Jan 12, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Enhancing Outcomes Through High-Fidelity Advanced Life Support Education: An Interdisciplinary Approach to
Jennifer Peterson1, Jenelle Badulak2, Jordan Surrusco1
1Division of Cardiothoracic Surgery, Department of Surgery, University of Washington, Seattle, WA, USA.
Objective:
Cardiac arrest in postcardiac surgery patients presents distinct challenges that standard Advanced Cardiac Life Support (ACLS) protocols may not fully address. Cardiac advanced life support (CALS) provides specialized training to improve recognition and management of these emergencies. We developed and implemented a CALS code process to enhance postarrest outcomes in this patient population.
Methods:
This study assessed the impact of an interdisciplinary CALS education program on healthcare providers' knowledge and response capabilities. The program included didactic sessions, high-fidelity simulation exercises, and pre- and post-training assessments. Participants included registered nurses (RNs), advanced practice providers, critical care physicians, pharmacists, respiratory therapists (RTs), and cardiac surgeons. Training included key CALS principles, highlighting differences from standard ACLS protocols. Simulated scenarios reinforced team-based responses, including management of emergent sternotomy. Patient outcomes following cardiac arrest were evaluated before and after implementation of the CALS code process.
Results:
A total of 141 participants completed training (57 providers, 75 RNs/RTs, and 9 pharmacists). Confidence in the CALS response improved on a 5-point Likert scale (3.08-4.19, P < .05), when measured as a cohort. Knowledge scores improved from 85% to 95% for providers and from 80% to 90% for RNs/RTs. Postcardiac arrest patient survival showed an improvement after implementation of the CALS-focused educational program but was not statistically significant.
Conclusions:
A CALS-focused educational program enhanced interdisciplinary team preparedness for postcardiac surgery arrests and led to better patient survival. Additional ongoing multidisciplinary team training may be needed to further demonstrate a sustainable improvement in patient survival.
Related Concept Videos
Acute Coronary Syndrome IV: Interprofessional Care
Cardiopulmonary Resuscitation III: AED Use
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Cardiopulmonary Resuscitation I: Adult
Coronary Artery Disease V: Interprofessional Care
Cardiopulmonary Resuscitation IV: Pharmacological Management

