Leveraging spatial computing to improve crisis management training in anesthesiology

•Simulation training and emergency manuals (AEM) improve performance during crises.•High fidelity multidisciplinary simulations are challenging to execute.•Extended reality (XR) coupled with artificial intelligence (AI) may be a solution.•XR-based simulation may increase access, lower cost and time barriers to training.•Regular simulation training and AEM use may improve safety culture and outcomes.