Overview

The REACT (Resuscitation, Emergency and Crisis Training) programme is a protocol-led, multidisciplinary course developed to address the unique challenges of patient deterioration and cardiac arrest in the cardiac catheterisation laboratory and associated clinical areas. This document provides clear, governance-based responses to frequently asked questions from course participants, centres, and prospective faculty. The answers reinforce key principles of the REACT philosophy—interdisciplinary flexibility, accessibility, structured training pathways, and role clarity—while differentiating REACT from other advanced life support systems such as ACLS.

Click to expand

1. Can any one staff group perform another group’s role in the REACT protocols?

Yes.

The REACT protocol is specifically designed to ensure cross-training and flexibility among all members of the resuscitation team. All participants—whether they are doctors, nurses, radiographers, or allied health professionals—are taught the indications for and basic performance of each task, enabling team members to safely and effectively step into roles outside their traditional scope when necessary.

This structure ensures that the absence of a specific practitioner does not compromise patient care. For example, all participants are taught simple airway management, defibrillator use, and basic rhythm interpretation. The process is enhanced by the use of visual aids and structured role cards, which improve both individual confidence and overall team efficiency.

This approach reflects the reality of crisis response in the catheterisation lab, where a fixed team may not always be available, and where immediate response is essential.

2. Can I become a REACT trainer by taking the e-learning course only?

No.

The e-learning component of REACT is intended as a preparatory tool and does not constitute standalone qualification to become a trainer. It cannot, in part or in full, replace the essential face-to-face instruction and supervised teaching (proctorship) required for REACT instructor certification.

To become a certified REACT trainer, candidates must:

  • Complete a full REACT provider course.
  • Attend an accredited Train the Trainer (TTT) programme.
  • Successfully deliver three supervised teaching sessions, including both theoretical and practical components.
  • Be signed off by an experienced REACT Course Director.

The e-learning platform supplements this process by equipping potential faculty with consistent pre-course knowledge but must be followed by structured in-person training to ensure educational and clinical standards are met.

More detailed information about the certification pathway is available under the Certification section of the REACT or CALS Australia PTY LTD websites.

3. Do we need a simulation centre to deliver the REACT course?

No.

REACT is deliberately designed to be adaptable to a range of clinical environments.

The course can be delivered effectively in a catheter lab conference room, recovery area, and importantly the Cardiac Catheterisation lab for the clinical scenario training.

The minimum equipment requirements can be found here.

These are commonly available in most hospital education departments or catheter laboratories.

The key to success lies not in the setting, but in the consistent application of the REACT protocols, skilled faculty facilitation, and adherence to the approved teaching structure. Centres are encouraged to contact CALS Australia PTY LTD for advice on how to optimise local course delivery based on their infrastructure.

4. Do we need to become a Centre of Excellence (COE) to teach REACT or courses?

Yes.

As with other high-stakes, protocol-driven training courses, REACT requires that any site offering the course becomes formally recognised as a Centre of Excellence (COE). This ensures uniform delivery, educational quality, and a robust faculty governance structure.

COE accreditation is obtained by:

  • Hosting an externally facilitated REACT provider course.
  • Completing a Train the Trainer course.
  • Running an internally led course that is evaluated by a senior external faculty member.

Accredited centres benefit from direct support, course materials, branding authorisation, and faculty development guidance from CALS Australia PTY LTD. Maintaining COE status requires consistent course delivery, submission of feedback data, and adherence to the REACT governance framework.

This model ensures that course delivery is not only accurate but consistent across all sites, building faculty familiarity and participant confidence.

5. What is the difference between REACT and ALS?

REACT is a protocolised training system designed specifically for the cardiac catheterisation laboratory and its adjoining environments. It focuses on the distinct challenges posed by this setting, including:

  • Restricted access to the patient.
  • Limited team size.
  • Presence of radiation and interventional equipment.
  • Arrests often occurring in already hemodynamically unstable patients.

The REACT protocol is tightly structured and role-specific, using clear visuals, practical moulages, and designated equipment to optimise the performance of a multidisciplinary team during crisis.

ALS (Advanced Life Support), in contrast, is a generic set of international guidelines designed for broader hospital (and non-hospital) environments such as general wards, emergency departments, or community care. While both systems share elements—such as defibrillation, airway support, and pharmacologic interventions—REACT is uniquely focused on the catheter lab environment, offering targeted training that reflects the actual conditions practitioners face in that setting.

This specificity makes REACT both a complementary and a more relevant model in institutions where cardiac catheterisation is performed frequently.

Please feel free to forward us questions and we will answer them here. You may send questions to admin@csu-als.org .