SIM Scenario Exchange

Prehospital cardiac arrest with return of circulation

Contributed on March 30, 2015, last updated September 21, 2023.



René Lapierre, ACP, Collège Boréal
Luc Perreault, ACP, Collège Boréal

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Pre-hospital incident of a male patient having chest pain, with shortness of breath, collapsed into a sudden cardiac arrest. Pre-hospital ACLS protocals followed causes a return of spontanious circulation. For arrest care provided and transport to ER.

Learning Objectives:

Le param√©dic devrait √™tre capable de reconnaitre les proc√©dures √† suivre durant un arr√™t cardiaque m√©dicales et d’appliquer les soins pr√©hospitaliers n√©cessaires en d√©montrant aussi les techniques appropri√©es d’√©valuation du patient VSA.

Simulation Modality:

Manikin-based, Moulage, Standardized/simulated patients or real patients


High fidelity simulator, HAL, ems model from Gaumard Scientific


This scenario has been used in 2nd year paramedic student post didactic education of medical directives with cardiac arrest.  Our time limit was 12 to 14 minutes but in future we will use 15 to 18 to ensure adequate time for treatment.


Lapierre R, Perreault L. Prehospital cardiac arrest with return of circulation. Simulation resource published by Simulation Canada; 2015. Available from

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Target Learners






Continuing professional development
Undergraduate / post-secondary

Fields / Disciplines:

Emergency / trauma

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