High Acuity Low Occurrence (HALO) Emergency Procedures

A consultant-led, hands-on course designed to build confidence and competence in rare, time-critical procedures during trauma resuscitation and peri-arrest care. Content is aligned to the RCEM curriculum and delivered in a high-fidelity, simulation-rich environment.

Course Fees: 495

HALO interventions are uncommon but life-saving. This course emphasises: indication recognition, threshold decision-making, human factors under stress, and stepwise procedural execution with coached deliberate practice and structured debrief.

• Recognise indications and contraindications for each HALO procedure and articulate a clear decision threshold.
• Apply human factors principles (leadership, communication, cognitive offloading) under time pressure.
• Perform resuscitative thoracotomy and manage the immediate resuscitation priorities post-procedure.
• Manage maternal arrest/peri-arrest and deliver resuscitative hysterotomy with time-critical discipline.
• Perform lateral canthotomy and recognise red flags requiring urgent decompression.
• Perform knee arthrocentesis safely, including sample selection and post-procedure care.

Who it’s for

Emergency physicians, surgeons and anaesthetists (resident doctor and consultant levels) who attend trauma calls and manage peri-arrest or time-critical deterioration in the Emergency Department. Suitable for UK and international practice.

Blended delivery

Training format

• Small-group teaching: 4 delegates per station
• Consultant-level faculty with ED and pre-hospital experience
• High-fidelity simulation + coached deliberate practice
• Scenario-based debrief focusing on decision-making and human factors

Tentative date 6th June 2026

There are currently no scheduled dates for this course. Register your interest and we will contact you as soon as new dates are released.