Teaching Crisis Management Skills to Enhance Management of Advanced Cardiac Life Support

Sponsored by Stanford University School of Medicine

Presented by
Stanford Anesthesia Informatics and Media Lab, Department of Anesthesia

This web-based learning application is open to physician learners. Please review all of the information here and click the button at the bottom of the page to begin the course.

Physicians who wish to obtain CME credit:

• Review all the information below and complete all 8 lessons.
• Follow the link at the end of the activity to complete online registration, evaluation, and post-test.
• Learners will require a $20 CME processing fee
• Applicants with a post-test score of 75 % or better will receive a CME certificate via email within two weeks from the date of receipt

Course Description

Healthcare professionals are required to handle medical emergencies and crises. Yet, many these healthcare providers are not always knowledgeable about teamwork and evidence-based techniques for managing a medical crisis. This iPad/iPhone course will teach physicians crisis resource management principles and the application in providing ACLS during cardiac arrest.
The instructional format for this course will include learning trigger videos and video podcast lectures.

Learning Objectives

Objective 1: Develop strategies to implement Crisis Resource Management principles and their application during cardiac arrest treatment.
Objective 2: Develop strategies to utilize updated guidelines for management of cardiac arrest.
Objective 3: Develop strategies to build skills for: 1) airway management and vascular access, 2) management of PEA (Pulseless Electrical Activity)/Asystole, ventricular tachycardia/fibrillation, symptomatic bradycardia, unstable supraventricular tachycardia, and 3) post-resuscitation management

Table of Contents

1. Introduction to Crisis Resource Management
2. The Science of ACLS
3. Pulseless Electrical Activity (PEA)/Asytole
4. Ventricular Tachycardia/Ventricular Fibrillation
5. Symptomatic Bradycardia
6. Unstable Supraventricular Tachycardia
7. Airway Management and Vascular access
8. Post Resuscitation Management

Intended Audience

Designed for Stanford physicians in all specialties who work in the hospital and teaching settings.

Accreditation and Designation of Credit

The Stanford University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Stanford University School of Medicine designates this enduring material for a maximum of 8.0 AMA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Commercial Support Acknowledgment

Stanford University School of Medicine has received and has used undesignated program funding from Pfizer, Inc. to facilitate the development of innovative CME activities designed to enhance physician competence and performance and to implement advanced technology. A portion of this funding supports this activity.

Cultural and Linguistic Competency

California Assembly Bill 1195 requires continuing medical education activities with patient care components to include curriculum in the subjects of cultural and linguistic competency. It is the intent of the bill, which went into effect July 1, 2006, to encourage physicians and surgeons, CME providers in the State of California and the Accreditation Council for Continuing Medical Education to meet the cultural and linguistic concerns of a diverse patient population through appropriate professional development. The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area. The Stanford University School of Medicine Multicultural Health Portal also contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws. You are encouraged to visit the portal: http://lane.stanford.edu/portals/cultural.html

Internet Enduring Material Sponsored By: Stanford University School of Medicine
Release Date: 2/1, 2012
Expiration Date: 2/1, 2014
Estimated Time to Complete: 8 hours
CME Processing Fee: $20

Course Directors

Lawrence Chu MD, MS
Associate Professor of Anesthesia
Stanford University School of Medicine
Course Director

T. Kyle Harrison MD
Clinical Assistant Professor of Anesthesia (Affiliated)
Stanford University School of Medicine
Staff Physician VA Palo Alto Health Care System
Course Co-Director

System Requirements
Apple iPad with iOS 5 our higher. Crisis Code for the web is compatible with Safari 5.1.2 web browser.
Screen Size: minimum 1024X768, desktop computer requirements:

• Windows: XP Service Pack 2+ / Vista / 7, Intel Pentium 4 or later, 100 MB hard disk, 128 MB memory
• Mac OS X: 10.5.6 or later, Intel (not PPC), 100 MB hard disk, 128 MB memory

Contact Information

For further information regarding the content, CME credit or if you experience any technical difficulties with this enduring material please send an email to stanfordcme@stanford.edu

Disclosures
The following planners and authors have indicated that they have no relationships with industry to disclose relative to the content of this activity:

Lawrence Chu MD, MS
Course Director

T. Kyle Harrison MD
Course Co-Director

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Please Watch this Introductory Video to the Crisis Code Program

CME For Physicians Online

Please note that while medical students and other allied health professionals may find information in this course interesting, it was developed for use by physician learners.

References

The curriculum for Crisis Code was developed by Drs. Chu and Harrison using the reference below. They recommend you refer to these publications for further information about Advanced Cardiac Life Support and Crisis Resource Management.

Pierre, Michael. Crisis management in acute care settings human factors and team psychology in a high stakes environment. Berlin New York: Springer, 2008.

Gaba, David. Crisis management in anesthesiology. New York: Churchill Livingstone, 1994.

Chu, Larry and Andrea Fuller. Crisis Management. City: Lippincott Williams & Wilkins, 2011.

Elizabeth Sinz (Editor), Kenneth Navarro (Editor), Erik S. Soderberg (Editor) Advanced cardiovascular life support. Dallas, TX: American Heart Association, 2011.

Step 1: Watch Crisis Resource Management in Action

Step 2: Watch the Lecture

Step 3: Take the Knowledge Assessment

Step 1: Watch the Lecture

Step 1: Watch the Management of VT/VF In Action

Step 2: Watch the Lecture

Step 3: Review the VT/VF Cognitive Aid

Please take a moment to review the Ventricular Tachycardia/Ventricular Fibrillation cognitive aid and envision how you may implement use of cognitive aids into your medical pracice.

Step 4: Take the Knowledge Assessment

Step 1: Watch Management of PEA/Asystole in Action

Step 2: Watch the Lecture

Step 3: Review the PEA Cognitive Aid

Please take a moment to review the PEA cognitive aid and envision how you may implement use of cognitive aids into your medical pracice.

Step 4: Take the Knowledge Assessment

Step 1: Watch Airway Management in CPR

Step 2: Watch an Overview to Vascular Access

Step 3: Watch how to Place an Intraosseous Line

Step 4: Watch how to Use a Defibrillator/Pacer

Step 1: Please watch the Lecture

Step 2: Review the Unstable Bradycardia Cognitive Aid

Please take a moment to review the Unstable Bradycardia cognitive aid and envision how you may implement use of cognitive aids into your medical pracice.

Step 3: Take the Knowledge Assessment

Symptomatic Bradycardia

Please take the knowledge assessment (click here)

Step 1: Watch Management of Unstable SVT in Action

Step 2: Watch the Lecture

Step 3: Review SVT Cognitive Aid

Please take a moment to review the SVT cognitive aid and envision how you may implement use of cognitive aids into your medical practice.

Step 4: Please take the Knowledge Assessment

Step 1: Please Watch the Lecture

Step 2: Take the Knowledge Assessment

Congratulations on completing the Crisis Code app!

Please click here to obtain CME credit.