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Emergency Medicine Crisis Resource Management (EMCRM): Pilot Study of a Simulation-based Crisis Management Course for Emergency Medicine

  1. Martin Reznek MD1,4,*,
  2. Rebecca Smith-Coggins MD2,4,
  3. Steven Howard MD3,5,
  4. Kanthi Kiran MD1,4,
  5. Phillip Harter MD2,4,
  6. Yasser Sowb PhD5,
  7. David Gaba MD3,5,
  8. Thomas Krummel MD1,4

Article first published online: 8 JAN 2008

DOI: 10.1111/j.1553-2712.2003.tb01354.x

Issue

Academic Emergency Medicine

Academic Emergency Medicine

Volume 10, Issue 4, pages 386–389, April 2003

Additional Information

How to Cite

Reznek, M., Smith-Coggins, R., Howard, S., Kiran, K., Harter, P., Sowb, Y., Gaba, D. and Krummel, T. (2003), Emergency Medicine Crisis Resource Management (EMCRM): Pilot Study of a Simulation-based Crisis Management Course for Emergency Medicine. Academic Emergency Medicine, 10: 386–389. doi: 10.1111/j.1553-2712.2003.tb01354.x

Author Information

  1. 1

    Center for Advanced Technology in Surgery at Stanford (MR, KK, TK) Stanford University School of Medicine, Stanford, CA

  2. 2

    Division of Emergency Medicine (RSC, PH) Stanford University School of Medicine, Stanford, CA

  3. 3

    Department of Anesthesia (SH, DG) Stanford University School of Medicine, Stanford, CA

  4. 4

    Department of Surgery (MR, RSC, KK, PH, TK) Stanford University School of Medicine, Stanford, CA

  5. 5

    Patient Safety Center of Inquiry, VA Palo Alto Health Care System (SH, YS, DG), Palo Alto, CA

* Department of Emergency Medicine, 6G University Health Center, 4201 St. Antoine, Detroit, MI 48201. e-mail: mreznek@hotmail.com.

Publication History

  1. Issue published online: 8 JAN 2008
  2. Article first published online: 8 JAN 2008
  3. received January 29, 2002 revision received May 13, 2002 accepted May 24, 2002.

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Keywords:

  • emergency medicine;
  • education;
  • simulation;
  • crisis management

Objectives: To determine participant perceptions of Emergency Medicine Crisis Resource Management (EMCRM), a simulation-based crisis management course for emergency medicine. Methods: EMCRM was created using Anesthesia Crisis Resource Management (ACRM) as a template. Thirteen residents participated in one of three pilot courses of EMCRM; following a didactic session on principles of human error and crisis management, the residents participated in simulated emergency department crisis scenarios and instructor-facilitated debriefing. The crisis simulations involved a computer-enhanced mannequin simulator and standardized patients. After finishing the course, study subjects completed a horizontal numerical scale survey (1 = worst rating to 5 = best rating) of their perceptions of EMCRM. Descriptive statistics were calculated to evaluate the data. Results: The study subjects found EMCRM to be enjoyable (4.9 ± 0.3) (mean ± SD) and reported that the knowledge gained from the course would be helpful in their practices (4.5 ± 0.6). The subjects believed that the simulation environment prompted realistic responses (4.6 ± 0.8) and that the scenarios were highly believable (4.8 ± 0.4). The participants reported that EMCRM was best suited for residents (4.9 ± 0.3) but could also benefit students and attending physicians. The subjects believed that the course should be repeated every 8.2 ± 3.3 months. Conclusions: The EMCRM participants rated the course very favorably and believed that the knowledge gained would be beneficial in their practices. The extremely positive response to EMCRM found in this pilot study suggests that this training modality may be valuable in training emergency medicine residents.

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