The impact of simulation-based training on the knowledge and skills of postgraduate medical students in the management of cardiac arrest | [Anaesthesia, Pain and Intensive Care • 2023]

Author(s):

1. Archita Patil: Dept of Anesthesiology D. Y. Patil Medical College, Kolhapur, India

2. Sandeep Kadam: Dept of Anesthesiology D. Y. Patil Medical College,Kolhapur,India

3. Pradhan Monnaiah: Dept of Anesthesiology D. Y. Patil Medical College, Kolhapur, India

4. Sanket patil: D. Y. Patil Medical College,Kolhapur,India

5. Srishti Sethiya: Dept of Anesthesiology D. Y. Patil Medical College, Kolhapur, India

6. Srashti Singh: Dept of Anesthesiology D. Y. Patil Medical College, Kolhapur, India

Abstract:

Background: Use of simulation as a teaching learning method is said to improve the learners' skills and clinical decision making in a risk-free environment. The effectiveness of simulation in imparting protocol-based training of a critical situation like cardiac arrest to postgraduate students, needs to be evaluated. We aimed to train students in a simulation-based training session for Advanced Cardiac Life Support (ACLS) in the management of in-hospital cardiac arrest, and assess the effect on the pre-training efficacy. Methodology: Thirty post-graduate students were subjected to a pre-test in knowledge and skills regarding ACLS, followed by a didactic lecture and a training session on a high-fidelity mannequin for the same. The assessment was conducted one week later. A self-perception questionnaire from the students was obtained at the end of the whole program. Mean score of knowledge, skill, time to initiating CPR and time to defibrillation in pre-test and post-test were compared using the paired-t test. P < 0.05 was considered statistically significant. Results: There was statistically significant improvement in the post-test knowledge score (13.5 ± 2.87; P < 0.0001) and skills score (6.066 ± 1.25; P < 0.0001). Objective improvement was noticed in time to start cardiopulmonary resuscitation (pre-test 60 ± 19.76 sec vs. post-test 26.56 ± 16.07 sec; P = 0.0001). Time to defibrillation was markedly reduced (pre-test 118.6 ± 28.28 sec vs. post-test 93 ± 33.38 sec; P = 0.0022). Majority of the students strongly agreed that the training session resulted in improved confidence (76.7%), which enhanced clinical decision making in emergency situations (83.3%). Conclusion: The simulation-based training session significantly increases the knowledge and psychomotor skills of the post-graduate students with enhanced confidence to manage a victim of cardiac arrest as self-judged by the participants.

Page(s): 496-501

DOI: 10.35975/apic.v27i4.2258

Published: Journal: Anaesthesia, Pain and Intensive Care, Volume: 27, Issue: 4, Year: 2023

Keywords:

Simulation Training , Cardiopulmonary resuscitation

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