Abstract: Objective To discuss the current situation of rescue capability in critical illness of emergency doctors based on the mixed high-fidelity simulation technology and to evaluate the effectiveness and feasibility of the competency-based rescue capability assessment. Methods The mixed high-fidelity simulation technology was used to simulate the actual clinical critical illness scenarios, and then compare the differences of score between different genders, educational background, professional titles, training years, and work experience. Results A total of 38 emergency doctors participated in the examination. The total score was (74.38±11.26). The score of attending physicians group and the residents group were: (78.66±6.82) and (70.96±12.07) respectively. The score of attending physicians was significantly higher than that of the residents. The Score of standardized training resident group and the further education physician group were (71.21±12.28) and (79.63±7.75) respectively, with that of further education physicians significantly higher than that of the residents. The score of work experience of 1-3 years group, 4-10 years group and ≥10 years group were (70.00±12.14), (82.90±6.89) and (76.04±6.45) respectively, with that of 4-10 years group was obviously higher than that of 1-3 years group. Conclusions: The application of mixed high-fidelity simulation technology to evaluate rescue capability of emergency residents and further education physicians is effective and feasible.

Key words: critical illness, simulation technology, team dynamics