Abstract 140: High-Fideility Simulation Training Adds No Value to Performance of Resuscitation Skills After 2 Years
This study evaluates the ability of Advanced Cardiac Life Support (ACLS) providers, returning for re-certification after a 2 year hiatus, to resuscitate a High Fidelity Human Simulator (HFHS) in ventricular fibrillation (v-fib). Subjects (n=234) were formed into 9 member resuscitation teams; (1) no previous HFHS training (n=13) and (2) previously trained on a HFHS (n=13). Physicians were designated as team leaders, airway was managed by anesthesiologists, CRNAs, or RTs. Nurses administered medications, provided chest compressions, defibrillation and recording. Each team was challenged by a v-fib cardiac arrest emergency on SimMan® prior to the start of the ACLS re-certification course, following a 4 hour didactic review including practice of high-quality CPR and AED use, and after a two hour practice session where 5 additional v-fib megacode scenarios were presented. The percent compliance to American Heart Association (AHA) guidelines was compared for each group at each measurement point. Surveys were completed by the participants providing background and resuscitation experience data. Compliance to AHA guidelines following a 2 year hiatus was 25.6 and 28.8 % (NS) in the no HFHS training teams versus the previously HFHS trained teams respectively. After didactic review, compliance improved to 42.3 and 54.2% respectively (p< 0.05) and after practice to 60.3 and 73.1% respectively (p< 0.05). Resuscitation skill performance and knowledge retention appear to decline to potentially lethal levels after 2 years for both non and HFHS trained health care professionals. Didactic review appears to improve team performance by 16.7% in non-HFHS trained teams and 25.4% in HFHS trained teams. Similarly, resuscitation practice further improves performance for both groups with the non-HFHS trained improving 34.7% and the HFHS trained improving 44.3%. These findings suggest that more frequent review/training may be required for resuscitation skill maintenance.
- © 2010 by American Heart Association, Inc.