Abstract 2038: Impact of Automated External Defibrillator Practical Experience on Second Year Doctor of Pharmacy Students’ Performance and Confidence
Introduction: Public access to AEDs and early defibrillation has significantly reduced out-of-hospital deaths from SCA. Previous work indicates that a variety of responders can successfully deliver an AED defibrillation shock. Pharmacy curricula include education on AED indications and function, but AED competency has not been evaluated in the pharmacy profession. As one of the most accessible health care practitioners, it is important for pharmacists to understand this life saving therapy. Aims of this study were to determine the ability of BLS certified, 2nd year Doctor of Pharmacy students’ to correctly administer a defibrillation shock within 90 seconds of powering on an AED and to assess their perceived competence in performing this task correctly.
Methods: Evaluators assessed students’ ability to perform CPR and the time to deliver a defibrillation shock as a single rescuer with a LIFEPAK® 500T AED (electrodes not pre-connected) during an objective structured clinical exam (OSCE). Prior to the OSCE, students (N=103) ranked their perceived ability to deliver a defibrillation shock on a five-point Likert scale (1=Benefit from assistance, 5=Particularly strong performing). Three weeks later, students completed the same assessment and a second OSCE.
Results: Mean time for students to deliver a shock decreased significantly from the first to second OSCE (p<0.0001) (See Table⇓). Students’ perceived ability to deliver a defibrillation shock significantly improved between the first and second OSCE (p<0.0001).
Conclusions: The majority of pharmacy students are able to successfully deliver an appropriate AED shock in less than 90 seconds. Students’ perceived ability to perform this task increased after practical experience with an AED trainer. AED training should be routinely provided to pharmacists and pharmacy students due to their frequent interaction with patients at high risk of SCA.