Abstract
The resuscitation of conjoined twins is a rare and complex clinical challenge. We
detail how patient-specific, in situ simulation can be used to prepare a large, multidisciplinary
team of health care professionals (HCPs) to deliver safe, efficient, and effective
care to such patients. In this case, in situ simulation allowed an 18-person team
to address the clinical and ergonomic challenges anticipated for this neonatal resuscitation.
The HCPs trained together as an intact team in the actual delivery room environment
to probe for human and system weaknesses prior to this unique delivery, and optimized
communication, teamwork, and other behavioral skills as they prepared for the simultaneous
resuscitation of two patients who were physically joined to one another.
Keywords
conjoined twins - neonatal resuscitation - planning - in situ simulation - debriefing
