Can VAST Improve ACLS in Rwanda

NCT05278884 | Completed

• 1 other identifier: TSkelton
• Study Type: interventional
• Target: 47
• Locations: 1 country
• Sites: 1

Brief Summary

Aim The purpose of this study is to determine if the addition of the VAST Course to technical resuscitation skills training enhances healthcare providers' resuscitation performance in a resource-limited setting. Objectives The aims of this research will be achieved by meeting the following objectives:

1. 1.Quantitative evaluation of study participants' resuscitation performance during a simulation scenario before ACLS course, immediately following ACLS course, immediately following VAST course, and at 4 months post training.
2. 2.Qualitative exploration of the barriers and supports identified by course participants to implementing resuscitation in the workplace after resuscitation skills training through focus groups.

Conditions

Global Health; Education; Resuscitation

Outcome Measures

Primary Outcomes (1)

• Time to initiation of CPR

  The time it takes for the team to start chest compressions in the simulation in seconds

  From start of simulation scenario to time of first chest compressions, assessment up to 2 minutes of simulation

Secondary Outcomes (2)

• Time to epinephrine administration

  From start of simulation scenario to time of first epinephrine administration, assessment up to 5 minutes of simulation

• Time to defibrillation

  From start of simulation scenario to time of first defibrillation, assessment up to 5 minutes of simulation

Study Arms (1)

ACLS and then VAST teaching intervention

EXPERIMENTAL

For each hospital, the intervention will be to pair a 2-day technical resuscitation skills training adapted from the ACLS/AHA and a 3-day VAST course for a multidisciplinary team of 20 participants (i.e., nurses, doctors, non-physician anesthesia providers). Participants' resuscitation skills will be tested at 4 time points: immediately before the ACLS course, immediately after the ACLS course, immediately after the VAST Course, and at 4 months post training.

Behavioral: Advanced Cardiac Life Support Training; Behavioral: Vital Anesthesia Simulation Training

Interventions

Advanced Cardiac Life Support Training BEHAVIORAL

Advanced Cardiovascular Life Support (ACLS) is a resuscitation course to teach recognition and treatment of cardiopulmonary arrest in patients.

ACLS and then VAST teaching intervention

Vital Anesthesia Simulation Training BEHAVIORAL

The Vital Anesthesia Simulation Training (VAST) Course focuses on core clinical practices and non-technical skills needed to respond to the most common urgent and emergent clinical challenges found in hospitals in resource-limited settings like Rwanda.

ACLS and then VAST teaching intervention

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Full course participation
• Available for focus group interviews

You may not qualify if:

• Refusal to provide informed consent
• Participated in VAST or ACLS training in the four months prior to study

Sponsors & Collaborators

• University of Toronto: lead
• University of Rwanda: collaborator
• ANZCA Health Equity Project: collaborator

Study Sites (1)

University of Rwanda

Kigali, Rwanda

Location

Related Publications (1)

• Tuyishime E, Mossenson A, Livingston P, Irakoze A, Seneza C, Ndekezi JK, Skelton T. Resuscitation team training in Rwanda: A mixed method study exploring the combination of the VAST course with Advanced Cardiac Life Support training. Resusc Plus. 2023 Jun 16;15:100415. doi: 10.1016/j.resplu.2023.100415. eCollection 2023 Sep.

  PMID: 37363124 DERIVED

Study Officials

• Teresa Skelton, MD, FRCPC

  University of Toronto

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Anesthesiologist, Assistant Professor

Model Details: For each hospital, the intervention will be to pair a 2-day technical resuscitation skills training adapted from the ACLS/AHA and a 3-day VAST course for a multidisciplinary team of 20 participants (i.e., nurses, doctors, non-physician anesthesia providers). Participants' resuscitation skills will be tested at 4 time points: immediately before the ACLS course, immediately after the ACLS course, immediately after the VAST Course, and at 4 months post training.

Study Record Dates

• First Submitted: February 28, 2022
• First Posted: March 14, 2022
• Study Start: May 1, 2022
• Primary Completion: July 1, 2022
• Study Completion: October 1, 2022
• Last Updated: November 17, 2022

Record last verified: 2022-11

Data Sharing

• IPD Sharing: Will not share

Locations

RW (1)