ALERT Presentation:Maintaining Proficiency in BagMask Ventilation, a two month recommendation Gary Kummet, Julie Lindower
Background• 60 second delay of effective ventilation in adults after cardiopulmonary arrest decreased survival by 9%.• Bag mask ventilation training – Improves skills immediately post training – Requires significant exposure to achieve proficiency – Skills decay rapidly with time (6-7 months)• Knowledge gaps – Does early establishment of ventilation improve pediatric outcomes? – What is the training interval to maintain proficiency?
PICO Question• Population – Pediatric and Family Practice residents at a tertiary medical center• Intervention – will receive bag mask ventilation training every two months• Comparison – compared to conventional training (NRP/PALS at orientation)• Outcome – Improved procedural skills competency six months after initial training
Approach• Randomized controlled study 1. Provide initial training to all residents to achieve baseline proficiency 2. Randomize residents into one of two study groups 3. Re-training at two month intervals to study group 4. Respiratory arrest scenario at 6 months (videotaped with objective mannequin feedback) 5. Feedback and debriefing
3 Questions• What are the technical requirements of the simulator for this study? – Taking the test to the tester/simulator portability – Obtaining objective data• What issues do we need to consider when standardizing the research across study sites? – Initial training, testing, re-training, re-testing• What are clinically significant differences in performance?