COntinuing Scenario Based Anaesthetic Resuscitation Training

COSBART

Scenarios

Scenarios are available for download in PDF format, and suggestions for additional or modified scenarios are always welcome. The scenarios are divided into CPR and Non-CPR. Non-CPR scenarios are read through in a round table setting and discussed by candidates, with one candidate taking the lead role and others acting as assistants. These roles may rotate in the course of one scenario, and this type of scenario is very valuable for reminding staff of the details of management of e.g. MH. CPR scenarios involve a mannequin, defibrillator, and ancillary equipment. The assessment of any individual is both formative and summative and is both norm as well as criterion based, and although some points are assessed subjectively, many important points are objective, for instance:

All the essential competencies (defibrillator safety, ALS algorithm for VF, or cricothyrotomy practice for instance)
A large proportion of desirable competencies such as the ALS bradycardia and pacing algorithm, or PEA
However assessment of a selection of discussion (Non-CPR) scenarios is based on informal self assessment in a peer group setting.