SIM Courses

Cath Lab Team Training CRM

Background: The pediatric cardiac catheterization laboratory and the adjacent imaging suites for cardiac MRIs and transthoracic Echos are unique environments with many challenges for health care providers: dim lighting and limited patient access due to bulky equipment as well as hazards posed by radiation and the requirement for personal protection with heavy lead vests. In addition, most patients with congenital heart disease are very complex, have multiple medical problems and often only limited physiological reserves.  Effective teamwork and good communication are essential for managing crisis situations in these challenging environments. In 2008, the Cath Lab Crisis Resource Management Course was developed to teach native teams important CRM concepts and assess existing protocols and potential equipment problems.

Format: 3 hour team training course

Venue: Cardiac Cath Lab, Cardiac MRI, Echo sedation rooms (In-situ)

Frequency: 9 times per year

Participants: Native Cardiac Cath Lab or Imaging team: 1 Cardiology (EP, Cath or MRI) attending, 1-2 cardiology fellows, 1-2 Anesthesia Providers (Attendings and/or fellows or CRNAs), 2 Cardiac Cath lab RNs, 1-2 Cath lab or CMRI  Technicians.

Expertise Level: Intermediate

Course Leaders: Annette Schure, MD, Lisa Bergersen,MD, Loren Brown, RN


  • This multidisciplinary team is confronted with challenging situations in various locations that require effective communication, teamwork and resource management.
  • During this course existing crisis protocols, for example for ECMO or Code activation, can be practiced and available resources and equipment tested.
  • Utilizing multiple formats including games, lectures, videos, clinical simulations and post simulation debriefings the course provides an experiential learning environment for acquisition of CRM skills and gaining experience in managing low frequency, high acuity clinical events.
  • By employing native personnel working within an actual Children’s Hospital cath lab and imaging settings, the course contributes significantly to the realism of both the simulated scenarios and the post scenario debriefings.


General Materials
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