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Research & Education

IPE - Open Cardiac Resuscitation

IPE - Open Cardiac Resuscitation

Cardiothoracic intensive care represents the “perfect storm” - a dangerous mix in a high-stake environment with potential harm to the patient combined with providers who often do not have sufficient opportunities to manage critically ill patients. The care of the patient in Cardiothoracic ICU involves a close-knitted multidisciplinary team from operating theatre to Cardiothoracic ICU comprising of nurses, respiratory therapists, cardiothoracic vascular surgery surgeons and cardiothoracic ICU doctors.

Facilitating learning in such a complex environment can be challenging as these healthcare professionals are from different disciplines. Hence it is a challenge to develop a training program of “one size fit all” bearing that an individual differs from each other in their different learning styles and needs. In order to foster effective delivery of safe, high quality care for patient, there is a need to develop and maintain consistent knowledge and skills of practice across this multidisciplinary team.

Therefore the aim of this training is to develop and maintain staff competency in adult open cardiac resuscitation in Cardiothoracic ICU through e-learning and simulation.

  • Participants were give two weeks to complete the e-learning before participate the simulation session.
  • Sim-Man 3G and corresponding software (Laerdal Medical, Norway) were used.
  • The simulation area was arranged to look like a room in ICU.
  • The mannequin and hemodynamic monitors were programmed to mimic common ICU crises and controlled by trained operators(Figure 1.1-1.5).


  • To measure knowledge retention and improvement, participants had a pre and post-test.
  • Self-Evaluation Questionnaires (SEQ) & Event Workshop Questionnaires
  • (EWQ) was given after the post-test to assess the quality of the program.
  • To produce a high quality team training programme for experienced professionals, we aimed an effective impact (score ≥3) in more than 90% and a high impact (score of 4) in more than 50% of participants.



  • Over one year period from September 2016 till August 2017, there were total of 32 participants staggered in four sessions of Adult Open Cardiac Resuscitation
  • training. All participants (except RT) had completed the e-learning prior to simulation session.
  • Significant improvement in post test scores of 71.4% (20/28) implying effective knowledge retention and improvement (Figure 3)
  • Scenario based HFS had high impact in more than 69% of participants with respect to their non-technical skills (communication and teamwork) (Figure 4).
  • 100% of the participants score a lot impact on technical (knowledge) and non-technical skills (Figure 4).
  • Overall 100% of participants felt more confident in facing future critical events after going through Adult Open Cardiac Resuscitation Training (Figure 4).
  • Most of the participants feedback they were satisfied with the workshop and the training met their objectives and expectations (Figure 5).

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