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Table 1 The simulation of hypotension of advanced life support in the operationroom

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

 
  1. Remarks: Crisis Management Points-score 2 points for 100% completed, 1 point for more than 50%, 0.5 point for less than 50%, and 0 point for zero completed
  2. Nontechnical skills- score 1 point for a perfect completed, score 0.5 point for a partially completed, and 0 point for zero completed