The significance of clinical experience on learning outcome from resuscitation training-a randomised controlled study.

Abstract:

CONTEXT:The impact of clinical experience on learning outcome from a resuscitation course has not been systematically investigated. AIM:To determine whether half a year of clinical experience before participation in an Advanced Life Support (ALS) course increases the immediate learning outcome and retention of learning. MATERIALS AND METHODS:This was a prospective single blinded randomised controlled study of the learning outcome from a standard ALS course on a volunteer sample of the entire cohort of newly graduated doctors from Copenhagen University. The outcome measurement was ALS-competence assessed using a validated composite test including assessment of skills and knowledge. INTERVENTION:The intervention was half a year of clinical work before an ALS course. The intervention group received the course after a half-year of clinical experience. The control group participated in an ALS course immediately following graduation. RESULTS:Invitation to participate was accepted by 154/240 (64%) graduates and 117/154 (76%) completed the study. There was no difference between the intervention and control groups with regard to the immediate learning outcome. The intervention group had significantly higher retention of learning compared to the control group, intervention group mean 82% (CI 80-83), control group mean 78% (CI 76-80), P=0.002. The magnitude of this difference was medium (effect size=0.57). CONCLUSIONS:Half a year of clinical experience, before participation in an ALS course had a small but statistically significant impact on the retention of learning, but not on the immediate learning outcome.

journal_name

Resuscitation

journal_title

Resuscitation

authors

Jensen ML,Lippert F,Hesselfeldt R,Rasmussen MB,Mogensen SS,Jensen MK,Frost T,Ringsted C

doi

10.1016/j.resuscitation.2008.10.026

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

238-43

issue

2

eissn

0300-9572

issn

1873-1570

pii

S0300-9572(08)00728-4

journal_volume

80

pub_type

杂志文章,随机对照试验
  • Intraaortic balloon occlusion during refractory cardiac arrest. A case report.

    abstract::Despite recent advances in its management, the outcome from cardiac arrest is often poor despite appropriate cardiopulmonary resuscitation (CPR). The coronary perfusion pressure (CPP) achieved during CPR is associated with successful return of spontaneous circulation (ROSC). Continuous balloon occlusion of the descend...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2008.10.017

    authors: Aslanger E,Golcuk E,Oflaz H,Yilmaz A,Mercanoglu F,Bugra Z,Umman B,Nisanci Y

    更新日期:2009-02-01 00:00:00

  • Incidence of re-arrest and critical events during prolonged transport of post-cardiac arrest patients.

    abstract:AIM:To determine the feasibility of transporting post-cardiac arrest patients to tertiary-care facilities, the rate of re-arrest, and the rate of critical events during critical care transport team (CCTT) care. METHODS:Retrospective chart review of cardiac arrest patients transported via CCTT between 1/1/2001 and 5/31...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2010.04.012

    authors: Hartke A,Mumma BE,Rittenberger JC,Callaway CW,Guyette FX

    更新日期:2010-08-01 00:00:00

  • An international collaborative clinical study mechanism for resuscitation research.

    abstract::Recent experimental and clinical studies of cardiac arrest, suggesting a brain damage ameliorating effect of thiopental loading, stimulated the development of an international randomized clinical trial of brain resuscitation. Twelve collaborating hospitals in 9 countries are testing the efficacy of post-cardiac arrest...

    journal_title:Resuscitation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0300-9572(82)90022-3

    authors: Abramson NS,Safar P,Detre K,Kelsey S,Reinmuth O,Snyder J

    更新日期:1982-06-01 00:00:00

  • Improved haemodynamics and restoration of spontaneous circulation with constant aortic occlusion during experimental cardiopulmonary resuscitation.

    abstract::Continuous balloon occlusion of the descending aorta is an experimental method that may improve blood flow to the myocardium and the brain during cardiopulmonary resuscitation (CPR). The aim of the present investigation was to evaluate the effects of this intervention on haemodynamics and the frequency of restoration ...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/s0300-9572(99)00021-0

    authors: Gedeborg R,Rubertsson S,Wiklund L

    更新日期:1999-04-01 00:00:00

  • Looking over the wall: Using a Haddon Matrix to guide public policy making on the problem of sudden cardiac arrest.

    abstract::Sudden cardiac arrest remains an important health care problem. If survival rates of all regions would equal those of the best performers, literally thousands of lives would be saved. Similar to injury, there is a need for an epidemiology-based approach for planning and execution of countermeasures. In this policy pap...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2014.01.032

    authors: Van de Voorde P,Monsieurs KG,Perkins GD,Castren M

    更新日期:2014-05-01 00:00:00

  • Performance of coronary angiography and intervention after out of hospital cardiac arrest.

    abstract:AIMS:Out of Hospital Cardiac Arrest (OHCA) is frequently attributed to coronary artery disease, thus guidelines recommend coronary angiography (CAG) for survivors of OHCA. However, the real-world application of these guidelines is unknown, and we sought to evaluate CAG practices in the contemporary OHCA population. ME...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2018.10.007

    authors: Kearney KE,Maynard C,Smith B,Rea TD,Beatty A,McCabe JM

    更新日期:2018-12-01 00:00:00

  • Microcirculatory perfusion and vascular reactivity are altered in post cardiac arrest patients, irrespective of target temperature management to 33 °C vs 36 °C.

    abstract:AIM:In previous reports both microcirculatory alterations and impaired vascular reactivity have been described in post cardiac arrest patients treated with mild therapeutic hypothermia. As of now it is unknown whether these alterations are related to the temperature management or to the cardiac arrest itself. Aim of th...

    journal_title:Resuscitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.resuscitation.2014.09.025

    authors: Koopmans M,Kuiper MA,Endeman H,Veenstra G,Vellinga NA,de Vos R,Boerma EC

    更新日期:2015-01-01 00:00:00

  • Predictive power of serum NSE and OHCA score regarding 6-month neurologic outcome after out-of-hospital ventricular fibrillation and therapeutic hypothermia.

    abstract:AIM OF THE STUDY:To determine the predictive power of the out-of-hospital cardiac arrest (OHCA) score and serum neuron-specific enolase (NSE) in patients resuscitated from ventricular fibrillation treated with therapeutic hypothermia (TH) and glucose control. METHODS:An analysis of prospectively collected data of 90 T...

    journal_title:Resuscitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.resuscitation.2008.08.017

    authors: Oksanen T,Tiainen M,Skrifvars MB,Varpula T,Kuitunen A,Castrén M,Pettilä V

    更新日期:2009-02-01 00:00:00

  • Impact of first documented rhythm on cost-effectiveness of extracorporeal cardiopulmonary resuscitation.

    abstract:OBJECTIVES:Recommendations for extracorporeal cardiopulmonary resuscitation (ECPR) state that appropriate patient selection is important for the sake of efficacy and cost-effectiveness of ECPR. It is not known whether first documented rhythm plays a prominent role in economic outcomes of patients with cardiac arrest wh...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2019.05.013

    authors: Kawashima T,Uehara H,Miyagi N,Shimajiri M,Nakamura K,Chinen T,Hatano S,Nago C,Chiba S,Nakane H,Gima Y

    更新日期:2019-07-01 00:00:00

  • The epidemiology of defibrillation in a medical school complex.

    abstract::Defibrillation is the definitive treatment for ventricular fibrillation (VF). Participation of physicians, paramedical personnel and lay people in cardiopulmonary resuscitation has significantly increased the survival from ventricular fibrillation. The number of defibrillators has increased and their primary placement...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/0300-9572(84)90037-6

    authors: Shiner SL,Gold MI

    更新日期:1984-02-01 00:00:00

  • Cost-utility analysis of treating out of hospital cardiac arrests in Jerusalem.

    abstract:BACKGROUND:Out-of-hospital cardiac arrest (OHCA) initiates a chain of responses including emergency medical service mobilization and medical treatment, transfer and admission first to a hospital Emergency Department (ED) and then usually to an intensive care unit and ward. Costly pre- and in-hospital care may be follow...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2014.10.024

    authors: Ginsberg GM,Kark JD,Einav S

    更新日期:2015-01-01 00:00:00

  • Correlation between initial serum levels of lactate after return of spontaneous circulation and survival and neurological outcomes in patients who undergo therapeutic hypothermia after cardiac arrest.

    abstract:OBJECTIVES:We analysed the relationship between serum levels of lactate within 1h of return of spontaneous circulation (ROSC) and survival and neurological outcomes in patients who underwent therapeutic hypothermia (TH). METHODS:This was a multi-centre retrospective and observational study that examined data from the ...

    journal_title:Resuscitation

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.resuscitation.2014.11.005

    authors: Lee DH,Cho IS,Lee SH,Min YI,Min JH,Kim SH,Lee YH,Korean Hypothermia Network Investigators.

    更新日期:2015-03-01 00:00:00

  • Results from Austria's nationwide public access defibrillation (ANPAD) programme collected over 2 years.

    abstract:AIM OF THE STUDY:To analyse 2 years of experience after introducing automated external defibrillators (AED) all over Austria. MATERIALS AND METHODS:This observational study evaluated the number of privately purchased devices and the rate of local bystander-triggered AED deployments from November 2002 to December 2004....

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2007.11.019

    authors: Fleischhackl R,Roessler B,Domanovits H,Singer F,Fleischhackl S,Foitik G,Czech G,Mittlboeck M,Malzer R,Eisenburger P,Hoerauf K

    更新日期:2008-05-01 00:00:00

  • Regional variations in early and late survival after out-of-hospital cardiac arrest.

    abstract:BACKGROUND:While prior studies highlight regional variations in out-of-hospital cardiac arrest (OHCA) survival, the underlying reasons remain unknown. We sought to characterize regional variations early and later survival to hospital discharge after OHCA. METHODS:We studied adult, non-traumatic OHCA treated by 10 regi...

    journal_title:Resuscitation

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.resuscitation.2012.07.013

    authors: Wang HE,Devlin SM,Sears GK,Vaillancourt C,Morrison LJ,Weisfeldt M,Callaway CW,ROC Investigators.

    更新日期:2012-11-01 00:00:00

  • The use of AEDs by police officers in the City of London. Automated external defibrillators.

    abstract::The Guidelines 2000 for cardiopulmonary resuscitation recommend shock delivery to victims in ventricular fibrillation within 5 min of call receipt by the Emergency Medical Services. In an effort to achieve this goal, in some parts of the United States, police officers have been trained to use automated external defibr...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/s0300-9572(01)00343-4

    authors: Ross P,Nolan J,Hill E,Dawson J,Whimster F,Skinner D

    更新日期:2001-08-01 00:00:00

  • Adherence to guidelines when positioning the defibrillation electrodes.

    abstract:BACKGROUND:Placement of the defibrillation electrodes affects the transmyocardial current and thus the success of a defibrillation attempt. In the international guidelines 2000, the placement of the apical electrode was changed more laterally to the mid-axillary line. Finnish national guidelines, based on the internati...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2004.01.004

    authors: Nurmi J,Rosenberg P,Castrén M

    更新日期:2004-05-01 00:00:00

  • Thiopental combination treatments for cerebral resuscitation after prolonged cardiac arrest in dogs. Exploratory outcome study.

    abstract::We postulate that mitigating the multifactorial pathogenesis of postischemic encephalopathy requires multifaceted treatments. In preparation for expensive definitive studies, we are reporting here the results of small exploratory series, compared with historic controls with the same model. We hypothesized that the bra...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/s0300-9572(00)00173-8

    authors: Ebmeyer U,Safar P,Radovsky A,Xiao F,Capone A,Tanigawa K,Stezoski SW

    更新日期:2000-07-01 00:00:00

  • Is initial rhythm in OHCA a predictor of preceding no flow time? Implications for bystander response and ECPR candidacy evaluation.

    abstract:OBJECTIVE:Shockable cardiac rhythms are associated with improved outcomes among out-of-hospital cardiac arrests (OHCA). Initial cardiac rhythm may also be predictive of a short preceding no-flow duration. We examined the relationship between no-flow duration and initial cardiac rhythm, which may demonstrate the urgency...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2018.05.002

    authors: Tanguay-Rioux X,Grunau B,Neumar R,Tallon J,Boone R,Christenson J

    更新日期:2018-07-01 00:00:00

  • Game-based assessment of first aid and resuscitation skills.

    abstract:AIM:Effective assessment of motor skills in large-size classes is a challenge in medical education. This case-study investigates whether a game can be considered a valid tool for the summative assessment of first aid and basic life support skills. METHODS:Using a traditional exam as bench-mark, a board game format was...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2010.12.003

    authors: Charlier N

    更新日期:2011-04-01 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

  • Pulseless electrical activity with witnessed arrest as a predictor of sudden death from massive pulmonary embolism in outpatients.

    abstract:BACKGROUND:the objective was to determine clinical characteristics that can quickly distinguish sudden death from massive pulmonary embolism (MPE) from other causes of sudden death. METHODS AND RESULTS:all medical examiner reports from Charlotte, NC from 1992 to 1999 (n=4926) were hand-searched for cases of sudden dea...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/s0300-9572(00)00374-9

    authors: Courtney DM,Sasser HC,Pincus CL,Kline JA

    更新日期:2001-06-01 00:00:00

  • Health-related quality of life after surviving an out-of-hospital compared to an in-hospital cardiac arrest: A Swedish population-based registry study.

    abstract:BACKGROUND:Health-related quality of life (HRQoL) has been reported for out-hospital (OHCA) and in-hospital cardiac arrest (IHCA) separately, but potential differences between the two groups are unknown. The aim of this study is therefore to describe and compare HRQoL in patients surviving OHCA and IHCA. METHODS:Patie...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2020.04.002

    authors: Djärv T,Bremer A,Herlitz J,Israelsson J,Cronberg T,Lilja G,Rawshani A,Årestedt K

    更新日期:2020-06-01 00:00:00

  • Effects of PaCO2 derangements on clinical outcomes after cerebral injury: A systematic review.

    abstract:OBJECTIVE:Partial pressure of arterial carbon dioxide (PaCO2) is a major regulator of cerebral blood flow (CBF). Derangements in PaCO2 have been thought to worsen clinical outcomes after many forms of cerebral injury by altering CBF. Our aim was to systematically analyze the biomedical literature to determine the effec...

    journal_title:Resuscitation

    pub_type: 杂志文章,评审

    doi:10.1016/j.resuscitation.2015.03.015

    authors: Roberts BW,Karagiannis P,Coletta M,Kilgannon JH,Chansky ME,Trzeciak S

    更新日期:2015-06-01 00:00:00

  • Early goal-directed hemodynamic optimization combined with therapeutic hypothermia in comatose survivors of out-of-hospital cardiac arrest.

    abstract:BACKGROUND:Comatose survivors of out-of-hospital cardiac arrest (OHCA) have high in-hospital mortality due to a complex pathophysiology that includes cardiovascular dysfunction, inflammation, coagulopathy, brain injury and persistence of the precipitating pathology. Therapeutic hypothermia (TH) is the only intervention...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2008.12.015

    authors: Gaieski DF,Band RA,Abella BS,Neumar RW,Fuchs BD,Kolansky DM,Merchant RM,Carr BG,Becker LB,Maguire C,Klair A,Hylton J,Goyal M

    更新日期:2009-04-01 00:00:00

  • Rescue percutaneous coronary intervention during cardiopulmonary resuscitation.

    abstract::If sudden cardiac arrest occurs during cardiac catheterization, the underlying coronary condition may be defined immediately by coronary angiography. This may, in turn, allow a lifesaving attempt of percutaneous coronary intervention (PCI). We report on two patients with critical proximal disease of the left coronary ...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2003.12.020

    authors: Azman KJ,Gorjup V,Noc M

    更新日期:2004-05-01 00:00:00

  • Reaching the public via a multi media campaign as a first step to nationwide public access defibrillation.

    abstract::Public access defibrillation (PAD) is a promising strategy to fight sudden cardiac death. The Austrian Red Cross provided automated external defibrillators (AEDs) and basic life support (BLS) training as an "all inclusive package" combined with on site consultation and maintenance with annual retraining as a part of a...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2005.07.026

    authors: Fleischhackl R,Foitik G,Czech G,Roessler B,Mittlboeck M,Domanovits H,Hoerauf K

    更新日期:2006-05-01 00:00:00

  • A text message alert system for trained volunteers improves out-of-hospital cardiac arrest survival.

    abstract:AIMS:The survival rate of sudden out-of-hospital cardiac arrests (OHCAs) increases by early notification of Emergency Medical Systems (EMS) and early application of basic life support (BLS) techniques and defibrillation. A Text Message (TM) alert system for trained volunteers in the community was implemented in the Net...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2016.06.006

    authors: Pijls RW,Nelemans PJ,Rahel BM,Gorgels AP

    更新日期:2016-08-01 00:00:00

  • Emergency physician-initiated extracorporeal cardiopulmonary resuscitation.

    abstract:CONTEXT:Extracorporeal cardiopulmonary resuscitation (ECPR) refers to emergent percutaneous veno-arterial cardiopulmonary bypass to stabilize and provide temporary support of patients who suffer cardiopulmonary arrest. Initiation of ECPR by emergency physicians with meaningful long-term patient survival has not been de...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2012.01.027

    authors: Bellezzo JM,Shinar Z,Davis DP,Jaski BE,Chillcott S,Stahovich M,Walker C,Baradarian S,Dembitsky W

    更新日期:2012-08-01 00:00:00

  • Can thoracic impedance monitor the depth of chest compressions during out-of-hospital cardiopulmonary resuscitation?

    abstract:AIM:To analyze the relationship between the depth of the chest compressions and the fluctuation caused in the thoracic impedance (TI) signal in out-of-hospital cardiac arrest (OHCA). The ultimate goal was to evaluate whether it is possible to identify compressions with inadequate depth using information of the TI wavef...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2013.12.035

    authors: Alonso E,González-Otero D,Aramendi E,Ruiz de Gauna S,Ruiz J,Ayala U,Russell JK,Daya M

    更新日期:2014-05-01 00:00:00

  • The performance of the National Early Warning Score and National Early Warning Score 2 in hospitalised patients infected by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

    abstract:INTRODUCTION:Since the introduction of the UK's National Early Warning Score (NEWS) and its modification, NEWS2, coronavirus disease 2019 (COVID-19), has caused a worldwide pandemic. NEWS and NEWS2 have good predictive abilities in patients with other infections and sepsis, however there is little evidence of their per...

    journal_title:Resuscitation

    pub_type: 杂志文章

    doi:10.1016/j.resuscitation.2020.10.039

    authors: Kostakis I,Smith GB,Prytherch D,Meredith P,Price C,Chauhan A,Portsmouth Academic ConsortIum For Investigating COVID-19 (PACIFIC-19).

    更新日期:2020-11-08 00:00:00