High Fidelity Simulation as a Technique for
            Resuscitation Education and Evaluation
       E Bauman PhD, RN, C ...
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High Fidelity Simulation as a Technique for

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Study Results related to High-Fidelity Simulation and Resuscitation - Presented at 2008 IMSH, San Diego

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High Fidelity Simulation as a Technique for

  1. 1. High Fidelity Simulation as a Technique for Resuscitation Education and Evaluation E Bauman PhD, RN, C Farrell MD, G Angelini MD • University of Wisconsin School of Medicine and Public Health, Madison, WI BACKGROUND RESULTS 100 90 The University of Wisconsin School of Examination of the data using the matched- 80 Medicine and Public Health, Department pair Wilcoxon test indicated that students 70 of Anesthesiology created a High Fidelity had significantly higher AHA posttest scores 60 Post ACLS Simulation (HFS) resuscitation elective for 4th compared to their pretest scores (T=820, N=40, 50 year medical students. This 5-day immersion p<.001). Significantly higher posttest EKG 40 30 course exceeds the American Heart Association scores were also achieved (T=818.5, N=40, 20 (AHA) requirements for Advanced Cardiac p<.001). 100% of the students demonstrated 10 Life Support (ACLS) provider recognition. proficiency on their written AHA posttest. 0 The course has been consistently ranked as one 0 10 20 30 40 50 60 70 80 90 100 of the top elective courses in the school since Pre ACLS its inception. We hypothesized that students Pre and Post ACLS Scores for all students Examination of the video data using the would demonstrate a cognitive and behavioral matched-pair Wilcoxon test indicated that gain in resuscitation ability after intervention students had significantly higher posttest as demonstrated by several measures. cognitive scores compared with their pretest INSTITUTIONAL REVIEW BOARD (IRB) 100 scores (T=820, N=40, p<.001). This was also METHODS 90 true of their behavioral scores (T=820, N=40, This study was granted approval by the Health 80 p<.001). Sciences IRB at the University of Wisconsin. All 70 The elective is taught utilizing a HFS laboratory 60 study participants were fourth year medical students Post EKG with a METI Human Patient Simulator, 50 enrolled in Resuscitation 930 and all participants accurately creating a high acuity patient setting, 40 provided informed consent. Participants were not DISCUSSION 30 complete with actual patient monitoring, compensated for participation. 20 crash cart with defibrillator, and oxygen. This The results of this study indicate that HFS can 10 laboratory is fitted with three cameras, which 0 be successfully integrated into resuscitation capture students’ performance and parameters 0 20 40 60 80 100 curricula, and that HFS can prepare students for displayed on the monitoring equipment. Pre EKG resuscitation crisis management. Additionally, Contact: students’ behavior on posttest demonstrated Pre and Post EKG Scores for all students that they had a significant gain in their ability ebauman@wisc.edu Eric Bauman The following types of data were collected to manage resuscitation. and analyzed for this study: a pre and posttest videotape of each student’s ability to lead a cardiac resuscitation, the AHA multiple choice pre and posttest, and a pre and posttest written This research also addresses some of the rhythm recognition examination. challenges reported in the literature, calling for more rigorous research demonstrating the validity of simulation as a teaching and evaluative Analysis of the video data was completed by a technique. Our research increases the available panel of AHA experts not affiliated with the data and findings derived from empirical instruction of the students in this course or students specific to HFS. These findings the Department of Anesthesiology. They rated validate and extend the existing literature each student’s pre and posttest performance for related to resuscitation and crisis management cognitive and behavioral ability. supporting the importance of integration of simulation into existing curricula.

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