Dataset Information

Simulation-based assessment of trainee's performance in post-cardiac arrest resuscitation.

ABSTRACT:

Objectives

To assess trainees' performance in managing a patient with post-cardiac arrest complicated by status epilepticus.

Methods

In this prospective, observational, single-center simulation-based study, trainees ranging from sub interns to critical care fellows evaluated and managed a post cardiac arrest patient, complicated by status epilepticus. Critical action items were developed by a modified Delphi approach based on American Heart Association guidelines and the Neurocritical Care Society's Emergency Neurological Life Support protocols. The primary outcome measure was the critical action item sum score. We sought validity evidence to support our findings by including attending neurocritical care physicians and comparing performance across four levels of training.

Results

Forty-nine participants completed the simulation. The mean sum of critical actions completed by trainees was 10/21 (49%). Eleven (22%) trainees verbalized a differential diagnosis for the arrest. Thirty-two (65%) reviewed the electrocardiogram, recognized it as abnormal, and consulted cardiology. Forty trainees (81%) independently decided to start temperature management, but only 20 (41%) insisted on it when asked to reconsider. There was an effect of level of training on critical action checklist sum scores (novice mean score [standard deviation (SD)] = 4.8(1.8) vs. intermediate mean score (SD) = 10.4(2.1) vs. advanced mean score (D) = 11.6(3.0) vs. expert mean score (SD) = 14.7(2.2)).

Conclusions

High-fidelity manikin-based simulation holds promise as an assessment tool in the performance of post-cardiac arrest care.

SUBMITTER: Ali AA

PROVIDER: S-EPMC9065740 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature

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Publications

Simulation-based assessment of trainee's performance in post-cardiac arrest resuscitation.

Ali Afrah A AA Chang Wan-Tsu W WW Tabatabai Ali A Pergakis Melissa B MB Gutierrez Camilo A CA Neustein Benjamin B Gilbert Gregory E GE Podell Jamie E JE Parikh Gunjan G Badjatia Neeraj N Motta Melissa M Lerner David P DP Morris Nicholas A NA

Resuscitation plus 20220428

<h4>Objectives</h4>To assess trainees' performance in managing a patient with post-cardiac arrest complicated by status epilepticus.<h4>Methods</h4>In this prospective, observational, single-center simulation-based study, trainees ranging from sub interns to critical care fellows evaluated and managed a post cardiac arrest patient, complicated by status epilepticus. Critical action items were developed by a modified Delphi approach based on American Heart Association guidelines and the Neurocrit ...[more]

PMID: 35515012

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Dataset Information

Simulation-based assessment of trainee's performance in post-cardiac arrest resuscitation.

Objectives

Methods

Results

Conclusions

Publications

Simulation-based assessment of trainee's performance in post-cardiac arrest resuscitation.

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