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KMID : 0385920150260010118
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Journal of the Korean Society of Emergency Medicine
2015 Volume.26 No. 1 p.118 ~ p.127
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Assessment of Advanced Cardiac Life Support Provider`s Ability to Perform Cardioversion and Transcutaneous Pacing Using Standardized Patients
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Kim Woo-Jun
Kang Gu-Hyun
Jang Yong-Soo
Ohk Taek-Geun
Choi Hyun-Young
Sung Min-Gook
Choi Han-Ju
Park Hyun-Kyung
Kim Gyoung-Yong
Bang Sung-Hwan
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Abstract
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Purpose: The aim of this study was to analyze the ability of Advanced Cardiac Life Support (ACLS) providers in per-forming cardioversion and transcutaneous pacing (TCP) in standardized patients.
Methods: In 19 ACLS providers, an observational study was conducted in order to examine their abilities in perform-ing cardioversion and TCP. We conducted this study using a defibrillator not producing electric current and standard-ized patients. Primary outcomes were the completeness in carrying out a task when performing cardioversion or TCP.
Results: Completeness rates reached 100% for “Power on” and “Mental status evaluation” regarding both car-dioversion and TCP. Regarding both cardioversion and TCP, the completeness rate was less than 50% for “Satura-tion identification”. In cardioversion, ACLS providers showed good performance for electrical therapies but not for reassessment. In contrast, they showed good perfor-mance for reassessment not for electrical therapies.
Conclusion: Simulation using a defibrillator not producing electric current for standardized patients was useful in assessing the ability of ACLS providers when performing cardioversion and TCP. This could be helpful to ACLS providers in performing electrical therapies.
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KEYWORD
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Advanced cardiac life support, Education, Patient simulation
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