Abstract P120: Is There a Long Term Benefit to High Fidelity Human Simulation Training?
This study examines the hypothesis; ACLS training conducted every 2 years using HFHS results in better resuscitation skill performance following a didactic review than traditional didactic only training. In order to assess resuscitation skill performance, health care professionals who were completing an ACLS re-certification course were formed into 9 member resuscitation teams. The percentage of participants that had previously trained in HFHS was noted. Each team (n=41) was challenged by a ventricular fibrillation (V-fib) cardiac arrest emergency on SimMan as the first code following a didactic review. The percent of AHA guidelines was plotted against the percentage of team members that had previously trained in HFHS. Twelve other teams were evaluated for compliance to AHA guidelines on the last V-fib code of the course following a practice session where 5 to 9 additional V-fib megacode scenarios were presented. Resuscitation skills performance following didactic review only appears to significantly (p<0.001) correlate (r=0.624) with previous HFHS training. Extrapolation to resuscitation teams where there was no previous HFHS training suggests that compliance to AHA guidelines during cardiac resuscitation would be between 20 and 25%. In teams were all members had previous training, compliance to AHA guidelines during cardiac resuscitation could be as high as 55%. Participation in practice codes following didactic review significantly improves resuscitation performance and is not correlated with previous HFHS training. HFHS training and regular didactic review improves resuscitation skill performance and knowledge retention.