Advanced Cardiac Life Support Courses: live actors do not improve training results compared with conventional manikins.

Abstract:

PRIMARY OBJECTIVE:To determine whether using live actors to increase the reality of the scenario improves knowledge retention in Advanced Cardiac Life Support (ACLS) Courses. MAIN SECONDARY OBJECTIVES: To determine the effects of age, time since graduation from nursing or medicine, sex, medical specialty, and workplace in knowledge retention. METHODS:From December 2004 to October 2005, 19 selected ACLS courses were divided at random in two groups: group A (ACLS courses with conventional manikins plus live actors) and group B (ACLS courses with conventional manikins). The live actors vocalized appropriately to create more realistic scenarios. The participants' relevant theoretical knowledge was assessed before the course (pre-test), immediately after the course (post-test), and 6 months after the course (final-test). RESULTS:Four hundred and thirty-five participants were recruited and allocated at random allocated to either group A or B. Overall, the data of 225 participants (51.7%; 111 in group A and 114 in group B) who completed the entire sequence of pre-, post-, and final-tests were analysed. On univariate analysis, the use of live actors, workplace, gender, and healthcare provider profession did not affect pre-, post-, and final-test results (p>0.1). The results in all three tests correlated negatively with time since medical or nursing graduation (95% C.I. -0.53 to -0.17, -0.43 to -0.2, and -0.42 to -0.11, respectively, p<0.05) and age (and 95% C.I. -0.56 to -0.21, -0.42 to -0.2, and -0.38 to -0.07, respectively, p<0.05). CONCLUSION:The use of live actors did not affect knowledge retention in this group. Older age and a longer period since graduation were associated with the worst scores and the lowest levels of knowledge retention.

journal_name

Resuscitation

journal_title

Resuscitation

authors

Miotto HC,Couto BR,Goulart EM,Amaral CF,Moreira Mda C

doi

10.1016/j.resuscitation.2007.07.031

subject

Has Abstract

pub_date

2008-02-01 00:00:00

pages

244-8

issue

2

eissn

0300-9572

issn

1873-1570

pii

S0300-9572(07)00428-5

journal_volume

76

pub_type

杂志文章,随机对照试验
  • Establishment of functional residual capacity at birth: Observational study of 821 neonatal resuscitations.

    abstract:AIM OF THE STUDY:Establishing functional residual capacity (FRC) during positive pressure ventilation (PPV) of apnoeic neonates is critical for survival. This may be difficult due to liquid-filled airways contributing to low lung compliance. The objectives were to describe initial PPV, changes in lung compliance and es...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2020.05.033

    authors: Ersdal HL,Eilevstjonn J,Perlman J,Gomo Ø,Moshiro R,Mdoe P,Kidanto H,Hooper SB,Linde JE

    更新日期:2020-08-01 00:00:00

  • Elevation of serum pancreatic secretory trypsin inhibitor following serious injury.

    abstract::Twenty-six of 31 seriously injured patients (84%) showed a marked elevation of serum pancreatic secretory trypsin inhibitor (PSTI) to more than twice the initial level within the first 2 weeks after admission. Serum PSTI rose from the second or third post-traumatic day and reached the maximum at day 5.8 on average. In...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/0300-9572(88)90043-3

    authors: Shibata T,Ogawa M,Takata N,Niinobu T,Uda K,Ukai T,Ohta M,Mori T

    更新日期:1988-07-01 00:00:00

  • Cell therapy in shock: a reasonable prospect or a lost cause?

    abstract::Almost any insult to the body can set in motion the sequence of physiologic and biochemical changes leading to shock. In the absence of effective treatment widespread disruption of the body's biological mechanisms inevitably follows. This review will describe some of cellular and subcellular disturbances associated wi...

    journal_title:Resuscitation

    pub_type: 杂志文章,评审

    doi:10.1016/0300-9572(89)90055-5

    authors: Ledingham IM

    更新日期:1989-01-01 00:00:00

  • Effects of epinephrine in a pig model of hypothermic cardiac arrest and closed-chest cardiopulmonary resuscitation combined with active rewarming.

    abstract:OBJECTIVE:The aim of the current study was to assess the effects of epinephrine in a pig model of hypothermic cardiac arrest followed by closed-chest cardiopulmonary resuscitation combined with active rewarming, simulating the clinical management of an arrested hypothermic patient in a hospital without cardiopulmonary ...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/s0300-9572(01)00353-7

    authors: Kornberger E,Lindner KH,Mayr VD,Schwarz B,Rackwitz KS,Wenzel V,Krismer AC,Mair P

    更新日期:2001-09-01 00:00:00

  • Defibrillation during renal dialysis: a survey of UK practice and procedural recommendations.

    abstract:INTRODUCTION:Defibrillation of patients connected to medical equipment that is not defibrillation proof risks ineffective defibrillation and harm to the operator as a result of aberrant electrical pathways taken by the defibrillation current. Many renal dialysis systems are not currently defibrillation proof. Although ...

    journal_title:Resuscitation

    pub_type: 杂志文章,评审

    doi:10.1016/j.resuscitation.2006.10.012

    authors: Bird S,Petley GW,Deakin CD,Clewlow F

    更新日期:2007-06-01 00:00:00

  • A comparison of CPR delivery with various compression-to-ventilation ratios during two-rescuer CPR.

    abstract:BACKGROUND:The number of chest compressions required for optimal generation of coronary perfusion pressure remains unknown although studies examining compression-to-ventilation ratios higher than 15:2 (C:V) in animals have reported higher C:V to be superior for return of spontaneous circulation and neurologic outcome. ...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2004.11.026

    authors: Hostler D,Guimond G,Callaway C

    更新日期:2005-06-01 00:00:00

  • Cardiac arrest in Irish general practice: an observational study from 426 general practices.

    abstract:SETTING:Sudden Cardiac Death accounts for approximately 5000 deaths in Ireland each year. Nationally, out-of-hospital cardiac arrest has a very low resuscitation rate, reported at less than 5%. Ireland has a well developed general practice network which routinely manages emergencies arising in the community setting. Ho...

    journal_title:Resuscitation

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.resuscitation.2009.07.010

    authors: Bury G,Headon M,Dixon M,Egan M

    更新日期:2009-11-01 00:00:00

  • Effects of a mandatory basic life support training programme on the no-flow fraction during in-hospital cardiac resuscitation: an observational study.

    abstract:AIM OF THE STUDY:Many hospitals have basic life support (BLS) training programmes, but the effects on the quality of chest compressions are unclear. This study aimed to evaluate the no-flow fraction (NFF) during BLS provided by standard care nursing teams over a five-year observation period during which annual particip...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2014.03.046

    authors: Müller MP,Richter T,Papkalla N,Poenicke C,Herkner C,Osmers A,Brenner S,Koch T,Schwanebeck U,Heller AR

    更新日期:2014-07-01 00:00:00

  • Simulation in resuscitation training.

    abstract::The quality of education, CPR guidelines and the chain of survival all contribute to patient outcome following cardiac arrest. Increasing concerns about patient safety have focused attention on the methods used to train and prepare doctors for clinical practice. Reductions in clinical exposure at both undergraduate an...

    journal_title:Resuscitation

    pub_type: 杂志文章,评审

    doi:10.1016/j.resuscitation.2007.01.005

    authors: Perkins GD

    更新日期:2007-05-01 00:00:00

  • Lidocaine in out-of-hospital ventricular fibrillation. Does it improve survival?

    abstract:BACKGROUND:A large proportion of cardiac arrests outside hospital are caused by ventricular fibrillation. Although it is frequently used, the exact role for treatment with lidocaine in these patients remains to be determined. AIM:To describe the proportion of patients with witnessed out-of-hospital cardiac arrest foun...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/s0300-9572(96)01018-0

    authors: Herlitz J,Ekström L,Wennerblom B,Axelsson A,Bång A,Lindkvist J,Persson NG,Holmberg S

    更新日期:1997-01-01 00:00:00

  • Thrombolysis with recombinant tissue plasminogen activator during cardiopulmonary resuscitation in fulminant pulmonary embolism. A case series.

    abstract:OBJECTIVE:To describe our outcomes using thrombolysis during the cardiopulmonary resuscitation (CPR) of patients in cardiorespiratory arrest (CA) caused by fulminant pulmonary embolism (FPE). DESIGN:A case series. SETTING:Intensive care units of a district hospital and a referral centre. PATIENTS:Six patients that s...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/s0300-9572(01)00384-7

    authors: Ruiz-Bailén M,Aguayo-de-Hoyos E,Serrano-Córcoles MC,Díaz-Castellanos MA,Fierro-Rosón JL,Ramos-Cuadra JA,Rodríguez-Elvira M,Torres-Ruiz JM

    更新日期:2001-10-01 00:00:00

  • Association of health insurance with post-resuscitation care and neurological outcomes after return of spontaneous circulation in out-of-hospital cardiac arrest patients in Korea.

    abstract:BACKGROUND:We investigated the association of health insurance status with post-resuscitation care and neurological recovery in out-of-hospital cardiac arrest (OHCA) and whether the effects changed with age or gender. METHODS:Adult OHCAs with presumed cardiac etiology who had sustained ROSC from 2013 to 2016 were enro...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2018.12.023

    authors: Kim TH,Ro YS,Shin SD,Song KJ,Hong KJ,Park JH,Kong SY

    更新日期:2019-02-01 00:00:00

  • No difference in mortality between men and women after out-of-hospital cardiac arrest.

    abstract:AIM:Comparing the outcome after out-of-hospital cardiac arrest (OHCA) in men and women and to determine whether sex modifies the effect of targeted temperature management (TTM) at 33 or 36°C. METHODS:The TTM trial randomized 950 patients to TTM at 33 or 36°C for 24h. This predefined sub-study of the TTM trial assessed...

    journal_title:Resuscitation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.resuscitation.2015.06.030

    authors: Winther-Jensen M,Kjaergaard J,Wanscher M,Nielsen N,Wetterslev J,Cronberg T,Erlinge D,Friberg H,Gasche Y,Horn J,Hovdenes J,Kuiper M,Pellis T,Stammet P,Wise MP,Åneman A,Hassager C

    更新日期:2015-11-01 00:00:00

  • The 9 ALS triads--an alphabetical checklist for advanced life support providers.

    abstract::The successful outcome of a resuscitation attempt relies frequently on the performance of many advanced life support interventions. A checklist of 27 procedures, following an alphabetical sequence, is presented as an educational memory aid for healthcare providers. ...

    journal_title:Resuscitation

    pub_type: 杂志文章,评审

    doi:10.1016/s0300-9572(00)00368-3

    authors: Kloeck WG

    更新日期:2001-07-01 00:00:00

  • Impact of the direct transfer to percutaneous coronary intervention-capable hospitals on survival to hospital discharge for patients with out-of-hospital cardiac arrest.

    abstract:AIMS:Patients suffering from out-of-hospital cardiac arrest (OHCA) are frequently transported to the closest hospital. Percutaneous coronary intervention (PCI) is often indicated following OHCA. This study's primary objective was to determine the association between being transported to a PCI-capable hospital and survi...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2018.01.048

    authors: Cournoyer A,Notebaert É,de Montigny L,Ross D,Cossette S,Londei-Leduc L,Iseppon M,Lamarche Y,Sokoloff C,Potter BJ,Vadeboncoeur A,Larose D,Morris J,Daoust R,Chauny JM,Piette É,Paquet J,Cavayas YA,de Champlain F,Segal

    更新日期:2018-04-01 00:00:00

  • Comparative performance assessment of commercially available automatic external defibrillators: A simulation and real-life measurement study of hands-off time.

    abstract:PURPOSE:Early and good quality cardiopulmonary resuscitation (CPR) and the use of automated external defibrillators (AEDs) improve cardiac arrest patients' survival. However, AED peri- and post-shock/analysis pauses may reduce CPR effectiveness. METHODS:The time performance of 12 different commercially available AEDs ...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2016.10.006

    authors: Savastano S,Vanni V,Burkart R,Raimondi M,Canevari F,Molinari S,Baldi E,Danza AI,Caputo ML,Mauri R,Regoli F,Conte G,Benvenuti C,Auricchio A

    更新日期:2017-01-01 00:00:00

  • Hyperoxic ventilation at the critical haematocrit.

    abstract:OBJECTIVE:During normovolaemic haemodilution arterial O(2)-content decreases exponentially. Nevertheless, tissue oxygenation is first maintained initially by increased organ perfusion and O(2)-extraction. As soon as these compensatory mechanisms are exhausted, myocardial ischaemia and tissue hypoxia occur at an individ...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/s0300-9572(02)00408-2

    authors: Kemming GI,Meisner FG,Kleen M,Meier JM,Tillmanns J,Hutter JW,Wojtczyk CJ,Packert KB,Bottino D,Habler OP

    更新日期:2003-03-01 00:00:00

  • The impact of chest compression rates on quality of chest compressions - a manikin study.

    abstract:PURPOSE:Chest compressions are often performed at a variable rate during cardiopulmonary resuscitation (CPR). The effect of compression rate on other chest compression quality variables (compression depth, duty-cycle, leaning, performance decay over time) is unknown. This randomised controlled cross-over manikin study ...

    journal_title:Resuscitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.resuscitation.2011.07.012

    authors: Field RA,Soar J,Davies RP,Akhtar N,Perkins GD

    更新日期:2012-03-01 00:00:00

  • The prognostic value of continuous amplitude-integrated electroencephalogram applied immediately after return of spontaneous circulation in therapeutic hypothermia-treated cardiac arrest patients.

    abstract:INTRODUCTION:The purpose of this study was to examine the prognostic value of continuous amplitude-integrated electroencephalogram (aEEG) applied immediately after return of spontaneous circulation (ROSC) in therapeutic hypothermia (TH)-treated cardiac arrest patients. METHODS:From September 2010 to August 2011, we pr...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2012.09.031

    authors: Oh SH,Park KN,Kim YM,Kim HJ,Youn CS,Kim SH,Choi SP,Kim SC,Shon YM

    更新日期:2013-02-01 00:00:00

  • Temporary organ substitution by hemoperfusion through suspension of active donor hepatocytes in a total complex of intensive therapy in patients with acute hepatic insufficiency.

    abstract::The results of intensive therapy and temporary organ substitution by hemoperfusion through a suspension of active hepatocytes in 126 patients suffering from acute hepatic insufficiency (AHI) induced by virus B hepatitis, virus non-A, non-B hepatitis, acute toxic hepatitis, active liver cirrhosis, sepsis leptospirosis ...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/0300-9572(89)90115-9

    authors: Margulis MS,Erukhimov EA,Andreiman LA,Viksna LM

    更新日期:1989-10-01 00:00:00

  • Elimination of glutamate using CRRT for 72 h in patients with post-cardiac arrest syndrome: A randomized clinical pilot trial.

    abstract:AIM:Glutamine and glutamate are major mediators of secondary brain cell death during post-cardiac arrest syndrome. As there is an equilibrium between brain tissue and plasma concentrations of glutamine and glutamate, their elimination from systemic circulation by extracorporeal blood purification may ultimately lead to...

    journal_title:Resuscitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.resuscitation.2019.09.020

    authors: Nee J,Jörres A,Krannich A,Leithner C,Schroeder T,Munk AL,Enghard P,Moore C,Steppan S,Storm C

    更新日期:2019-11-01 00:00:00

  • Open chest cardiopulmonary resuscitation in out-of-hospital cardiac arrest.

    abstract::Because closed chest cardiopulmonary resuscitation (CCCPR) achieve restoration of spontaneous circulation (ROSC) in less than 50% of cases, and because of the apparent physiological superiority of open-chest cardiopulmonary resuscitation (OCCPR), we evaluated OCCPR in out-of hospital cardiac arrest in cases who did no...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/s0300-9572(97)00041-5

    authors: Hachimi-Idrissi S,Leeman J,Hubloue Y,Huyghens L,Corne L

    更新日期:1997-10-01 00:00:00

  • One-handed versus two-handed chest compressions in paediatric cardio-pulmonary resuscitation.

    abstract:OBJECTIVES:To determine emergency department (ED) staff preference for one- or two-handed paediatric chest compressions and to determine if there was a difference in compression rates delivered and fatigability between the techniques. METHODS:This was a randomised, cross-over observational study of paediatric CPR perf...

    journal_title:Resuscitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.resuscitation.2006.02.007

    authors: Peska E,Kelly AM,Kerr D,Green D

    更新日期:2006-10-01 00:00:00

  • Analysis of reasons for emergency call delays in Japan in relation to location: high incidence of correctable causes and the impact of delays on patient outcomes.

    abstract:REVIEW:The interval between collapse and emergency call influences the prognosis of out-of-hospital cardiac arrest (OHCA). To reduce the interval, it is essential to identify the causes of delay. METHODS:Basal data were collected prospectively by fire departments from 3746 OHCAs witnessed or recognised by citizens and...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2010.05.022

    authors: Takei Y,Inaba H,Yachida T,Enami M,Goto Y,Ohta K

    更新日期:2010-11-01 00:00:00

  • Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests.

    abstract:BACKGROUND:The quality of life support delivered during cardiopulmonary resuscitation affects outcomes. However, little data exist regarding the quality of resuscitation delivered to children and factors associated with adherence to American Heart Association (AHA) resuscitation guidelines. PARTICIPANTS:Pediatric resi...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2009.03.020

    authors: Hunt EA,Vera K,Diener-West M,Haggerty JA,Nelson KL,Shaffner DH,Pronovost PJ

    更新日期:2009-07-01 00:00:00

  • Does lying in the recovery position increase the likelihood of not delivering cardiopulmonary resuscitation?

    abstract:BACKGROUND:Resuscitation guidelines endorse unconscious and normally breathing out-of-hospital victims to be placed in the recovery position to secure airway patency, but recently a debate has been opened as to whether the recovery position threatens the cardiac arrest victim's safety assessment and delays the start of...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2017.03.008

    authors: Freire-Tellado M,Navarro-Patón R,Pavón-Prieto MDP,Fernández-López M,Mateos-Lorenzo J,López-Fórneas I

    更新日期:2017-06-01 00:00:00

  • A radiographic comparison of human airway anatomy and airway manikins--Implications for manikin-based testing of artificial airways.

    abstract:OBJECTIVE:The aim of this prospective, single-center, observational study was to investigate the accuracy of modeling and reproduction of human anatomical dimensions in manikins by comparing radiographic upper airway measurements of 13 different models with humans. METHODS:13 commonly used airway manikins (male or fem...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2015.05.001

    authors: Schalk R,Eichler K,Bergold MN,Weber CF,Zacharowski K,Meininger D,Byhahn C,Mutlak H

    更新日期:2015-07-01 00:00:00

  • The use of intravenous regional anaesthesia for the reduction of Colles' fractures.

    abstract::Intravenous regional anaesthesia in the reduction of Colles' fracture was compared in 70 patients with 55 others who were treated with general anaesthetics. It was found to be easier and to involve a shorter waiting time, not to require patients to be supervised so long during recovery, and after this method it was le...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/0300-9572(76)90022-8

    authors: Pyrgos NM,Argyropoulos EI,Pyrgos VN

    更新日期:1976-01-01 00:00:00

  • Merits of expanding the Utstein case definition for out of hospital cardiac arrest.

    abstract:BACKGROUND:The Utstein population is defined by non-traumatic, bystander-witnessed out-of-hospital cardiac arrest (OHCA) presenting with ventricular fibrillation (VF). It is used to compare resuscitation performance across emergency medical services (EMS) systems. We hypothesized a system-specific survival correlation ...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2020.10.041

    authors: Shin J,Chocron R,Rea T,Kudenchuk P,McNally B,Eisenberg M

    更新日期:2021-01-01 00:00:00

  • Cardiopulmonary resuscitation for hospital inpatients in Taiwan: an 8-year nationwide survey.

    abstract:AIM:Cardiopulmonary resuscitation (CPR) is widely used to treat cardiac arrest, but the success rate has remained unchanged for decades. This study evaluated CPR performance and success rate among hospital inpatients in Taiwan. METHODS:National Health Insurance data from 1997 to 2004 of population-based datasets repre...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2011.09.006

    authors: Lin MH,Peng LN,Chen LK,Chen TJ,Hwang SJ

    更新日期:2012-03-01 00:00:00