| Proficiency in cardiopulmonary resuscitation of medical students at graduation: a simulator-based comparison with general practitioners. | |
| | |
MedLine Citation:
|
PMID: 19950039 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
QUESTION UNDER STUDY: There are no data on the preparedness of medical students at the time of their graduation to handle a cardiac arrest. The aim of the present study was to compare the performance in cardiopulmonary resuscitation of medical students at the time of their graduation with that of experienced general practitioners. METHODS: 24 teams consisting of three medical students and 24 teams consisting of three general practitioners were confronted with a scenario of a simulated witnessed cardiac arrest. Analysis was performed post-hoc using video recordings obtained during the simulation. RESULTS: Medical students diagnosed the cardiac arrest as quickly as general practitioners. Medical students were less likely to call for help in the initial phase of the cardiac arrest (14/24 vs 21/24; P = 0.002); had less hands-on time during the first 180 seconds of the arrest (52 +/- 33 sec vs 105 +/- 39 sec; P <0.0001); delayed the first defibrillation (168 +/- 78 vs 116 +/- 46 sec, P <0.007); and showed less directive leadership (4/24 vs 14/24 teams, P <0.007). The technical quality of cardiopulmonary resuscitation provided by medical students was partly better, but for no parameter worse, than that provided by general practitioners. CONCLUSIONS: When confronted with a cardiac arrest, medical students at the time of their graduation substantially delayed evidence-based life-saving measures like defibrillation and provided only half of the resuscitation support provided by experienced general practitioners. Future research should focus on how to best prepare medical students to handle medical emergencies. |
| | |
Authors:
|
Fabian Lüscher; Sabina Hunziker; Vincent Gaillard; Franzisks Tschan; Norbert K Semmer; Patrick R Hunziker; Stephan Marsch |
Related Documents
:
|
2482849 - Gastroview--a touring medical roadshow. 12217129 - Pasent--the patient's personal health adviser. 22319099 - Awareness and behavior of oncologists and support measures in medical institutions rela... 20581909 - Opportunities to learn from medical incidents: a review of published reports from the h... 2559989 - Survey of general practitioners' advice for travellers to turkey. 18241259 - Medical consultations in relation to severity of hand eczema in the general population. 19336059 - Investigation of accolate and singulair for treatment of capsular contracture yields sa... 11227899 - Seroprevalence of toxoplasma gondii in elephants (elephus maximus indicus) in thailand. 17215169 - Medication use profiles in patients with psychogenic nonepileptic seizures. |
Publication Detail:
|
Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Swiss medical weekly Volume: 140 ISSN: 1424-3997 ISO Abbreviation: Swiss Med Wkly Publication Date: 2010 Jan |
Date Detail:
|
Created Date: 2010-02-04 Completed Date: 2010-04-27 Revised Date: 2011-02-15 |
Medline Journal Info:
|
Nlm Unique ID: 100970884 Medline TA: Swiss Med Wkly Country: Switzerland |
Other Details:
|
Languages: eng Pagination: 57-61 Citation Subset: IM |
Affiliation:
|
Medical Intensiv Care Unit, University of Basel, Basel, Switzerland. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Cardiopulmonary Resuscitation
/
education*,
methods,
standards* Clinical Competence* Female Heart Arrest / diagnosis, therapy* Humans Male Patient Simulation Physicians, Family* Students, Medical* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Interferon therapy of hepatitis C: molecular insights into success and failure.
Next Document: Undifferentiated carcinoma of nasopharyngeal type (UCNT): a Swiss single-institutional experience du...