Anesthesia Student Survival Guide.pdf - Index of

506 ● AnesthesiA student survivAl Guide
“crisis resource management.” As a student, you may participate in some crisis
resource management scenarios in the simulation laboratory.
Medical training institutions are beginning to use high-fidelity simulation
in remediation or in root cause analysis of medical mistakes. Some institutions
are bringing actual cases from morbidity and mortality reports to the simulation
room for analysis and reflection.
The specialty of anesthesia was the first to embrace simulation as a part of
the training process. Simulation has been used in anesthesia to teach cognitive
aspects of the field, including knowledge content and clinical decision making,
as well as crisis resource management.
What Is Crisis Resource Management?
Crisis resource management training is intended to improve patient safety by
emphasizing team work and communication. The specific areas within crisis
resource management focus on addressing communication, resource management,
situational awareness, and role clarity. Key behaviors in crisis resource
management include:
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Planning and anticipation of possible problems
Clear communication
Defined roles and assertive leadership
Utilization of the resources available
Task distribution
Summoning of additional resources/personnel
Situation reassessment
What Is in a Simulation Laboratory?
Each simulation laboratory is unique. Some have only full-body mannequins, while
others have only task trainers for endoscopies or laparoscopies. Some have very realistic
accoutrements with newly built or renovated centers, while others may be in very stark
environments that do not resemble more than a classroom or a closet.
Most of the simulation centers you will encounter during your anesthesia
rotations will involve full-body mannequin simulation. Typically, the physical
layout of one of these simulation centers will include several rooms, one with
the mannequin, one for the control room, and a debriefing room. The room
with the mannequin usually looks similar to a clinical room, such as an operating room,
an ICU room, or a floor room in the hospital. Sometimes the room is not