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KMID : 0604020120270010005
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Korean Journal of Critical Care Medicine
2012 Volume.27 No. 1 p.5 ~ p.9
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Effect of Cardiac Arrest Team Training Using Script on the Quality of Simulated Resuscitation
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Sun Mao-Lung
Kim Hyun-Jong
Chung Sung-Phil
Lee Hahn-Shick
Chang Wen-Joen
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Abstract
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Background: The purpose of this study was to compare the quality of simulated resuscitation between the conventional simulation training group and the script based training group.
Methods: This was a retrospective analysis of video clips from a previous study of cardiopulmonary resuscitation (CPR) team simulation training. A total of eighty-four video clips were analyzed. Each video clip belonged to either the conventional group or the script group, of either pre-training or post-training. One of the authors analyzed all the video clips. The qualities of resuscitation team plays were compared in terms of the hands-on compression time, the interval to meaningful measures and the number of utterances of the team leader and members.
Results: The hands-on time of the conventional group improved after training whereas that of the script group deteriorated (22.2 vs -7.0 sec, p = 0.009). The time to defibrillation also improved in the conventional group whereas that of the script group deteriorated (-24.0 vs 33.0 sec, p = 0.002). There were no differences in the utterances of team leaders and members between groups and between pre- and post-training.
Conclusions: This study suggested that the effect of script-based training on quality of CPR was less useful than that of conventional training using simulation and debriefing. Therefore, CPR team training using a script alone should not be recommended.
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KEYWORD
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cardiopulmonary resuscitation, leadership, patient care team, quality
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