Basic resuscitation skills of medical students – a monocenter randomized simulation trial

Objective: The aim of this study was to evaluate resuscitation skills, defined as recognition of resuscitation situations and performance of Basic Life Support (BLS) in students at the Brandenburg Model Medical School (BMM). Methods: Participating students (n=102) were randomized to different simula...

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Autores principales:	Bülow, Cara, Krispin, Stella-Karolin, Lehmanski, Franziska, Spalding, Grit, Haase-Fielitz, Anja, Butter, Christian, Nübel, Jonathan
Formato:	article
Lenguaje:	DE EN
Publicado:	German Medical Science GMS Publishing House 2021
Materias:	resuscitation resuscitation competence medical students model course of study Special aspects of education LC8-6691 Medicine R
Acceso en línea:	https://doaj.org/article/d5cb7c910d694e2ea835862ee71caa2b
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id	oai:doaj.org-article:d5cb7c910d694e2ea835862ee71caa2b
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spelling	oai:doaj.org-article:d5cb7c910d694e2ea835862ee71caa2b2021-11-25T07:17:01ZBasic resuscitation skills of medical students – a monocenter randomized simulation trial2366-501710.3205/zma001512https://doaj.org/article/d5cb7c910d694e2ea835862ee71caa2b2021-11-01T00:00:00Zhttp://www.egms.de/static/en/journals/zma/2021-38/zma001512.shtmlhttps://doaj.org/toc/2366-5017Objective: The aim of this study was to evaluate resuscitation skills, defined as recognition of resuscitation situations and performance of Basic Life Support (BLS) in students at the Brandenburg Model Medical School (BMM). Methods: Participating students (n=102) were randomized to different simulation scenarios: unconscious person with physiological breathing (15/min), gasping (<10/min) and apnea (resuscitation dummy AmbuMan Wireless with electronic recording). Primary endpoint was the proportion of students with correct decision for or against resuscitation. Secondary endpoint was resuscitation quality, self-assessment, and prior resuscitation experience. The latter two were assessed by questionnaire prior to the simulated situation.Results: Overall, there was a high risk for incorrectly omitted or incorrectly performed resuscitation (OR 3.4 [95% CI 1.4-8.1] p=0.005. The highest probability of error occurred in the unconsciousness and gasping groups. 22.3% of all performed resuscitations where at the same time indicated and reached the European Resuscitation Council recommendations for compression frequency, pressure depth and where as well = 90% relieved. A particularly large discrepancy emerged between participants' self-assessment of being prepared for a resuscitation situation by medical school and their actual documented resuscitation competence.Conclusion: The present data indicate significant uncertainty among students in recognizing a resuscitation situation. Even in curricula with a high proportion of practice and a high degree of students with completed vocational training in health care, resuscitation competence is poor.Bülow, CaraKrispin, Stella-KarolinLehmanski, FranziskaSpalding, GritHaase-Fielitz, AnjaButter, ChristianNübel, JonathanGerman Medical Science GMS Publishing Housearticleresuscitationresuscitation competencemedical studentsmodel course of studySpecial aspects of educationLC8-6691MedicineRDEENGMS Journal for Medical Education, Vol 38, Iss 7, p Doc116 (2021)
institution	DOAJ
collection	DOAJ
language	DE EN
topic	resuscitation resuscitation competence medical students model course of study Special aspects of education LC8-6691 Medicine R
spellingShingle	resuscitation resuscitation competence medical students model course of study Special aspects of education LC8-6691 Medicine R Bülow, Cara Krispin, Stella-Karolin Lehmanski, Franziska Spalding, Grit Haase-Fielitz, Anja Butter, Christian Nübel, Jonathan Basic resuscitation skills of medical students – a monocenter randomized simulation trial
description	Objective: The aim of this study was to evaluate resuscitation skills, defined as recognition of resuscitation situations and performance of Basic Life Support (BLS) in students at the Brandenburg Model Medical School (BMM). Methods: Participating students (n=102) were randomized to different simulation scenarios: unconscious person with physiological breathing (15/min), gasping (<10/min) and apnea (resuscitation dummy AmbuMan Wireless with electronic recording). Primary endpoint was the proportion of students with correct decision for or against resuscitation. Secondary endpoint was resuscitation quality, self-assessment, and prior resuscitation experience. The latter two were assessed by questionnaire prior to the simulated situation.Results: Overall, there was a high risk for incorrectly omitted or incorrectly performed resuscitation (OR 3.4 [95% CI 1.4-8.1] p=0.005. The highest probability of error occurred in the unconsciousness and gasping groups. 22.3% of all performed resuscitations where at the same time indicated and reached the European Resuscitation Council recommendations for compression frequency, pressure depth and where as well = 90% relieved. A particularly large discrepancy emerged between participants' self-assessment of being prepared for a resuscitation situation by medical school and their actual documented resuscitation competence.Conclusion: The present data indicate significant uncertainty among students in recognizing a resuscitation situation. Even in curricula with a high proportion of practice and a high degree of students with completed vocational training in health care, resuscitation competence is poor.
format	article
author	Bülow, Cara Krispin, Stella-Karolin Lehmanski, Franziska Spalding, Grit Haase-Fielitz, Anja Butter, Christian Nübel, Jonathan
author_facet	Bülow, Cara Krispin, Stella-Karolin Lehmanski, Franziska Spalding, Grit Haase-Fielitz, Anja Butter, Christian Nübel, Jonathan
author_sort	Bülow, Cara
title	Basic resuscitation skills of medical students – a monocenter randomized simulation trial
title_short	Basic resuscitation skills of medical students – a monocenter randomized simulation trial
title_full	Basic resuscitation skills of medical students – a monocenter randomized simulation trial
title_fullStr	Basic resuscitation skills of medical students – a monocenter randomized simulation trial
title_full_unstemmed	Basic resuscitation skills of medical students – a monocenter randomized simulation trial
title_sort	basic resuscitation skills of medical students – a monocenter randomized simulation trial
publisher	German Medical Science GMS Publishing House
publishDate	2021
url	https://doaj.org/article/d5cb7c910d694e2ea835862ee71caa2b
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Basic resuscitation skills of medical students – a monocenter randomized simulation trial

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