Development and Pilot of an Online, Interactive Defibrillator Simulation for Advanced Cardiovascular Life Support Providers.

Michael R Kazior, Fei Chen, Kimberly S Samuels, Christopher Samouce, Nikolaus Gravenstein, Samsun Lampotang, Susan M Martinelli

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Article in The journal of education in perioperative medicine : JEPM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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Michael R KaziorMichael R. Kazior is an Assistant Professor in the Department of Anesthesiology, Richmond Veterans Affairs Medical Center, Richmond, VA and the Department of Anesthesiology, Virginia Commonwealth University Health, Richmond, VA. The following authors are in the Department of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill, NC: Fei Chen is Co-Director of the TEACHER Lab and an Assistant Professor; Susan M. Martinelli is the Edward A. Norfleet, MD '70 Distinguished Professor of Anesthesiology and Residency Program Director. Kimberly S. Samuels is the Mock Code Coordinator and REDI Director at the Richmond Veterans Affairs Medical Center, Richmond, VA. The following authors in the Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL: Christopher Samouce is an Assistant Scientist at CSSALT; Nikolaus Gravenstein is the Jerome H. Modell, MD, Professor of Anesthesiology; Samsun Lampotang is the Joachim S. Gravenstein Professor of Anesthesiology and the Director of CSSALT.

Fei ChenMichael R. Kazior is an Assistant Professor in the Department of Anesthesiology, Richmond Veterans Affairs Medical Center, Richmond, VA and the Department of Anesthesiology, Virginia Commonwealth University Health, Richmond, VA. The following authors are in the Department of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill, NC: Fei Chen is Co-Director of the TEACHER Lab and an Assistant Professor; Susan M. Martinelli is the Edward A. Norfleet, MD '70 Distinguished Professor of Anesthesiology and Residency Program Director. Kimberly S. Samuels is the Mock Code Coordinator and REDI Director at the Richmond Veterans Affairs Medical Center, Richmond, VA. The following authors in the Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL: Christopher Samouce is an Assistant Scientist at CSSALT; Nikolaus Gravenstein is the Jerome H. Modell, MD, Professor of Anesthesiology; Samsun Lampotang is the Joachim S. Gravenstein Professor of Anesthesiology and the Director of CSSALT.

Kimberly S SamuelsMichael R. Kazior is an Assistant Professor in the Department of Anesthesiology, Richmond Veterans Affairs Medical Center, Richmond, VA and the Department of Anesthesiology, Virginia Commonwealth University Health, Richmond, VA. The following authors are in the Department of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill, NC: Fei Chen is Co-Director of the TEACHER Lab and an Assistant Professor; Susan M. Martinelli is the Edward A. Norfleet, MD '70 Distinguished Professor of Anesthesiology and Residency Program Director. Kimberly S. Samuels is the Mock Code Coordinator and REDI Director at the Richmond Veterans Affairs Medical Center, Richmond, VA. The following authors in the Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL: Christopher Samouce is an Assistant Scientist at CSSALT; Nikolaus Gravenstein is the Jerome H. Modell, MD, Professor of Anesthesiology; Samsun Lampotang is the Joachim S. Gravenstein Professor of Anesthesiology and the Director of CSSALT.

Christopher SamouceMichael R. Kazior is an Assistant Professor in the Department of Anesthesiology, Richmond Veterans Affairs Medical Center, Richmond, VA and the Department of Anesthesiology, Virginia Commonwealth University Health, Richmond, VA. The following authors are in the Department of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill, NC: Fei Chen is Co-Director of the TEACHER Lab and an Assistant Professor; Susan M. Martinelli is the Edward A. Norfleet, MD '70 Distinguished Professor of Anesthesiology and Residency Program Director. Kimberly S. Samuels is the Mock Code Coordinator and REDI Director at the Richmond Veterans Affairs Medical Center, Richmond, VA. The following authors in the Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL: Christopher Samouce is an Assistant Scientist at CSSALT; Nikolaus Gravenstein is the Jerome H. Modell, MD, Professor of Anesthesiology; Samsun Lampotang is the Joachim S. Gravenstein Professor of Anesthesiology and the Director of CSSALT.

Nikolaus GravensteinMichael R. Kazior is an Assistant Professor in the Department of Anesthesiology, Richmond Veterans Affairs Medical Center, Richmond, VA and the Department of Anesthesiology, Virginia Commonwealth University Health, Richmond, VA. The following authors are in the Department of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill, NC: Fei Chen is Co-Director of the TEACHER Lab and an Assistant Professor; Susan M. Martinelli is the Edward A. Norfleet, MD '70 Distinguished Professor of Anesthesiology and Residency Program Director. Kimberly S. Samuels is the Mock Code Coordinator and REDI Director at the Richmond Veterans Affairs Medical Center, Richmond, VA. The following authors in the Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL: Christopher Samouce is an Assistant Scientist at CSSALT; Nikolaus Gravenstein is the Jerome H. Modell, MD, Professor of Anesthesiology; Samsun Lampotang is the Joachim S. Gravenstein Professor of Anesthesiology and the Director of CSSALT.

Samsun LampotangMichael R. Kazior is an Assistant Professor in the Department of Anesthesiology, Richmond Veterans Affairs Medical Center, Richmond, VA and the Department of Anesthesiology, Virginia Commonwealth University Health, Richmond, VA. The following authors are in the Department of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill, NC: Fei Chen is Co-Director of the TEACHER Lab and an Assistant Professor; Susan M. Martinelli is the Edward A. Norfleet, MD '70 Distinguished Professor of Anesthesiology and Residency Program Director. Kimberly S. Samuels is the Mock Code Coordinator and REDI Director at the Richmond Veterans Affairs Medical Center, Richmond, VA. The following authors in the Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL: Christopher Samouce is an Assistant Scientist at CSSALT; Nikolaus Gravenstein is the Jerome H. Modell, MD, Professor of Anesthesiology; Samsun Lampotang is the Joachim S. Gravenstein Professor of Anesthesiology and the Director of CSSALT.

Susan M MartinelliMichael R. Kazior is an Assistant Professor in the Department of Anesthesiology, Richmond Veterans Affairs Medical Center, Richmond, VA and the Department of Anesthesiology, Virginia Commonwealth University Health, Richmond, VA. The following authors are in the Department of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill, NC: Fei Chen is Co-Director of the TEACHER Lab and an Assistant Professor; Susan M. Martinelli is the Edward A. Norfleet, MD '70 Distinguished Professor of Anesthesiology and Residency Program Director. Kimberly S. Samuels is the Mock Code Coordinator and REDI Director at the Richmond Veterans Affairs Medical Center, Richmond, VA. The following authors in the Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL: Christopher Samouce is an Assistant Scientist at CSSALT; Nikolaus Gravenstein is the Jerome H. Modell, MD, Professor of Anesthesiology; Samsun Lampotang is the Joachim S. Gravenstein Professor of Anesthesiology and the Director of CSSALT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To decrease the risk of device mismanagement when using manual external defibrillators (MED), we created and piloted an online simulation to build and assess skills in using an MED. Methods: Subject matter experts from anesthesiology, critical care, and nursing developed an online, interactive simulation-based curriculum for the MED device used at the VA Health System (R Series, Zoll) following the successive approximation method. Content was from the 2020 American Heart Association advanced cardiac life support (ACLS) guidelines and product manufacturer recommendations. Instructions for ACLS providers on how to correctly place defibrillator pads and perform synchronized cardioversion, defibrillation, and transcutaneous pacing were included. During the pilot study, 22 users from one institution completed a pre-assessment (baseline ability to place pads, perform the 3 defibrillator tasks), watched instructional videos and engaged with an interactive tutorial, and, in the post-assessment, must have correctly completed each task independently. The assessments tracked "pass/fail," number of attempts, and the time to complete each task. Results: Feedback from users was positive. Completing the simulation-based curriculum resulted in improved device management on a simulated device. Wilcoxon signed-rank tests showed no significant change in time to place defibrillator pads, but there was a significant reduction in time to perform a cardioversion (median [interquartile range] = 31.31 [34.23] vs 20.10 [13.92] seconds; Conclusions: The online simulation-based curriculum was well received and should be particularly useful for those who do not have ready access to in-person MED training.

Indexed as

advanced cardiovascular life supportcritical care medicineresuscitationSimulation

Identifiers

PMID40207078

DOI10.46374/VolXXVII_Issue1_Kazior

PMCPMC11978221

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