Competency in managing cardiac arrest

TY - JOUR

T1 - Competency in managing cardiac arrest

T2 - A scenario-based evaluation of dental students

AU - Breuer, Georg

AU - Knipfer, Christian

AU - Huber, Tobias

AU - Huettl, Stephan

AU - Shams, Nima

AU - Knipfer, Kristin

AU - Neukam, Friedrich Wilhelm

AU - Schuettler, Juergen

AU - Stelzle, Florian

PY - 2016

Y1 - 2016

N2 - OBJECTIVE: Advanced Cardiovascular Life Support (ACLS) in life-threatening situations is perceived as a basic skill for dental professionals. However, medical emergency training in dental schools is often not standardized. The dental students' knowledge transfer to an ACLS setting thus remains questionable. The aim of the study was to evaluate dental pre-doctorate students' practical competence in ACLS in a standardized manner to enable the curriculum to be adapted to meet their particular needs.MATERIALS AND METHODS: Thirty dental students (age 25.47 ± 1.81; 16 male/14 female) in their last year of dental studies were randomly assigned to 15 teams. Students' ability to successfully manage ACLS was assessed by a scenario-based approach (training module: Laerdal® ALS Skillmaster). Competence was assessed by means of (a) an observation chart, (b) video analysis and (c) training module analysis (Laerdal HeartSim®4000; Version 1.4). The evaluation was conducted by a trained anesthesiologist with regard to the 2010 guidelines of the European Resuscitation Council (ERC).RESULTS: Only five teams (33.3%) checked for all three vital functions (response, breathing and circulation). All teams initiated cardiopulmonary resuscitation (CPR). Only 54.12% of the compressions performed during CPR were sufficient. Four teams stopped the CPR after initiation. In total, 93% of the teams used the equipment for bag-valve-mask ventilation and 53.3% used the AED (Automated external defibrillator).CONCLUSIONS: ACLS training on a regular basis is necessary and, consistent with a close link between dentistry and medicine, should be a standardized part of the medical emergency curriculum for dental students with a specific focus on the deficiencies revealed in this study.

AB - OBJECTIVE: Advanced Cardiovascular Life Support (ACLS) in life-threatening situations is perceived as a basic skill for dental professionals. However, medical emergency training in dental schools is often not standardized. The dental students' knowledge transfer to an ACLS setting thus remains questionable. The aim of the study was to evaluate dental pre-doctorate students' practical competence in ACLS in a standardized manner to enable the curriculum to be adapted to meet their particular needs.MATERIALS AND METHODS: Thirty dental students (age 25.47 ± 1.81; 16 male/14 female) in their last year of dental studies were randomly assigned to 15 teams. Students' ability to successfully manage ACLS was assessed by a scenario-based approach (training module: Laerdal® ALS Skillmaster). Competence was assessed by means of (a) an observation chart, (b) video analysis and (c) training module analysis (Laerdal HeartSim®4000; Version 1.4). The evaluation was conducted by a trained anesthesiologist with regard to the 2010 guidelines of the European Resuscitation Council (ERC).RESULTS: Only five teams (33.3%) checked for all three vital functions (response, breathing and circulation). All teams initiated cardiopulmonary resuscitation (CPR). Only 54.12% of the compressions performed during CPR were sufficient. Four teams stopped the CPR after initiation. In total, 93% of the teams used the equipment for bag-valve-mask ventilation and 53.3% used the AED (Automated external defibrillator).CONCLUSIONS: ACLS training on a regular basis is necessary and, consistent with a close link between dentistry and medicine, should be a standardized part of the medical emergency curriculum for dental students with a specific focus on the deficiencies revealed in this study.

KW - Adult

KW - Advanced Cardiac Life Support

KW - Blood Circulation

KW - Cardiopulmonary Resuscitation

KW - Clinical Competence

KW - Cohort Studies

KW - Consciousness

KW - Curriculum

KW - Defibrillators

KW - Education, Dental

KW - Educational Measurement

KW - Emergency Medicine

KW - Female

KW - Heart Arrest

KW - Humans

KW - Male

KW - Masks

KW - Respiration

KW - Respiration, Artificial

KW - Simulation Training

KW - Students, Dental

KW - Young Adult

KW - Comparative Study

KW - Journal Article

KW - Randomized Controlled Trial

KW - Research Support, Non-U.S. Gov't

U2 - 10.3109/00016357.2015.1042782

DO - 10.3109/00016357.2015.1042782

M3 - SCORING: Journal article

C2 - 26018749

VL - 74

SP - 241

EP - 249

JO - ACTA ODONTOL SCAND

JF - ACTA ODONTOL SCAND

SN - 0001-6357

IS - 4

ER -