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

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
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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
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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
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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)
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scores (T=820, N=40, p<.001). This was also
METHODS
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true of their behavioral scores (T=820, N=40, This study was granted approval by the Health
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p<.001). Sciences IRB at the University of Wisconsin. All
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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.