Authors (including presenting author) :
Chan SO, Tsang CLT, Tse LY, Soo WL, Cheung CH, Ip WH, Lo YK, Kwong SF
Affiliation :
Physiotherapy Department, Ruttonjee & Tang Shiu Kin Hospitals
Keyword 3: :
Cardiac arrest
Keyword 4: :
Resuscitation
Keyword 5: :
Team Competency
Introduction :
Dealing with cardiac arrest in a hospital setting is every second counts. CPR drill is crucial simulation designed to ensure that health care staff can response with speed, precision and confidence. The main role of the yearly drill of Physiotherapy Department is to bridge the gap between the theoretical knowledge and practical execution, allowing staff to familiarize with emergency protocols in our work environment.
Objectives :
•Enhance the effectiveness of activation the medical emergencies management system •Enhance competency of all department staff on medical emergencies management system in different scenarios
Methodology :
Training content are referenced to the updated hospital resuscitation policy & guideline, and the updated CPR technical instructions. The drill is organized by the Department Quality and Safety (Q&S) Team and follows a structured three-session approach:
Firstly is the briefing and practical Session. This focuses on the updated CPR techniques, the use of first responder kits, and the application of Manual Handling Operation (MHO) items to assist in patient transfers during emergencies.
Secondly is the drill Period. Spanning three weeks, staff are divided into groups of 3–4 to perform various scenarios. Notably, roles are assigned by drawing lots only 15 minutes before the drill, requiring all staff—including professional, supporting, and clerical members—to be familiar with every role,.
Lastly is the debriefing Session. The Q&S team uses video recordings and graphics to discuss common mistakes and illustrate improvement plans based on the facilitator’s comments.
Result & Outcome :
From 2021 to 2025, staff participation in the CPR drill in PT Department was 100%. Average time from checking the need of CPR to patient arrival RH Accident and Emergency Department was improved from 5mins 13sec to 3mins 46sec. In the 2025 CPR drill, 100% of the group were able to complete checking for the need of CPR and activating CPR procedure. More than 80% of the group were able to perform high quality CPR and proper use of Bag-Valve-Mask (BVM). Common mistakes were insufficient CPR depth & speed, and improper “CE” hand technique (20%). 100% of the group were able to provide timely defibrillation using the Automated External Defibrillator (AED) with proper placement of padding. The drill process is essential for building team coordination and confidence. By clarifying common deficiencies through debriefing, the department aims to significantly increase the chances of survival during critical cardiac emergencies.
