Abstract 265: Advanced Cardiac Life Support (ACLS) Is All About Airway-Circulation-Leadership-Support (A-C-L-S): A Novel CPR Teamwork Model
INTRODUCTION: CPR is a time critical, fast-changing, complex and error-prone medical practice. Teamwork is vital to the success of high quality CPR, but so far we lack a simple and easy to learn teamwork model. A-C-L-S team was designed for this purpose. This article will describe the methodology, education, and preliminary results of A-C-L-S teamwork model.
METHODS: All ACLS related technical or non-technical skills were carefully examined and transformed into A-C-L-S teamwork framework which is based on four CPR positions: Airway, Circulation, Leader, and Support (Figure). A high fidelity simulation-based training course was designed to help rescuer mastering each CPR position and its related tasks, mnemonics and assist devices. At last, we applied a 10-item questionnaire using 5-point Likert scale to evaluate perception of CPR teamwork before and after the course.
RESULTS: From April to June 2014, six A-C-L-S team-training courses were delivered to 42 ED staff (12 residents and 30 nurses, all qualified ACLS providers) at NTUH. Perception of CPR teamwork improved significantly in leadership (3.69. to 4.18, p = 0.015), role commitment (3.56 to 4.30, p < 0.001), task assignment (3.47 to 4.25, p < 0.001), feedback (3.36 to 4.07, p < 0.001), task assistance (3.56 to 4.20, p < 0.001), check-back (3.64 to 4.14, p = 0.009), effective communication (3.57 to 4.16, p = 0.001), shared goal (3.16 to 4.16, p < 0.001), workload distribution (3.18 to 4.16, p < 0.001) and overall team performance (2.94 to 3.85, p < 0.001) after the course.
CONCLUSIONS: A-C-L-S teamwork model is a multifaceted CPR approach comprises of ACLS algorithm, learnable-teachable team structure, TeamStepps concept and CPR assist devices. Its impact on actual CPR performance and patient outcomes deserve further study.
Author Disclosures: K. Chong: None. E.H. Chou: None. C. Yang: None. H. Wang: None. E.P. Huang: None. Y. Chen: None. J. Chen: None. Y. Liu: None. W. Chiang: None. P.C. Ko: None. M.H. Ma: None.
- © 2014 by American Heart Association, Inc.