Airway Obstruction During BLS

NCT06770920 | Not Yet Recruiting

• 1 other identifier: LabForSIMS 007
• Study Type: interventional
• Target: 112
• Locations: 0 countries
• Sites: N/A

Brief Summary

Appropriate management of cardiac arrest (immediately and technically well performed) is a priority that must be taught to all citizens and future healthcare personnel, including future physicians. In this medical school, 2nd year medical students receive a 8 hour training session on basic life support (BLS) and management of cardiac arrest is taught into 5 successive parts, with learning and cumulative repetition of the steps: detection of unconsciousness, call for help, absence of breathing, cardiac massage and defibrillation. During the many sessions previously carried out by our team, it often appeared that students, when evaluating breathing forget the 1st part related to airway and breathing, i.e. relieving airway obstruction. Yet it has been shown that opening the airway and early removal of a foreign body are associated with improved neurological survival. Importantly, mouth-to-mouth is not included in the learning session and compression-only is advocated. The purpose of the present study is to evaluate if the use of an observation tool, with items centered on airway obstruction, can improve learning of this step, as shown in some previous trials. This will be a trial performed in medical students in which training days will be randomized to include or not the use of an observation tool modified to emphasize the procedural parts that are aimed at relieving airway obstruction. At the end of each day, students will be video-recorded while playing a short BLS scenario and airway obstruction-relieving skills will be compared.

Conditions

Education Advancement

Keywords

simulation; education; observer tool; technical skills; basic life support

Outcome Measures

Primary Outcomes (1)

• checklist describing performance of each dyad while performing BLS

  comparison of airway management skills, i.e. measured by external evaluation from the six items of the checklist related to this task between the OT + group and the OT- group among the checklist of items describing in detail the actions performed during BLS maximum score of 6/6 higher scores mean a better outcome Each item is scored 1 point

  From enrollment to the end of treatment at six months

Secondary Outcomes (5)

• checklist of the whole observer tool on task performance (20 items)

  From enrollment to the end of treatment at six months

• Separate analysis of each of the 5 BLS sequences

  From enrollment to the end of treatment at six months

• questionnaire satisfaction (post session)

  From enrollment to the end of treatment at six months

• Questionnaire: educational value of an observer tool

  From enrollment to the end of treatment at six months

• Multiple choice questions

  From enrollment to the end of treatment at six months

Study Arms (2)

observer tool +

EXPERIMENTAL

use an observer tool

Other: use of an observer tool when not role-playing

observer tool -

NO INTERVENTION

In this group, the students will not be given the observer tool and will observe other residents without any additional form.

Interventions

use of an observer tool when not role-playing OTHER

Observers will use an observer tool (based on technical skills and specifically related to airway management during BLS) when they will be not role role-playing.

observer tool +

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• medical students participating in a full-day of basic life support training at the LabforSIMS- of Paris-Saclay medical school

You may not qualify if:

• declines active participation in the session
• no video-recording during simulation (i.e. technical problem)

Sponsors & Collaborators

• Université Paris-Sud: lead

Related Publications (3)

• Goulamhoussen A, Havard C, Gille B, Francois B, Benhamou D, Blanie A. An observer tool to enhance learning of medical students during simulation training of cardiopulmonary resuscitation: a randomised controlled trial. BMC Med Educ. 2024 Jul 3;24(1):719. doi: 10.1186/s12909-024-05658-x.

  PMID: 38961381 RESULT

• Olasveengen TM, Semeraro F, Ristagno G, Castren M, Handley A, Kuzovlev A, Monsieurs KG, Raffay V, Smyth M, Soar J, Svavarsdottir H, Perkins GD. European Resuscitation Council Guidelines 2021: Basic Life Support. Resuscitation. 2021 Apr;161:98-114. doi: 10.1016/j.resuscitation.2021.02.009. Epub 2021 Mar 24.

  PMID: 33773835 RESULT

• Couper K, Abu Hassan A, Ohri V, Patterson E, Tang HT, Bingham R, Olasveengen T, Perkins GD; International Liaison Committee on Resuscitation Basic and Paediatric Life Support Task Force Collaborators. Removal of foreign body airway obstruction: A systematic review of interventions. Resuscitation. 2020 Nov;156:174-181. doi: 10.1016/j.resuscitation.2020.09.007. Epub 2020 Sep 16.

  PMID: 32949674 RESULT

Central Study Contacts

Dan Benhamou, MD

CONTACT

33 1 45 21 63 10; dan.benhamou@aphp.fr

Antonia BLANIE, MD, PhD

CONTACT

33 1 45 21 34 47

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Study Principal Investigator

Study Record Dates

• First Submitted: December 31, 2024
• First Posted: January 13, 2025
• Study Start: January 13, 2025
• Primary Completion: January 23, 2025
• Study Completion: September 1, 2025
• Last Updated: January 13, 2025

Record last verified: 2025-01

Data Sharing

• IPD Sharing: Will not share