Simulation in healthcare : journal of the Society for Simulation in Healthcare
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Randomized Controlled Trial
A randomized trial of cardiopulmonary resuscitation training for medical students: voice advisory mannequin compared to guidance provided by an instructor.
Current European Resuscitation Guidelines 2010 recommend the use of prompt/feedback devices when training for cardiopulmonary resuscitation (CPR). We aimed to assess the quality of CPR training among second-year medical students with a voice advisory mannequin (VAM) compared to guidance provided by an instructor. ⋯ In comparison to the traditional training method involving an instructor, training medical students in CPR with VAM improves the quality of chest compressions in hand position and in compression rate applied to mannequins. Only among women was VAM shown to be superior in compression depth training. This technology reduces costs in 14% in our setup and might potentially release instructors' time for other activities.
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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.