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Simulation builds team confidence for prone/beach-chair arrest

Improving surgical team confidence for intraoperative cardiac arrest in non-standard positions (sitting beach chair and prone): a prospective in-situ simulation study with three-month follow-up
Resuscitation Plus · Added 27 July 2026

A half-day, multi-station in situ simulation course at an elective surgical unit was associated with higher self-reported confidence at three months, and self-reported application of course content to real patients.

Study type

Simulation

Design

Prospective single-centre in-situ simulation educational study with 3-month follow-up

Participants

63 interprofessional surgical staff in five teams

Main finding

Self-reported confidence higher at three months in all four domains (p<0.05; effect sizes r 0.39-0.68); 48/56 (85.7%) reported course content useful for a real patient. Repositioning transfers took ~35 s (sitting to supine) and ~30 s (prone to supine).

Caveat

Single-centre, uncontrolled design with self-reported outcomes and varied questionnaire response rates (74-92%); in-hospital surgical setting.

Bottom line

Hypothesis-generating

Learning goal

Strengthen my judgement on managing cardiac arrest in patients in non-supine positions during interfacility transport.

More

• Topic: Education & training
• Daily scan: 27 July 2026

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