Part 2: Adult basic life support

doi:10.1016/j.resuscitation.2005.09.016

Cited by 125 publications

(27 citation statements)

References 212 publications

(180 reference statements)

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“…The first two scenarios took place in a classroom, in which a teacher collapsed due to a cardiac arrest. The students (trainees) witnessed the event and had to take action: circulatory arrest was to be diagnosed and CPR started in accordance with existing bystander-CPR guidelines [17]. These guidelines require the rescuers to quickly start CPR when appropriate, call for help after circulatory arrest has been confirmed, and to relieve the rescuers in order to maintain the effectiveness of chest compressions.…”

Section: Methodsmentioning

confidence: 99%

Cardiopulmonary Resuscitation Training by Avatars: A Qualitative Study of Medical Students’ Experiences Using a Multiplayer Virtual World

Creutzfeldt¹,

Hedman²,

Felländer‐Tsai³

2016

JMIR Serious Games

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BackgroundEmergency medical practices are often team efforts. Training for various tasks and collaborations may be carried out in virtual environments. Although promising results exist from studies of serious games, little is known about the subjective reactions of learners when using multiplayer virtual world (MVW) training in medicine.ObjectiveThe objective of this study was to reach a better understanding of the learners’ reactions and experiences when using an MVW for team training of cardiopulmonary resuscitation (CPR).MethodsTwelve Swedish medical students participated in semistructured focus group discussions after CPR training in an MVW with partially preset options. The students’ perceptions and feelings related to use of this educational tool were investigated. Using qualitative methodology, discussions were analyzed by a phenomenological data-driven approach. Quality measures included negotiations, back-and-forth reading, triangulation, and validation with the informants.ResultsFour categories characterizing the students’ experiences could be defined: (1) Focused Mental Training, (2) Interface Diverting Focus From Training, (3) Benefits of Practicing in a Group, and (4) Easy Loss of Focus When Passive. We interpreted the results, compared them to findings of others, and propose advantages and risks of using virtual worlds for learning.ConclusionsBeneficial aspects of learning CPR in a virtual world were confirmed. To achieve high participant engagement and create good conditions for training, well-established procedures should be practiced. Furthermore, students should be kept in an active mode and frequent feedback should be utilized. It cannot be completely ruled out that the use of virtual training may contribute to erroneous self-beliefs that can affect later clinical performance.

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Section: Methodsmentioning

confidence: 99%

Cardiopulmonary Resuscitation Training by Avatars: A Qualitative Study of Medical Students’ Experiences Using a Multiplayer Virtual World

Creutzfeldt¹,

Hedman²,

Felländer‐Tsai³

2016

JMIR Serious Games

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“…During the scenarios the teams had to assess and resuscitate a victim by following the bystander-CPR guidelines (2005 version) [30]. At approximately 7 minutes after the yell for help the scenario was ended by help of a paramedic arriving at the scene, taking over responsibilities.…”

Section: Methodsmentioning

confidence: 99%

Effects of pre-training using serious game technology on CPR performance – an exploratory quasi-experimental transfer study

Creutzfeldt

Hedman

Felländer‐Tsai

2012

Scandinavian Journal of Trauma, Resuscitation and Emergency Med

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BackgroundMultiplayer virtual world (MVW) technology creates opportunities to practice medical procedures and team interactions using serious game software. This study aims to explore medical students’ retention of knowledge and skills as well as their proficiency gain after pre-training using a MVW with avatars for cardio-pulmonary resuscitation (CPR) team training.MethodsThree groups of pre-clinical medical students, n = 30, were assessed and further trained using a high fidelity full-scale medical simulator: Two groups were pre-trained 6 and 18 months before assessment. A reference control group consisting of matched peers had no MVW pre-training. The groups consisted of 8, 12 and 10 subjects, respectively. The session started and ended with assessment scenarios, with 3 training scenarios in between. All scenarios were video-recorded for analysis of CPR performance.ResultsThe 6 months group displayed greater CPR-related knowledge than the control group, 93 (±11)% compared to 65 (±28)% (p < 0.05), the 18 months group scored in between (73 (±23)%).At start the pre-trained groups adhered better to guidelines than the control group; mean violations 0.2 (±0.5), 1.5 (±1.0) and 4.5 (±1.0) for the 6 months, 18 months and control group respectively. Likewise, in the 6 months group no chest compression cycles were delivered at incorrect frequencies whereas 54 (±44)% in the control group (p < 0.05) and 44 (±49)% in 18 months group where incorrectly paced; differences that disappeared during training.ConclusionsThis study supports the beneficial effects of MVW-CPR team training with avatars as a method for pre-training, or repetitive training, on CPR-skills among medical students.

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“…For standard learning situations, the ERC describes the 4-step approach [14,15] as an accepted and feasible compromise. After reviewing the literature we are not aware of recommendations with respect to the composition of adult learning groups as regards the participants’ gender or the learning environment.…”

Section: Introductionmentioning

confidence: 99%

Resuscitation training in small-group setting – gender matters

Sopka

Biermann²,

Rossaint³

et al. 2013

Scand J Trauma Resusc Emerg Med

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BackgroundWithin cardiopulmonary resuscitation external chest compressions (ECC) are of outstanding importance. Frequent training in Basic Life Support (BLS) may improve the performance, but the perfect method or environment is still a matter of research. The objective of this study was to evaluate whether practical performance and retention of skills in resuscitation training may be influenced by the gender composition in learning groups.MethodsParticipants were allocated to three groups for standardized BLS-training: Female group (F): only female participants; Male group (M): only male participants; Standard group (S): male and female participants. All groups were trained with the standardized 4-step-approach method. Assessment of participants’ performance was done before training (t1), after one week (t2) and eight months later (t3) on a manikin in the same cardiac arrest single-rescuer-scenario. Participants were 251 Laypersons (mean age 21; SD 4; range 18–42 years; females 63%) without previous medical knowledge. Endpoints: compression rate 90-110/min; mean compression depth 38–51 mm. Standardized questionnaires were used for the evaluation of attitude and learning environment.ResultsAfter one week group F performed significantly better with respect to the achievement of the correct mean compression depth (F: 63% vs. S: 43%; p = 0.02). Moreover, groups F and S were the only groups which were able to improve their performance concerning the mean compression rate (t1: 35%; t3: 52%; p = 0.04). Female participants felt more comfortable in the female–only environment.ConclusionsResuscitation training in gender-segregated groups has an effect on individual performance with superior ECC skills in the female-only learning groups.Female participants could improve their skills by a more suitable learning environment, while male participants in the standard group felt less distracted by their peers than male participants in the male-only group.

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Part 2: Adult basic life support

Cited by 125 publications

References 212 publications

Cardiopulmonary Resuscitation Training by Avatars: A Qualitative Study of Medical Students’ Experiences Using a Multiplayer Virtual World

Cardiopulmonary Resuscitation Training by Avatars: A Qualitative Study of Medical Students’ Experiences Using a Multiplayer Virtual World

Effects of pre-training using serious game technology on CPR performance – an exploratory quasi-experimental transfer study

Resuscitation training in small-group setting – gender matters

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