open access

Vol 15, No 6 (2020)
Research paper
Published online: 2020-12-30
Get Citation

Evaluation of performing resuscitation skills in accordance with Advanced Life Support protocol by students of the final year of medical faculty Medical University of Warsaw

Marcin Mirosław Kaczor, Dagmara Maria Mirowska-Guzel, Antonia Doroszewska, Krzysztof J. Filipiak, Barbara Górnicka
DOI: 10.5603/FC.2020.0058
·
Folia Cardiologica 2020;15(6):393-397.

open access

Vol 15, No 6 (2020)
Original Papers
Published online: 2020-12-30

Abstract

Introduction. One of the basic skills acquired during medical studies is the ability to lead and participate in cardiopulmonary resuscitation. Education of sudden states diagnosis and technical activities during resuscitation is based on the Advanced Life Support (ALS) protocol in accordance with the Guidelines of the European Resuscitation Council. The last-year students of medical faculties took part in simulated Medical Emergency Teams (METs) scenario of cardiac arrest. Analysis of audiovisual recordings of activities undertaken during resuscitation was performed to evaluate the practical skills required for resuscitation. Material and methods. The studied group of students took part in a simulated emergency scenario during which there was an irreversible cardiac arrest. The instructor assessed selected parameters of the work of 37 METs. Results. The first element of scenario was to treat bradycardia which occurred at the beginning. 17 METs (less than 49%) took any action to treat it, 12 METs (slightly over 32%) administered atropine. The next step was to diagnoses and treat adequately cardiac arrest. 15 of METs (40.5%) reacted within 10 s, 10 METs (67.5%) in 11–20 s, and 9 METs (13.51%) took any activity during 21–40 s. Among the therapeutic measures required by the ALS protocol, at the moment of cardiac arrest 12 METs — just over 32% checked the presence of the breath, the most METs (100%) gave adrenaline, 29 METs (slightly more than 78%) performed airway, 27 METs (less than 73%) called the resuscitation team. Conclusion. The lack of students‘ skills of the proceedings in accordance with the guidelines of the ALS protocol in terms of treatment of bradycardia and during cardiopulmonary resuscitation suggests to put greater emphasis on teaching both basic and advanced life support activities as general medical skills, gradually throughout the undergraduate training during the whole medical education.

Abstract

Introduction. One of the basic skills acquired during medical studies is the ability to lead and participate in cardiopulmonary resuscitation. Education of sudden states diagnosis and technical activities during resuscitation is based on the Advanced Life Support (ALS) protocol in accordance with the Guidelines of the European Resuscitation Council. The last-year students of medical faculties took part in simulated Medical Emergency Teams (METs) scenario of cardiac arrest. Analysis of audiovisual recordings of activities undertaken during resuscitation was performed to evaluate the practical skills required for resuscitation. Material and methods. The studied group of students took part in a simulated emergency scenario during which there was an irreversible cardiac arrest. The instructor assessed selected parameters of the work of 37 METs. Results. The first element of scenario was to treat bradycardia which occurred at the beginning. 17 METs (less than 49%) took any action to treat it, 12 METs (slightly over 32%) administered atropine. The next step was to diagnoses and treat adequately cardiac arrest. 15 of METs (40.5%) reacted within 10 s, 10 METs (67.5%) in 11–20 s, and 9 METs (13.51%) took any activity during 21–40 s. Among the therapeutic measures required by the ALS protocol, at the moment of cardiac arrest 12 METs — just over 32% checked the presence of the breath, the most METs (100%) gave adrenaline, 29 METs (slightly more than 78%) performed airway, 27 METs (less than 73%) called the resuscitation team. Conclusion. The lack of students‘ skills of the proceedings in accordance with the guidelines of the ALS protocol in terms of treatment of bradycardia and during cardiopulmonary resuscitation suggests to put greater emphasis on teaching both basic and advanced life support activities as general medical skills, gradually throughout the undergraduate training during the whole medical education.
Get Citation

Keywords

Advanced Life Support protocol, medical emergency team, bradycardia, practical skills

About this article
Title

Evaluation of performing resuscitation skills in accordance with Advanced Life Support protocol by students of the final year of medical faculty Medical University of Warsaw

Journal

Folia Cardiologica

Issue

Vol 15, No 6 (2020)

Article type

Research paper

Pages

393-397

Published online

2020-12-30

DOI

10.5603/FC.2020.0058

Bibliographic record

Folia Cardiologica 2020;15(6):393-397.

Keywords

Advanced Life Support protocol
medical emergency team
bradycardia
practical skills

Authors

Marcin Mirosław Kaczor
Dagmara Maria Mirowska-Guzel
Antonia Doroszewska
Krzysztof J. Filipiak
Barbara Górnicka

References (13)
  1. Monsieurs KG, Nolan JP, Bossaert LL, et al. ERC Guidelines 2015 Writing Group. European Resuscitation Council Guidelines for Resuscitation 2015: Section 1. Executive summary. Resuscitation. 2015; 95: 1–80.
  2. Notice of the Minister of Science and Higher Education of 9 January 2018 on the publication of the text of the Regulation of the Minister of Science and Higher Education on standards for the fields of study: medical, dental, pharmacy, nursing and midwifery, Polish Law Journal, Warsaw, 9 February 2018, item 345. http://isap.sejm.gov.pl/isap.nsf/api/isap/deeds/WDU20180000345/text.html (August 11, 2020).
  3. Kaczor M. valuation of communication skills and cooperation in therapeutic students of medical medical university (Dissertation on doctoral degree in medical sciences). Warsaw Medical University, Warsaw 2020.
  4. Perkins GD. Simulation in resuscitation training. Resuscitation. 2007; 73(2): 202–211.
  5. Gillon S, Radford S, Chalwin R, et al. Crisis resource management, simulation training and the medical emergency team. Crit Care Resusc. 2012; 14(3): 227–235.
  6. Soar J, Nolan JP, Bottiger BW. Advanced resuscitation treatments in adults. In: Andres J. ed. Resuscitation guidelines. Polish Resuscitation Council, Kraków 2015: 127–186 (Polish edition).
  7. Bjørshol CA, Myklebust H, Nilsen KL, et al. Effect of socioemotional stress on the quality of cardiopulmonary resuscitation during advanced life support in a randomized manikin study. Crit Care Med. 2011; 39(2): 300–304.
  8. Marsch SCU, Müller C, Marquardt K, et al. Human factors affect the quality of cardiopulmonary resuscitation in simulated cardiac arrests. Resuscitation. 2004; 60(1): 51–56.
  9. Smith KK, Gilcreast D, Pierce K. Evaluation of staff's retention of ACLS and BLS skills. Resuscitation. 2008; 78(1): 59–65.
  10. Einspruch EL, Lynch B, Aufderheide TP, et al. Retention of CPR skills learned in a traditional AHA Heartsaver course versus 30-min video self-training: a controlled randomized study. Resuscitation. 2007; 74(3): 476–486.
  11. Roppolo LP, Pepe PE, Campbell L, et al. Prospective, randomized trial of the effectiveness and retention of 30-min layperson training for cardiopulmonary resuscitation and automated external defibrillators: The American Airlines Study. Resuscitation. 2007; 74(2): 276–285.
  12. Gaba DM. Crisis resource management and teamwork training in anaesthesia. Br J Anaesth. 2010; 105(1): 3–6.
  13. Krage R, Tjon Soei Len L, Schober P, et al. Does individual experience affect performance during cardiopulmonary resuscitation with additional external distractors? Anaesthesia. 2014; 69(9): 983–989.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

 

Wydawcą serwisu jest  "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl