Korean J Crit Care Med.  2012 Feb;27(1):5-9. 10.4266/kjccm.2012.27.1.5.

Effect of Cardiac Arrest Team Training Using Script on the Quality of Simulated Resuscitation

• Sun ML
• Kim HJ
• Chung SP
• Lee HS
• Chang WJ

• KMID: 2301472
• DOI: http://doi.org/10.4266/kjccm.2012.27.1.5

Abstract

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.

Keyword

cardiopulmonary resuscitation; leadership; patient care team; quality

MeSH Terms

Cardiopulmonary Resuscitation
Heart Arrest
Leadership
Patient Care Team
Resuscitation
Retrospective Studies