Using Simulation to Orient Code Blue Teams to a New Hospital Facility

Abstract

Clinical simulation can be effectively used to orient CBTs and identify critical safety issues in a newly constructed healthcare facility.

Mortality in Code Blue; can Apache II and PRISM scores be markers for prognostication?

“…[3,6] In the American Heart Association guidelines, it is aimed to initiate interventions and to provide the first electric shock within 2 min. [7][8][9] Thus, CPR should be started within 3 min. [10] This is also defined as a parameter in the Quality Standard of the Turkish Ministry of Health.…”

“…[6,7,10] The lower incidence of arrest among females could be due to the lower prevalence of coronary syndromes among females. [7] In the present study, CB calls more commonly involved male patients and cardiac problems were the most common reason for CB calls, which was consistent with literature.…”

“…It has been reported that the likelihood of survival and disposition is higher in patients with VT/VNT than in those with asystole. [6,7] In a study on CPR and early defibrillation in an adult in-patient setting, Spearpoint et al reported that the primary cause of the cardiac arrests was VT/VF in 25% of cases, defibrillation was performed within the first 2 min, and 90% of cases responded to CPR. [19] Delayed defibrillation has been associated with a decreased survival rate, with a 10% decrease in survival for each minute.…”

Ausbildung und Implementierung der Reanimation

“…Solche "On-site"-Teamtrainings lassen es eher zu, Teammitglieder aus verschiedenen Disziplinen und Berufsgruppen zu schulen. Dies kann ALS-Wissen [143] und -Fertigkeiten [144], Vertrauen und Vorbereitung [141] und das Vertrautsein mit der Umgebung [145] verbessern sowie verbreitete System-und Anwenderfehler identifizieren [142,146,147].…”

Unterrichtsprinzipien zur Wiederbelebung

“…"high" vs. "low fidelity simulation") macht den Vergleich unterschiedlicher Studien schwierig. Simulationstraining ging ziemlich konsistent [33,125,126,127,128,129,130,131,132,133,134,135,136], aber nicht generell [137,138,139,140,141,142,143] [187], die Durchführungsfertig-keiten [188], das Selbstvertrauen [189] und die Vertrautheit mit der Umgebung [190] der ALS-Helfer verbessern sowie Fehler im System und bei den Helfern identifizieren [191,192].…”