Simulation in resuscitation teaching and training, an evidence based practice review

Abstract

In the management of a patient in cardiac arrest, it is sometimes the least experienced provider giving chest compressions, intubating the patient, and running the code during the most crucial moment in that patient’s life. Traditional methods of educating residents and medical students using lectures and bedside teaching are no longer sufficient. Today’s generation of trainees grew up in a multimedia environment, learning on the electronic method of learning (online, internet) instead of reading books. It is unreasonable to expect the educational model developed 50 years ago to be able to adequately train the medical students and residents of today. One area that is difficult to teach is the diagnosis and management of the critically ill patient, specifically who require resuscitation for cardiac emergencies and cardiac arrest. Patient simulation has emerged as an educational tool that allows the learner to practice patient care, away from the bedside, in a controlled and safe environment, giving the learner the opportunity to practice the educational principles of deliberate practice and self-refection. We performed a qualitative literature review of the uses of simulators in resuscitation training with a focus on their current and potential applications in cardiac arrest and emergencies.

Mobile emergency simulation training for rural health providers

“…This is consistent with review articles that concluded simulation sessions purportedly facilitate learning 28,29 . To optimize the experience, the authors of the present study were often able customize cases at a rural center's request, mimicking past difficult cases or addressing an area of need.…”

Comparison of CPR Training With Mobile Application and Simulation to Knowledge and Skill of CPR

“…Sahu & Lata (2010) telah menjelaskan bahwa salah satu keuntungan dari metode ini adalah dapat meningkatkan pengetahuan peserta pelatihan melalui proses berpikir kritis terhadap suatu permasalahan yang disajikan pada proses simulasi. Tivener & Gloe (2015) juga menguatkan bahwa adanya permasalahan yang diberikan pada proses simulasi juga akan membantu untuk membuat peserta melakukan analisis permasalahan yang akan berujung pada peningkatan nilai pengetahuan yang dimiliki oleh peserta.…”

Education Strategies Through Simulation For Training In Cardiopulmonary Resuscitation Treatment

“…The roles of the research participants are defined previously to the simulation, and a clinic case of the "patient" should be a challenge with possible solution [13]. Feedback should happen immediately after the simulation, observing the principles of appropriateness, frequency and interaction [10][11][12][13].…”

“…The inclusion of training in CPR in the Brazilian reality has been undertaken with the establishment of training centers in different locations, linked to universities, medical associations or private institutions [7][8], and, simulation units and simulated patient use are interesting sources for training and currently available for professional training in urgency and emergency [10].…”