Evidence map›Paper›PMID 41486153›Full record

ArticleBMC medical education2026

Artificial intelligence based resuscitation simulation: a pilot study of a novel approach to team leadership training.

Altuğ Kanbakan, Göksu Bozdereli Berikol, Buğra İlhan, Emel Altıntaş, Fatih Doğanay

Abstract read
In one paragraph

Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Altuğ KanbakanDepartment of Emergency Medicine, Ufuk University, Kızılırmak, Ufuk Ünv. Cd No:1, 06510, Ankara, Turkey. altug.kanbakan@ufuk.edu.tr.
Göksu Bozdereli BerikolDepartment of Emergency Medicine, Atılım University, Ankara, Turkey.
Buğra İlhanDepartment of Emergency Medicine, Kırıkkale University, Kırıkkale, Turkey.
Emel AltıntaşDepartment of Emergency Medicine, Ufuk University, Kızılırmak, Ufuk Ünv. Cd No:1, 06510, Ankara, Turkey.
Fatih DoğanayDepartment of Research, Mayo Clinic, Jacksonville, FL, 32224, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTeam leadership training is essential alongside with technical training for effective resuscitation management. Addressing this gap, we developed a novel simulation system leveraging Large Language Models (LLMs) to create Artificial Intelligence (AI) agents simulating team members in Advanced Cardiovascular Life Support (ACLS) scenarios. This pilot study aimed to to develop a novel LLM-based ACLS simulation training platform and evaluate its performance in simulated resuscitation scenarios on established protocols.

methodUsing the Claude 3.5 Sonnet API, we designed a simulation system with four AI agents assigned specific roles as healthcare staff within an ACLS team. Each agent strictly followed the 2020 American Heart Association (AHA) ACLS guidelines while interacting with an ACLS certified emergency medicine specialist user. The ten patient scenario transcripts were evaluated with three blinded emergency medicine specialists whether all the recommended steps are completed. Inter-rater reliability was assessed using Kendall’s W and Krippendorff’s Alpha statistics to evaluate agreement both within raters and the model.

resultsAI agents consistently adhered to the AHA 2020 ACLS algorithm across scenarios, with a high inter-rater reliability (Kendall’s W > 0.75). Krippendorff’s Alpha values for agreement ranged from substantial (0.84) to almost perfect (0.99), indicating robust compliance with guidelines and effective simulation of resuscitation responses.

conclusionThis study highlights the potential of LLM-powered simulations as an adjunct to traditional resuscitation training. The system effectively supported team leadership training by providing consistent and guideline-compliant responses. While the results are promising, further research with larger participant samples is necessary to evaluate the long-term educational impact and scalability of such systems.

Indexed as

Advanced Cardiac Life SupportArtificial IntelligenceEmergency MedicineLeadershipPatient Care TeamResuscitationSimulation TrainingClinical CompetenceHumansIntelligent SystemsLarge Language ModelsPilot ProjectsACLSArtificial intelligenceEmergency medicineMedical educationResuscitationSimulation

Identifiers

PMID41486153
PMCPMC12870186

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.