Retention of skills in medical students following minimal theoretical instructions on semi and fully automated external defibrillators

Beckers, Stefan; Fries, Michael; Bickenbach, Johannes; Skorning, Max; Derwall, Matthias; Kuhlen, Ralf; Rossaint, Rolf

doi:10.1016/j.resuscitation.2006.08.001

Cited by 45 publications

(43 citation statements)

References 43 publications

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“…There were no other clear differences between those retaining and those deteriorating in their knowledge with respect to the nature of their training. Twenty-eight studies reported a deterioration in skills at follow-up testing (Gass & Curry 1983;Fossel et al 1983;Stross 1983;Mancini & Kaye 1985;Curry & Gas 1987;Bradley et al 1988;Plank & Steinke 1989;Yakel 1989;Ten Eyck 1993;Fabius et al 1994;McKee et al 1994;Ali et al 1996a,b;Broomfield 1996;Erickson et al 1996;Holden et al 1996;O'Steen et al 1996;Leith 1997;Wenzel et al 1997;Hammond et al 2000;Kovacs et al 2000;Young & King 2000;Ali et al 2002;Heidenreich et al 2004;Semeraro et al 2006;Beckers et al 2007;Cooper et al 2007;Spooner et al 2007;Smith et al 2008), whereas only nine reported maintenance of skills at follow-up (Coleman et al 1991;O'Donnell & Skinner 1993;McKee et al 1994;Kovacs et al 2000;Ander et al 2004;Boonmak et al 2004;Heidenreich et al 2004;De Regge et al 2006;Wayne et al 2006). In the studies where skills were maintained, two (Coleman et al 1991;Boonmak et al 2004) reported retesting only a short time period after the SRT (three months), three studies (Ander et al 2004;…”

Section: Summary Of Kirkpatrick 2a and 2b Studiesmentioning

confidence: 99%

What is the impact of structured resuscitation training on healthcare practitioners, their clients and the wider service? A BEME systematic review: BEME Guide No. 20

et al. 2012

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A large number of resuscitation training courses (structured resuscitation training programmes (SRT)) take place in many countries in the world on a regular basis. This review aimed to determine whether after attending SRT programmes, the participants have a sustained retention of resuscitation knowledge and skills after their initial acquisition and whether there is an improvement in outcome for patients and/or their healthcare organisation after the institution of an SRT programme. All research designs were included, and the reported resuscitation training had to have been delivered in a predefined structured manner over a finite period of time. Data was extracted from the 105 eligible articles and research outcomes were assimilated in tabular form with qualitative synthesis of the findings to produce a narrative summary. Findings of the review were: SRTs result in an improvement in knowledge and skills in those who attend them, deterioration in skills and, to a lesser extent, knowledge is highly likely as early as three months following SRTs, booster or refresher sessions may improve an individual's ability to retain resuscitation skills after initial training and the instigation of resuscitation training in a healthcare institution significantly improves clinical management of resuscitations and patient outcome (including survival) after resuscitation attempts.

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Section: Summary Of Kirkpatrick 2a and 2b Studiesmentioning

confidence: 99%

What is the impact of structured resuscitation training on healthcare practitioners, their clients and the wider service? A BEME systematic review: BEME Guide No. 20

et al. 2012

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“…Three studies (LOE 2 46,63 ; LOE 4 64 ) reported that laypeople and HCPs could use an AED without training. Three LOE 2 studies [65][66][67] reported that untrained individuals could deliver a shock with an AED. However, even minimal training (15-minute lecture, 1-hour lecture with manikin practice, or reading instructions) improved performance (eg, time to shock delivery, correct pad placement, safety).…”

Section: Consensus On Sciencementioning

confidence: 99%

“…Four studies (LOE 2 150 ; LOE 4 [157][158][159] ) demonstrated that CPR performance was retained or improved with reevaluation, refresher, and/or retraining after as little as 3 months. Three LOE 2 studies 66,150,160 demonstrated that AED skills are retained longer than CPR skills. One LOE 2 study 160 reported higher levels of retention from a program that achieved initial training to a high (mastery) level.…”

Section: Consensus On Sciencementioning

confidence: 99%

Part 12: Education, Implementation, and Teams

Mancini¹,

Soar²,

Bhanji³

et al. 2010

Circulation

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Section: Wer Und Wie Ist Zu Trainieren?unclassified

“…Dagegen werden AED-Kenntnisse etwas län-ger behalten [931,932]. Es gibt Hinweise, dass häufiges und kurzes Auffrischungstraining möglicherweise das BLS-Training verstärkt und das Vergessen der Fertigkeiten etwas verlangsamt [928,[930][931][932]. Eine systematische Bewertung der zur Verfügung stehenden Literatur über Studien an Puppen und Patienten zeigte, dass audiovisuelle Feedback-Geräte wäh-rend der Reanimation die Helfer zu mehr leitlinienkonformen Thoraxkompressionen führen, aber es wurde kein Nachweis gefunden, dass dies zu einer Verbesserung des Patientenüberlebens führt [933].…”

Section: Wer Und Wie Ist Zu Trainieren?unclassified