Document Detail

A comparison of multimedia and standard advanced cardiac life support learning.
MedLine Citation:
PMID:  9678395     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To compare student performance after Multimedia ACLS Learning System (MM) education compared with that after standard (ST) ACLS education. METHODS: Final-year medical students were divided into 2 groups based on convenience scheduling and given ACLS instruction either in a standard format or with the MM course. The sizes of the small groups and the times in small-group instruction were identical. All students were evaluated with the same 50-item multiple-choice written examination, a structured evaluation immediately after the management of a mock cardiac arrest, and a second structured evaluation of the same mock arrest (videotaped) by an instructor blinded to the education method. Students were assigned a mark from 1 to 5 in each of 4 domains: assessment, immediate priorities, continual assessment, and leadership. RESULTS: 75 students took the MM and 38 took the ST course. The mean +/- SD mark for the multiple-choice test was 89.3 +/- 4.9% (MM) vs 89.3 +/- 4.8% (ST); the on-site mock arrest evaluation mark (20 maximum) was 14.1 +/- 2.5 (MM) vs 14.1 +/- 2.0 (ST); and the blinded mock arrest evaluation was 13.1 +/- 2.9 (MM) vs 14.4 +/- 2.9 (ST) (p = 0.024). 1/75 (MM) vs 0/38 (ST) did not successfully complete the on-site mock arrest evaluation. More students in the MM group (46% vs 25%) required multiple attempts to successfully complete the mock arrest evaluation (p < 0.02). CONCLUSION: In medical students with no previous ACLS training, structured access to the multimedia ACLS Learning System provides immediate educational outcomes similar to those of a standard ACLS course. Multimedia computer-interactive learning should be enhanced with a short period of hands-on practice.
J Christenson; K Parrish; S Barabé; R Noseworthy; T Williams; R Geddes; A Chalmers
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Academic emergency medicine : official journal of the Society for Academic Emergency Medicine     Volume:  5     ISSN:  1069-6563     ISO Abbreviation:  Acad Emerg Med     Publication Date:  1998 Jul 
Date Detail:
Created Date:  1998-08-04     Completed Date:  1998-08-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9418450     Medline TA:  Acad Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  702-8     Citation Subset:  IM    
St. Paul's Hospital, Vancouver, British Columbia, Canada.
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MeSH Terms
British Columbia
Cardiopulmonary Resuscitation / education*
Computer-Assisted Instruction
Education, Medical / methods
Emergency Medicine / education*,  standards
Heart Arrest / therapy*
Life Support Care / standards
Prospective Studies
Teaching / methods*
Comment In:
Acad Emerg Med. 1998 Jul;5(7):655-6   [PMID:  9678386 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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