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Research & Education

Cardiothoracic Intensive Care Crisis and Emergency Management (CICCEM)

Cardiothoracic Intensive Care Crisis and Emergency Management (CICCEM)

Often the leader is not identified during crisis situation and the resuscitation carried out is chaotic.

Although there is an escalation protocol in place, but there is a break in communication. This results a high level of dissatisfaction among the professional multidisciplinary teams (Doctors, Respiratory Therapists and Nurses).

Using this simulation concept we can practise in a safe environment without compromising safe patient outcomes. All simulated critical scenarios are derived from real events. This is more predictable, standardized, safe, reproducible and team-based to facilitate reflection as well as learning.

The Cardiothoracic Intensive Care Crisis and Emergency Management (CICCEM) Program aims to establish the impact of High-fidelity Simulation (HFS) at

  • improving technical competencies [theoretical knowledge, procedural skills]
  • enhancing non-technical skills [teamwork, leadership and communication] during crisis management among the cardiothoracic ICU team

Over a 3 years 7 months period from October 2013 till April 2017, there were 222 participants in 42 sessions. There were significant improvement in post test scores implying effective knowledge retention and improvement. Scenario based HFS had high impact in more than 70% of participants with respect to their overall practice and non-technical skills. Effective impact averaged 98% across all three categories. Overall 93% of participants felt more confident in facing future critical events after going through CICCEM scenarios.

Intensive Care Crisis management simulation not only helps effective knowledge improvement but also significantly improves non-technical skills like communication, leadership and teamwork.