ArticleResuscitation plus2025
Cardiac arrest in the pregnant patient - Using simulation to improve internal medicine resident competency.
Article in Resuscitation plus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: While cardiac arrest during pregnancy is uncommon, its consequences can be severe and life-threatening. Existing literature suggests that providers have knowledge gaps regarding resuscitation in peripartum patients. Simulation has been used to train obstetrics nurses and other trainees in Advanced Cardiac Life Support (ACLS). However, training curricula designed for providers with little formal obstetric resuscitation experience is lacking. Aims: To improve internal medicine residents' knowledge and confidence related to the resuscitation of pregnant patients. Methods: This was a one-group pre-test, immediate post-test, delayed post-test observational study. Prior to the simulation, residents completed a survey assessing their confidence managing pregnant patients as well as knowledge related to ACLS in pregnancy. Each team then participated in a 30-min simulation, received immediate feedback on their performance, and completed an immediate post-simulation knowledge assessment measure. Residents who agreed to participate in the study then completed a delayed post-simulation knowledge and confidence assessment survey three months following the training session. Results: Eighty-six residents participated in the research study. Immediately after completing the simulation, participants exhibited significant improvements in knowledge related to uterine positioning (+34%), epinephrine dosing (+11%), and timing of perimortem delivery (+22%). Participants also reported increased confidence with managing cardiac arrest in pregnant patients and satisfaction with the simulation. Knowledge and confidence improvements were sustained at the three-month follow-up. Conclusion: High fidelity simulation can be used to train internal medicine residents to manage cardiac arrest in pregnancy. Simulation training is associated with sustained improvements in medical knowledge and confidence related to peripartum resuscitation.
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