• Fiona Napier, Robin P Davies, Catherine Baldock, Harry Stevens, Andrew S Lockey, Ian Bullock, and Gavin D Perkins.
• Warwick Medical School, Gibbett Hill, Warwick CV4 7AL, United Kingdom.
• Resuscitation. 2009 Sep 1;80(9):1034-8.

AimThe cardiac arrest simulation test (CASTest) assesses resuscitation knowledge and skills during a simulated cardiac arrest. The aim of this study is to validate an alternative scoring system for measuring individual candidate performance during research involving the CASTest.MethodsThe performance of 537 participants was measured using the new scoring system. Evidence of internal structure was sought by comparing the score with global rating of performance and pass/fail decision; identification of participants with instructor potential, skill tests and MCQ scores. Relationships between CASTest score, profession and seniority were also examined.ResultsGlobal assessment of performance identified 413 passes (76.9%) and 124 fails (23.1%). CASTest score was significantly higher in those that passed than in those that failed (median 77 vs 62.5, P<0.0001). There were no differences between professions. Senior staff performed slightly better than junior staff (median 74 and 72 respectively, P=0.01). Excellent participants (identified as having instructor potential) scored significantly higher than the other participants (median 94 and 72 respectively, P<0.0001). A strong correlation was demonstrated between domains in the CASTest (rho 0.72-0.82, P<0.01). Other assessment outcomes for the ALS course correlated poorly with CASTest scores (rho 0.27-0.37, P<0.01).ConclusionThis new simple scoring system can be used to better characterise performance on the ALS course CASTest than the current binary pass-fail outcome.

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