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ALERT Presentation - Kabbur 2 - IPSSW 2014

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ALERT Presentation - Kabbur 2 - IPSSW 2014

  1. 1. ALERT Presentation: Title Prakash M Kabbur Kapiolani Medical Center for Women and Children, Honolulu, HI INSPIRE @ IPSSW 2014: Vienna, Austria International Network for Simulation-based Pediatric Innovation, Research and Education
  2. 2. • Traditional teaching of chest compressions is on manikins, by narration as to compress 1/3rd depth, compress for 2 minutes and change over to other person. • Some sim centers have adopted newer technologies to actually measure the depth and changes in BP/flow. • We need to determine which is the best method of EFFECTIVE chest compressions-traditional method or newer technologies, best timing-before and after NRP/PALS/adult resuscitation training on traditional manikins as used in NRP • My concerns (why do I want to do this study): I feel by traditional training, people are still not effective in providing adequate chest compressions. The provider pool is very diverse-nurses, NNPs, resident doctors, fellows to neonatologists and other specialty attending physicians. Unless we come up with an objective way of measuring and giving on the spot feedback, the assumption that those particular trainees “attending/taking” NRP or other resuscitation training is not adequate. International Network for Simulation-based Pediatric Innovation, Research and Education Background
  3. 3. • Patient / Population • Intervention (single) • Comparator • Outcome variables (measurable, specific): Depth of compression, Calculated cardiac output / flow International Network for Simulation-based Pediatric Innovation, Research and Education PICO Question skeleton
  4. 4. • P: Hospital Healthcare Professionals • I: Post-Resuscitation Training • C: Pre-Resuscitation Training • O: Depth of compression, Calculated cardiac output / flow This answers the research question: Is traditional NRP/PALS/ACLS training sufficient to improve quality of compressions? International Network for Simulation-based Pediatric Innovation, Research and Education PICO Question version A
  5. 5. • P: Hospital Healthcare Professionals • I: Objective feedback about Mannequin • C: Non-feedback Mannequin • O: Depth of compression, Calculated cardiac output / flow This answers the research question: Does the use of objective feedback from the mannequin improve quality of compressions? International Network for Simulation-based Pediatric Innovation, Research and Education PICO Question version B
  6. 6. • Pre- and immediate Post- designs are inherently fragile because no one is surprised at immediate retention of skills. What is more impactful is degradation or knowledge / skill decay. International Network for Simulation-based Pediatric Innovation, Research and Education Approach / Design
  7. 7. • ALERT Presentation • Grant Proposal (if applicable) • IRB Submission • Recruitment / Data Collection • Data Analysis • Abstract Presentation • Manuscript Preparation International Network for Simulation-based Pediatric Innovation, Research and Education Timeline
  8. 8. 1. ? 2. ? 3. ? International Network for Simulation-based Pediatric Innovation, Research and Education 3 Questions to improve study
  9. 9. Name: Prakash Kabbur Institution: Kapiolani Medical Ctr E-mail, Phone: kabburpm@yahoo.com 8082913162 Website / QR Code International Network for Simulation-based Pediatric Innovation, Research and Education Contact Information

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