Anaesthesia Crisis Simulation Masterclass

ESA Anaesthesia Crisis Simulation Masterclass

Helsinki Declaration & Human Factors through High Fidelity Simulation

Date and location:

7th – 8th November 2019, Alcorcon, Madrid, Spain


IDEhA Simulation Center. Hospital Universitario Fundación Alcorcón

C/ Budapest 1

28922 Alcorcon. Madrid. Spain


In 2010, the European Society of Anaesthesiology (ESA), along with the European Board of Anaesthesiology, co-developed the Helsinki Declaration, which lists a series of essential recommendations to improve patient safety. Among them were a series of situations for which health organizations should promote the formation and adoption of practice guidelines that facilitate the proper handling of crises. In addition, in the basis of the declaration it is quoted verbatim: "Human factors play an important role in providing safe care to patients, and we will work with our fellow surgeons, nurses and others to achieve it."

The ESA High Fidelity Simulation Masterclass: Patient Safety and the Helsinki Declaration will be a blended program with a 10-hour simulation workshop divided into 2 ½ days with 6 interactive sessions, including 5 simulation cases based on crises highlighted in the declaration. The focus will be to inform attendees about the risks inherent in these crises, why they can occur and offer training in human factors and non-technical skills to best respond to the crises according to current guidelines for safe practice.

During these cases, each lasting 90-mins, a challenging clinical scenario will be reproduced in a fully immersive environment including a high-fidelity patient simulator (mannequin) in a realistic simulated theatre scenario. Attendees will have the opportunity to manage and/or observe these clinical cases. After each scenario, skilled instructors will facilitate constructive feedback during a debriefing session involving all participants.

What you will get from attending this masterclass

At the end of the course, attendees will:

  • Understand the relevant patient safety messages recommended by the Helsinki Declaration on Patient Safety

  • Develop the ability to respond and handle crisis situations outlined by the Helsinki Declaration.

  • Receive focussed areas for personal improvement based on professional debriefing sessions

  • Obtain a clear understanding of key non-technical skills and human factors to support a best response in the face of the crisis.

  • Acquire a set of practical tools for routine clinical practice.


Daniel Arnal-Velasco (Spain)

Daniel Arnal, M.D. is the chair of the ESA Patient Safety and Quality Committee. He is also co-founder and past chair of the Spanish Anesthesia Incident Reporting System (SENSAR). SENSAR is a professional scientific network of more than one hundred anaesthesia departments in Spain, Chile and Uruguay that strive for enhanced patient safety by learning from incidents, training programs, innovation and networking. Chair of the Patient Safety Movement Foundation Regional Network for Spain and Latin America and Vice President of Quality, Patient Safety and Ethics of the Spanish Society of Anesthesiology and Reanimation (SEDAR).

He completed his anesthesiology training at Hospital General Universitario Gregorio Marañon, in Madrid, Spain, and has worked as an Anesthesia Consultant in the Hospital Universitario Fundacion Alcorcon since 2005 where he coordinates and teaches simulation training programs in the IDEhA Simulation Center.

Dr. Arnal's publications and scientific interests focus on patient safety and quality, and he co-edited the Spanish Anesthesia and Critical Patient Crisis Manual.

Ralf Krage (The Netherlands)

Ralf Krage is a German anesthesiologist. Since 2007 he works at the VU University Medical Center in Amsterdam, the Netherlands. He is the currently the residency program director and also the director of the ADAM simulation center. His special interests focus on Human Factor issues. He has a record of numerous invited presentations on international conferences on Human Factors, patient safety, simulation-based learning and airway management. He is the Past President of SESAM (Society in Europe for Simulation Applied to Medicine) after serving as president between 2013-2015 and was vice-president of the DSSH 2011 – 2016 (Dutch society for Simulation in Healthcare).

For IMSH2013 (International Meeting on Simulation in Healthcare) he served as a planning committee co-chair.

He is also a Board member of the GNSH association (Global network for Simulation in Healthcare). He is on the international Advisory Board for the scientific journal ‘Advances in Simulation’. Ralf is an international partner and board member of the EUSIM group since 2007 and served on numerous instructor courses (inter)nationally as faculty and course director.



November 7th 

14:00 - 14:30 Registration & Welcome

14:30 - 16:00 Introduction: Warm up + Patient Safety and Helsinki Declaration + Simulation based education

16:00 (15min) Break 

16:15 - 17:45 Case 1 + Debriefing

17:45 (15 min) Break 

18:00 - 19:30 Case 2 + Debriefing

19:30 - 20:00 Summary of the day and discussion

November 8th 

8:30 - 9:00 Welcome & warm up 

9:00 - 10:30 Case 3 + Debriefing

10:30 (15 min) Break 

10:45 - 12:45 Case 4 + Debriefing

12:15 (15min) Break 

12:30 - 14:00Case 5 + Debriefing

14.00 -14:30 Conclusions & goodbye


Registration closed – This Masterclass is now fully booked