Simulation in healthcare : journal of the Society for Simulation in Healthcare
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Randomized Controlled Trial
Simulation intervention with manikin-based objective metrics improves CPR instructor chest compression performance skills without improvement in chest compression assessment skills.
Cardiopulmonary resuscitation (CPR) instructor/coordinator (CPR-I/C) adherence to published guidelines during resuscitation and learner assessment for basic life support (BLS)/CPR skills has not been experimentally studied. Investigators sought to (1) determine the quality of CPR-I/C chest compression and the accuracy of CPR-I/C chest compression assessment, and (2) improve CPR-I/C compression and assessment skills through cardiac arrest simulations with objective in-scenario performance feedback. ⋯ Real-time compression feedback during simulation improved CPR-I/C's chest compression performance skills without comparable improvement in chest compression assessment skills.
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This study simulated intubation with direct laryngoscopy and with a GlideScope Ranger video laryngoscope using a standard Laerdal airway manikin in a medical helicopter under various conditions. We hypothesized that the intubation times would be greater using direct laryngoscopy compared with the GlideScope under all conditions. ⋯ Using the GlideScope took more time to intubate compared with direct laryngoscopy in all tested environments. Although this difference in intubation times was statistically significant, it was not clinically significant, suggesting that both modalities may be comparable in nondifficult airways.
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Current simulation training initiatives predominantly occur in uniprofessional silos and do little to integrate different disciplines working in the operating room (OR). The objective of this review was to determine the current status of work describing simulation for full OR multidisciplinary teams including barriers to conducting OR multidisciplinary team training and factors contributing to successful courses. We found a total of 18 articles from 10 research groups. ⋯ Measures of performance involved a variety of both technical and nontechnical ratings of the simulations. Challenges to conducting the simulations included recruitment, model realism, and financial costs. Future work should focus on how best to overcome the barriers to implementation of team training interventions for full OR teams, particularly on how to engage senior staff to aid recruitment.
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Randomized Controlled Trial Comparative Study
Comparison of success rates using video laryngoscopy versus direct laryngoscopy by residents during a simulated pediatric emergency.
Emergency airway situations are relatively rare events in pediatrics with most graduating residents having little exposure to intubate. Newer video technology offers the promise of reducing complications associated with intubation. This study proposes that video laryngoscopy (VL) should aid less skilled residents to intubate an infant mannequin with greater success and speed as compared with traditional direct laryngoscopy (DL). ⋯ In a simulated respiratory failure scenario involving residents, VL provided no additional success over DL with slightly longer time to intubation.