The Cardiac Surgery Advanced Life Support Course (CALS): delivering significant improvements in emergency cardiothoracic care

The Annals of Thoracic Surgery
Joel DunningAdrian Levine

Abstract

A 3-day cardiac surgery advanced life support course was designed with a series of protocols to manage critically ill cardiac surgical patients and patients who suffer a cardiac arrest. We sought to determine the effect of this course on the management of simulated critically ill and cardiac arrest patients. Twenty-four candidates participated in the course. Critically ill patients were simulated using intubated mannikins, with lines and drains in situ, and a laptop with an intensive care unit monitor simulation program. Candidates were tested before and after the course with rigidly predesigned clinical situations. Candidates were split into groups of 6, and cardiac arrests were simulated in the same fashion, with all required surgical equipment immediately available. All scenarios were videotaped, and after blinding, an independent surgeon assessed the times to achieve predetermined clinical endpoints. The time to successful definitive treatment was significantly faster postcourse for the critically ill patient scenarios: (565 secs [SD 27 secs] precourse, compared with 303 secs [SD 24 secs] postcourse; p < 0.0005). In addition, the times taken to achieve a wide range of predetermined objectives, including airway check, assess...Continue Reading

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Citations

Aug 11, 2012·Interactive Cardiovascular and Thoracic Surgery·Nicholas J LeesJonathan H Mackay
Sep 28, 2014·The Journal of Thoracic and Cardiovascular Surgery·Juan Nicolas Pulido
Sep 1, 2015·Cirugía española·Juan Fernando EncaladaCarlos-Alberto Mestres
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Jan 27, 2017·The Annals of Thoracic Surgery·UNKNOWN Society of Thoracic Surgeons Task Force on Resuscitation After Cardiac Surgery
Dec 7, 2016·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Bhargavi GaliKristin A Rosenbush
Jun 14, 2017·Pediatric Emergency Care·Javier BenitoJavier González Del Rey
Aug 28, 2009·Medical Education·Paul BradleyFiona Duncan
Feb 3, 2019·Critical Care Nurse·Patrick Michaelis, Richard J Leone
Nov 7, 2020·Interactive Cardiovascular and Thoracic Surgery·Timothy M GuentherBob Kiaii
Mar 29, 2021·Resuscitation·Carsten LottUNKNOWN ERC Special Circumstances Writing Group Collaborators
May 2, 2021·The Journal of Thoracic and Cardiovascular Surgery·Lauren R Kennedy-MetzMarco A Zenati
Jun 16, 2021·Notfall & Rettungsmedizin·Carsten LottJasmeet Soar

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