Care of the Critically Ill Surgical Patient

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Care of the Critically Ill Surgical Patient (CCrISP) is a training programme for doctors. The course covers the theoretical basis and practical skills required to manage critically ill surgical patients. Teaching is in small groups and includes the use of simulated patients. The course duration is 2.5 days.[1][2]


CCrISP was designed by Mr. Iain Anderson, Senior Lecturer in Surgery, Manchester University, for the Royal College of Surgeons of England, as a result of the Hillsborough disaster. The first course was run in 1998 by the Hillsborough Trust.[3]

Training bodies

CCrISP courses are run by the following surgical training bodies:


Australia and New Zealand

The Royal Australasian College of Surgeons requires surgical trainees to complete CCrISP within the first 2 years of training (SET 1-2).[5] The course is also mandatory for trainees in oral and maxillofacial surgery.[3]


The Royal College of Surgeons in Ireland recommends at least 6 months of general surgery training before taking the course.[6] Irish courses are aimed at surgical trainees in the second year of Basic Surgical Training (ST2).[2] Candidates must be registered with the Medical Council (Ireland) or the General Medical Council.[2]

United Kingdom

Courses are open to doctors who have completed the Foundation Programme and is usually taken during ST1-3 or CT1-2 training.[7][8]


Candidates receive a course manual and must pass a pre-course multiple choice question assessment.[1][9] Successful participants receive a certificate from the Royal College of Surgeons of England.[6]

The main course elements include:[7]

  • Presentation of the critically ill patient
  • Assessment and detection of illness
  • Formulation of a plan of action
  • Seeking assistance and support
  • Prevention of complications
  • Recognition of complications
  • Interaction with colleagues
  • Requirements of patients and relatives during critical illness
  • Legal, ethical, and communication issues[9]

Theory stations include:[9]

  • Cardiac disorders
  • Communication skills
  • Conducting a surgical ward round
  • Pain
  • Renal dysfunction
  • Respiratory failure
  • The multiply injured patient

Practical skills stations include:[9]

  • Advanced shock
  • Airway management
  • Arterial line insertion
  • Central venous pressure line insertion
  • Chest x-ray interpretation
  • Dysrhythmias
  • Pressure monitoring
  • Stoma care
  • Tracheostomy
  • Wound assessment

See also


  1. 1.0 1.1 "Types of CCrISP courses".<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
  2. 2.0 2.1 2.2
  3. 3.0 3.1 "CCrISP overview".<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
  4. "Academy of Medicine of Malaysia - Care of the Critically Ill Surgical Patient (CCrISP®)".<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
  5. "Neurosurgical Society of Australasia - Care of the Critically Ill Surgical Patient Course (CCrISP) Course".<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
  6. 6.0 6.1 "Care of the Critically ill Surgical Patient Course (CCrISP)".<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>
  7. 7.0 7.1
  9. 9.0 9.1 9.2 9.3 "BMJ Careers - Care of the critically ill surgical patient (CCrISP)".<templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>