1

HypothesisHypothesis

Our next hypothesis:

After a 2 year hiatus, does resuscitation skill performance and HFHS trained individuals improve to a greater percentage than traditionally trained didactic only individuals following a didactic only refresher?

2

MethodsMethods

n= 387

Forty-three teams of 9

Subjects were selected from students coming in randomly for ACLS Refresher training.

Teams were formed based on their exposure to HFHS or not.

3

MethodsMethods

Previous returning students who had obviously been exposed to HFHS were assigned to the HFHS team.

New students were asked “Have you ever had training on a HFHS before?” If they answered “No” they were assigned to the traditionally trained team.

4

MethodsMethods

Following a 4 hour lecture covering the AHA Guidelines and practicing High-quality CPR and using an AED, subjects were evaluated at 2 points during their skills practice.

First V-fib code after the lecture and the last V-fib code of the practice session.

5

MethodsMethods

Start CPR Defib #1 CPR Defib #2 CPR Epinephrine #1

Defib #3 CPR Amiodarone Epinephrine #2 Defib #4 CPR

We constructed an AHA Guidelines model which looked at specific tasks and time to completion.

6

MethodsMethods

Team leadership and individual skills were evaluated using video tape and SimMan event logs printed for each of the resuscitations.

Time to task completion was marked for each task using the AHA Guideline Model.

7

ResultsResults

The level of compliance to treating V-fib AHA Guidelines following a didactic review for subjects previously trained with HFHS was about 50%.

The level of compliance to treating V-fib AHA Guidelines following didactic review for traditionally trained subjects was about 25%.

Poster Presentation 2009 RESS 2009

8

ConclusionConclusion

Didactic review only improves cardiac resuscitation performance in HFHS trained health care professionals to a greater level than in traditionally trained individuals.

The time to perform individual resuscitation tasks is more reduced and more consistent in HFHS trained resuscitation teams.