Making the environmental case for digital education in intensive care - Report - MDSpire

Making the environmental case for digital education in intensive care

  • By

  • Matthew H. Anstey

  • Satish Bhagwanjee

  • Bertrand Guidet

  • June 15, 2026

  • 0 min

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Clinical Report: Advocating for Digital Learning in Intensive Care from an Environmental Perspective

Overview

This report highlights the significant reduction in carbon emissions associated with digital training modalities in intensive care compared to in-person courses. Both virtual reality and synchronous online training produced approximately ten times fewer emissions than traditional in-person attendance.

Background

The environmental impact of medical education is increasingly relevant as healthcare systems strive for sustainability. Intensive care training often involves travel, contributing significantly to carbon emissions. Understanding the carbon footprint of different educational modalities can inform better practices in training delivery.

Data Highlights

Training ModalityMedian CO₂ Emissions (kg)
In-Person Attendance429
Online Training43
Virtual Reality Training43

Key Findings

  • Digital training modalities (VR and online) produce approximately 10 times fewer emissions than in-person courses.
  • Median CO₂ emissions for in-person attendance were 429 kg, compared to 43 kg for both online and VR training.
  • Travel was identified as the dominant driver of carbon emissions in intensive care education.
  • High-quality remote learning is particularly beneficial for low- and middle-income countries.
  • Equity issues exist regarding access to online learning, especially in resource-limited settings.

Clinical Implications

Healthcare professionals should consider the environmental impact of training modalities when designing educational programs. Digital formats can provide significant carbon savings while maintaining educational effectiveness, particularly in resource-limited settings.

Conclusion

The findings underscore the importance of integrating sustainability into intensive care education, advocating for a balanced approach that considers both environmental impact and educational efficacy.

Related Resources & Content

  1. Istrate et al., Intensive Care Medicine, 2026 -- The environmental cost of learning: CO2 emission comparisons of virtual reality, online, and alternative distance education
  2. Recent Advances in Intensive Care: Focusing on Environmental Sustainability, Intensive Care Medicine, 2021
  3. Better teaching in the intensive care unit: navigating a complex, multi-disciplinary learning environment, Critical Care, 2026
  4. Learning as a missing component of digital health, environment and climate change, npj Digital Medicine, 2025
  5. Addressing Climate Impact in Critical Care: Initiating a New Series in Intensive Care Medicine, Intensive Care Medicine, 2022
  6. Environmental sustainability in intensive care: the path forward. An ESICM Green Paper, PMC
  7. Environmental sustainability in intensive care: the path forward. An ESICM Green Paper
  8. The environmental cost of learning: CO2 emission comparisons of virtual reality, online, and alternative distance education
  9. Effectiveness of Virtual Reality–Based Early Rehabilitation Strategies on Pain, Sleep, Anxiety, Balance, Cognition, and Limb Motor Function in Adult Intensive Care Unit Patients: Systematic Review and Meta-Analysis of Randomized Controlled Trials - PMC

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