Skip to main content

CyberSim

CyberSim Videos

Perioperative CyberSim OR Debrief: Trauma Laparotomy With Hospital Communications Down

A perioperative team debriefs a high acuity trauma laparotomy when paging and core communications are unavailable...

In this debrief, clinicians walk through a simulated trauma laparotomy conducted while hospital communications are down. The discussion focuses on how teams coordinate when they cannot rely on normal paging, phone trees, or rapid consult workflows. They highlight friction points around lab and blood product coordination, handoffs between the ED and OR, and how quickly small delays compound when the system cannot move information. The takeaway is practical: define failover communication paths, rehearse them, and keep critical OR downtime resources easy to locate and easy to use.

Perioperative CyberSim OR Scenario: Malignant Hyperthermia During a Systems Outage

A simulated OR case escalates into malignant hyperthermia while digital systems are down, forcing rapid clinical action with limited support...

This CyberSim scenario tests how an OR team recognizes and treats malignant hyperthermia when core systems are unavailable. Without normal access to electronic documentation, automated communication, and standard support pathways, the team must still execute time critical steps such as mobilizing dantrolene, coordinating cooling and labs, and aligning handoff planning for ICU level care. The scenario is designed to surface process gaps that only appear during downtime and to inform more realistic perioperative downtime protocols.

CyberSim OR Downtime Debrief Managing Malignant Hyperthermia Without the Systems

An anesthesia team debriefs a simulated malignant hyperthermia crisis when hospital systems and communications are unavailable...

Anesthesia clinicians debrief a simulated burn case that quickly escalates into malignant hyperthermia while core hospital systems are unavailable. With lab results delayed, blood bank verification harder to coordinate, and limited ability to reach outside support, they break down what failed, what workarounds helped, and what needs to change so paper processes are not the first time anyone touches them during a real crisis.

Emergency Downtime Debrief: Assessing Risks and Readiness in Critical Care

What breaks first when the ED loses core systems? This debrief pulls apart the safety risks, workarounds, and readiness gaps that show up under real pressure...

This debrief reviews an emergency downtime exercise in which clinicians treat multiple critically ill patients without access to the EHR, normal communications, or automated medication workflows. The discussion focuses on where risk concentrates: documentation handoffs, medication verification, and delays in lab and imaging pathways. Teams describe how quickly paper processes become a bottleneck when they are unfamiliar or hard to find, and how communication failures amplify small clinical delays. The session closes with practical takeaways for strengthening readiness, including drills that rehearse analog workflows and clearer “failover” roles during prolonged disruption.

CyberSim and Emergency Medicine: Navigating Patient Care During a Simulated Cybersecurity Failure

A single critical patient. No EHR, no messaging, no automated dispensing. This scenario shows how emergency teams adapt, and where new error risk appears...

This CyberSim follows emergency clinicians managing a critically ill patient while core digital systems are unavailable, including the EHR, standard communication channels, and automated medication access. The focus is operational: how teams confirm history, place and track orders, and keep medication and documentation aligned without digital guardrails. The discussion highlights where time is lost (imaging and lab coordination, consults, and handoffs) and where manual workflows increase the chance of omissions. Takeaways emphasize clear downtime “command and control,” paper documentation that mirrors clinical reality, and rehearsed alternatives for pharmacy and team communication.

Managing Trauma and Seizures Without Tech: Lessons from a Simulated Downtime Scenario

Two high-risk cases at once (trauma + seizure) with limited tech support. This session surfaces how departments coordinate when consults, imaging, and documentation slow down...

This session examines a downtime simulation built around two simultaneous emergencies: a stab-wound trauma patient and a patient with uncontrolled seizures. Without typical EHR and communication workflows, teams rely on verbal coordination, manual documentation, and physical runners to move information and requests. The discussion emphasizes interdepartmental friction points, including imaging prioritization, lab turnaround uncertainty, and delays reaching neurology and other specialty support. A core takeaway is that “double-load” scenarios expose weaknesses that single-case drills miss, making them useful for stress-testing staffing, escalation, and cross-unit handoffs during disruption.

Emergency Trauma Management in a Non-Trauma Center: Challenges in Stabilization and Transfer During System Disruptions

Stabilize first, transfer fast. This scenario focuses on trauma care in a non-trauma center, where downtime and limited resources make coordination the hard part...

This scenario centers on a severely injured patient arriving at a non-trauma center, where rapid stabilization and interfacility transfer determine outcome. The discussion highlights practical constraints that become sharper during disruption: blood product access, surgical availability, and communication with receiving trauma centers. Teams walk through decision points for airway and resuscitation while navigating delays in information flow and record access. The takeaway is less about perfect trauma medicine and more about transfer readiness: predefined communication paths, streamlined documentation packets, and rehearsed escalation steps for time-sensitive handoffs.

Managing Anaphylaxis Without Technology: Insights from a Simulated Emergency Downtime

Anaphylaxis doesn’t wait for systems to come back. This case drills rapid recognition and treatment when ordering, documentation, and pharmacy coordination are manual...

This simulation follows a time-critical anaphylaxis case managed without typical digital supports such as EHR review, computerized ordering, or routine messaging workflows. The emphasis is on execution under constraints: medication acquisition and dosing, manual documentation, and aligning ED, pharmacy, and ICU communication when there’s no shared digital source of truth. The discussion surfaces the “hidden work” of downtime care, including how teams verify orders, track response, and prevent duplication or missed steps. Practical takeaways include readily available downtime kits, clear medication/ordering workarounds, and rehearsed escalation pathways for airway risk.