High Fidelity Simulation vs Standard Teaching Training of Cardiac Resuscitation

NCT02483546 | Completed DMC

• 1 other identifier: 12345
• Study Type: interventional
• Target: 181
• Locations: 1 country
• Sites: 1

Brief Summary

High fidelity Simulation has spread from anesthesiology to other disciplines such as internal medicine, pediatrics, and emergency medicine . Over the past decade, the use of simulation in medical education has increased exponentially. The term ''simulation'' spans a wide variety of formats, from the low-tech actor portraying a standardized patient to high-fidelity mannequin-based human patient simulation (HPS). HPS is able of both simulating realistic patient encounters and giving real-time, physiologically accurate feedback. Studies thus far show that use of simulation in training medical students and residents is helpful in strengthening students' knowledge and in evaluating their performance. Students appreciate simulation-based education as ''an opportunity to learn new skills in a safe environment .

Conditions

Cardiac Arrest

Keywords

Medical education; simulation; ACLS

Outcome Measures

Primary Outcomes (1)

• better acquisition of cognitive skills for students

  Pretest using 20 multiple choice questions after randomization. A second round of the same testing was then conducted for both groups just after the course (posttest). The test score range from 0 to 20 (maximum). The difference between the rating of the post-test and pre-test identifies the delta score of the student.

  just after randomisation (one day)

Secondary Outcomes (1)

• Satisfaction 5 point likert scale

  just after randomisation (one day)

Study Arms (2)

huma patient based training

EXPERIMENTAL

Students randomized to receive simulation training .The mannequin Siman 3G laerdal® displays multiple physiologic and pharmacologic responses. Three volunteers were involved in the scenario while the others were observers through an audiovisual projection. Students participating in the scenario were given 15 minutes to evaluate and manage a 60-year-old man with a known history of coronary artery disease and diabetes who presented to the emergency department with chest pain revealing an acute ST elevation myocardial infarction complicated by ventricular fibrillation. Students were required to recognize and manage ventricular fibrillation when the patient became pulseless and unresponsive. After performing the simulation, the entire group was convened for debriefing of the case.

Device: Laerdal®; Behavioral: huma patient based training

traditionally teaching

ACTIVE COMPARATOR

students received a traditional course using slides during 60 minutes about the management of cardio pulmonary resuscitation according to the latest recommendations of the AHA. This course is offered by the same trainer who participated in the simulation session. Students were free to ask questions as the progress of education. The same educational objectives were treated with the two groups.

Behavioral: traditionally teaching

Interventions

Laerdal® DEVICE

simulation- based educational intervention

huma patient based training

huma patient based training BEHAVIORAL

Students randomized to receive simulation training .The mannequin Siman 3G laerdal® displays multiple physiologic and pharmacologic responses. Three volunteers were involved in the scenario while the others were observers through an audiovisual projection. Students participating in the scenario were given 15 minutes to evaluate and manage a 60-year-old man with a known history of coronary artery disease and diabetes who presented to the emergency department with chest pain revealing an acute ST elevation myocardial infarction complicated by ventricular fibrillation. Students were required to recognize and manage ventricular fibrillation when the patient became pulseless and unresponsive. After performing the simulation, the entire group was convened for debriefing of the case.

huma patient based training

traditionally teaching BEHAVIORAL

Control group students received a traditional course using slides during 60 minutes about the management of cardio pulmonary resuscitation according to the latest recommendations of the AHA. This course is offered by the same trainer who participated in the simulation session. Students were free to ask questions as the progress of education. The same educational objectives were treated with the two groups.

traditionally teaching

Eligibility Criteria

• Age: 18 Years - 30 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Medecine students

You may not qualify if:

• Non Medecine students

Sponsors & Collaborators

• University of Monastir: lead

Study Sites (1)

university of Monastir

Monastir, Monastir Governorate, 5000, Tunisia

Location

MeSH Terms

Conditions

Heart Arrest

Condition Hierarchy (Ancestors)

Heart Diseases; Cardiovascular Diseases

Study Officials

• Hamdi Boubaker, MD

  Emergency Department , university Hospital of Monastir 5000 TUNISIA

  PRINCIPAL INVESTIGATOR

• Mohamed habib GRISSA, MD

  Emergency Department , university Hospital of Monastir 5000 TUNISIA

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: professor

Study Record Dates

• First Submitted: February 20, 2015
• First Posted: June 29, 2015
• Study Start: January 1, 2014
• Primary Completion: August 1, 2015
• Study Completion: September 1, 2015
• Last Updated: June 20, 2016

Record last verified: 2016-06

Locations

TU (1)