Abstract Objective The scope of this work is to evaluate an operative protocol for emergency C-section to improve teamwork and reduce surgical setup time. Methods Sixty-six health care operators working together in the delivery ward (gynecologists, midwives, anesthesiologists) simulated an emergency scenario applying a “five actions for each operator” protocol. For each simulation, the decision to delivery interval was considered and the perception of each operator as a team worker was analyzed with specific tests. Results The “five actions for five people” protocol significantly reduces the decision to delivery interval (p