From: Simulation of operating room crisis management - hypotension training for pre‐clinical students
Classification | Scenarios | Crisis Management Points | Nontechnical skills | Score |
---|---|---|---|---|
Hypotension | Heart rate decrease (Vagus reflex) | Block of the afferent and efferent nerve (Lidocaine-2 points) | Task management Teamwork Communication Sustained vigilance Fast reaction time Crisis identification Decision making Self-confidence (1 point each task) | |
Neural receptor (Stop operation-2 points) | ||||
Neural effector (Atropine-2 points) | ||||
Reduction of vascular peripheral resistance (Anaphylactic shock) | Allergen (Stop injection-2 points) | |||
Antiallergic (Drugs-2 points) | ||||
Hemodynamic maintenance (Vasoactive agent, blood volume-venous passage, infusion speed-2 points) | ||||
Hypovolemia (Massive blood loss) | Cause of disease (Quick judgment and processing-2 points) | |||
Hemodynamic maintenance (Vasoactive agent, blood volume-venous passage, infusion speed-2 points) | ||||
Blood transfusion preparation (component blood transfusion, Autologous blood transfusion-2 points) | ||||
Cardiac contractility (Local anesthetic poisoning) | Cause of disease (Quick judgment and stop injection, benzodiazepine-2 points) | |||
Basic life support (adrenaline, airway and breathing-2 points) | ||||
Injection of fat milk (if necessary-2 points) | ||||
Management of arrhythmia and hypopiesia-2 points |