Retenção das Habilidades de Ressuscitação Cardiopulmonar nos Estudantes de Medicina

Moretti, Miguel Antônio; Camboim, Adriana de Oliveira; Ferrandez, Caroline Awoki; Ramos, Isabela; Costa, Iaggo Bemini; Canonaco, Juliana Seidler; Mathia, Vanessa Lopes; Ferreira, João Fernando Monteiro; Chagas, Antônio Carlos Palandri

doi:10.36660/abc.20200546

Cited by 6 publications

(9 citation statements)

References 19 publications

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“…These initial steps in CPR are often di cult and stressful, particularly for inexperienced rst responders and medical personnel. Furthermore, previous studies have shown that resuscitation skills deteriorate in most medical personnel (e.g., medical and nursing students) over time [13,14], being most evident after 6 months following training completion [13]. Other personal characteristics (e.g., leadership ability, personality, and sex) also have a large impact on CPR algorithm adherence and team dynamics [15,16].…”

Section: Discussionmentioning

confidence: 99%

A cardiopulmonary resuscitation assist device improves pediatric resuscitation algorithm adherence: a randomized controlled trial

Ruangnapa,

Pruksasri,

Palungsinchum

et al. 2023

Preprint

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Background: Most widely used cardiopulmonary resuscitation (CPR) assist devices only focus on chest compression (CC), without accounting for CPR algorithms. Therefore, we aimed to evaluate the efficacy of a novel CPR assist device (XXX-CPR Helper) in improving resuscitation algorithm adherence in simulated pediatric cardiac arrest. Methods: A single blind randomized controlled trial was conducted using a pediatric simulation-based method among 30 resuscitation teams (113 medical students). The teams were randomized into an intervention or control group. The intervention group used the new CPR Helper during the simulation. All events and measurements were recorded using the SimView™ program. Adherence to the standard pediatric CPR algorithm was assessed using four criteria: average CC rate of 100–120/min, 2-min CC and pulse check cycle, first defibrillation given within 1 min, and administration of first adrenaline dose within 3 min after CC initiation. This trial is registered with Thaiclinicaltrials.org, TCTR20230717001.(registered on 17 July 2023) Results: The percentage of teams achieving all four criteria was significantly higher in the intervention than in the control group (28.6% versus 0%, p= 0.042). The percentage of teams with a CC rate of 100–120/min was significantly higher in the intervention group (93.3% versus 40%, p= 0.005). However, there was no significant difference in the average CC rate between the groups (109 versus 105, p= 0.203). Conclusion: The XXX-CPR Helper is an effective CPR assist device, as it can improve adherence to the CPR algorithm, especially among inexperienced resuscitators.

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Section: Discussionmentioning

confidence: 99%

A cardiopulmonary resuscitation assist device improves pediatric resuscitation algorithm adherence: a randomized controlled trial

Ruangnapa,

Pruksasri,

Palungsinchum

et al. 2023

Preprint

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“…The disappointing results regarding resuscitation skills reported by many studies are probably linked to skill and information retention. Indeed, it has been shown that BLS-AED skills and knowledge decrease significantly within months after the last training session [ 23 , 24 ]. The same issue affects advanced life support skills among anesthetists [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Development of a Pilot Introductory Advanced Cardiovascular Resuscitation Course for Senior Medical Students in Switzerland: Student-Driven Implementation Study

Herren,

Fivaz,

Dufeil

et al. 2023

Interact J Med Res

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Background Cardiac arrest is the most time-critical emergency medical students and junior physicians may face in their personal or professional life. However, many studies have shown that most of them lack the necessary knowledge and skills to efficiently perform resuscitation. This could be related to the fact that advanced cardiovascular resuscitation courses are not always part of the undergraduate medical curriculum. Objective The aim of this study was to describe the development, pilot implementation, and assessment of an advanced cardiovascular resuscitation course designed to enable senior medical students to manage the initial resuscitation phase in case of cardiac arrest. Methods An introductory advanced cardiovascular resuscitation course was developed on the initiative of fifth-year medical students, in collaboration with the prehospital emergency medical service team of the Geneva University Hospitals. The 60 slots available to the 157 members of the fifth-year promotion of the University of Geneva Faculty of Medicine were filled in less than 8 hours. This unexpected success prompted the creation of a first questionnaire, which was sent to all fifth-year students to determine the overall proportion of students interested in attending an advanced cardiovascular resuscitation course. This questionnaire was also used to assess basic life support education and experience among course participants. A postcourse questionnaire was used to gather feedback regarding the course and to assess student confidence regarding the resuscitation skills they had been taught. Results Out of 157 fifth-year medical students, 73 (46%) completed the first questionnaire. Most thought that the current curriculum did not provide them with enough knowledge and skills regarding resuscitation and 85% (62/73) wished to attend an introductory advanced cardiovascular resuscitation course. All the participants who would have wanted to follow the full Advanced Cardiovascular Life Support course before graduating were set back by its cost (10/10, 100%). Of the 60 students who had registered for the training sessions, 56 (93%) actually attended. The postcourse questionnaire was completed by 42 (87%) students (out of 48 who had registered on the platform). They unanimously answered that an advanced cardiovascular resuscitation course should be part of the standard curriculum. Conclusions This study demonstrates the interest of senior medical students in an advanced cardiovascular resuscitation course and their willingness to see such a course integrated as a part of their regular curriculum.

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“…In relation to CPR, 66.7% of the students consider themselves capable of performing it. In a study on the retention of CPR skills with medical students 17 , where the skills were checked after a course and six months after it, retention showed a reduced value at the second moment. Considering a time interval of approximately one year between having learned the skills in the first semester curricular class and participating in this study, the number of students who feel capable is also small.…”

Section: Discussionmentioning

confidence: 99%

Student satisfaction and self-confidence in realistic simulation and the experience of knowledge perpetuation

Butafava

Oliveira

Quilici

2022

Rev. bras. educ. med.

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Introduction: The structure of educational methods is frequently renewed, using different available tools, according to the National Curriculum Guidelines. One of these, the realistic simulation (RS) methodology, is used to create proximity between the student and the real everyday life in a monitored environment, which provides room for error, but not with an actual patient. However, measuring meaningful learning is a complex task and support scales can be used. Based on this challenge, can the perpetuation of knowledge among students from different semesters using the RS tool add knowledge? Objectives: To explain the use of RS among medical students; to compare satisfaction and self-confidence indices in relation to RS using a scale, specifically in CPR (Cardiopulmonary Resuscitation), before and after the learning intervention among students from different semesters; to know the students’ learning process through the in-person teaching post-performance questionnaire. Method: This was a quasi-experimental study with 86 medical students from a private institution, with data collection was carried out in three stages, namely: study guidelines, scenario practice and perpetuation of knowledge to other students. Two questionnaires and an evaluation scale were used as tools and, for comparison, the relative and absolute frequencies, Cronbach’s alpha and the non-parametric Mann-Whitney test were used. Results: Cronbach’s alpha was considered high and the nonparametric test resulted in values between 3.81 and 4.91, indicating agreement in satisfaction and self-confidence in learning, with a significant difference in the answers: I liked the way my teacher taught using the simulation; I am confident that I have mastered the content of the simulation activity to which my teacher introduced me and I know how to use simulation activities to learn skills. Regarding the perpetuation of learning, its fixation and its relevance in training, all students also agreed that 6% still did not consider themselves ready to perform CPR. Conclusion: The study proposal proved to be effective in improving learning and perpetuating knowledge among students.

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Retenção das Habilidades de Ressuscitação Cardiopulmonar nos Estudantes de Medicina

Cited by 6 publications

References 19 publications

A cardiopulmonary resuscitation assist device improves pediatric resuscitation algorithm adherence: a randomized controlled trial

A cardiopulmonary resuscitation assist device improves pediatric resuscitation algorithm adherence: a randomized controlled trial

Development of a Pilot Introductory Advanced Cardiovascular Resuscitation Course for Senior Medical Students in Switzerland: Student-Driven Implementation Study

Student satisfaction and self-confidence in realistic simulation and the experience of knowledge perpetuation

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