Examination Concerned with Skills of Basic Life Support

Accession number;03A0563171
Title;Examination Concerned with Skills of Basic Life Support
Author; TAKAHASHI HIROSHI (Univ. of Tsukuba, Inst. of Clin. Med.) TAJIMA KEIICHI (Univ. of Tsukuba, Inst. of Clin. Med.) MIZUTANI TARO (Tsukubadai Rinshoigakukei Shuchuchiryobu) SAITO SHIGEYUKI (Univ. of Tsukuba, Inst. of Clin. Med.) INOMATA SHIN'ICHI (Univ. of Tsukuba, Inst. of Clin. Med.) MIYABE MASAYUKI (Univ. of Tsukuba, Inst. of Clin. Med.) TOYOOKA HIDENORI (Univ. of Tsukuba, Inst. of Clin. Med.)
Journal Title;Hiroshima Journal of Anesthesia
Journal Code:S0305A
ISSN:0385-1664
VOL.39;NO.1;PAGE.1-5(2003)
Figure&Table&Reference;TBL.5, REF.7
Pub. Country;Japan
Language;Japanese
Abstract;Objective: To determine whether the evaluation of the basic life support (BLS) skills using cardiopulmonary resuscitation (CPR) simulator with analysis software is useful. Method: Six medical doctors evaluated the CPR skills in 13 examinees (6 students, 7 anesthesia residents) using CPR manikin simulator (Ambu Defibtrainer System Ambu, USA). Evaluations include rating by an objective structured clinical examination (OSCE) and the analysis of the data stored in the CPR software kit (Ambu, USA). The evaluator scored the students in the BLS skills after the lecture about CPR (pretraining group). Then, the students were evaluated again after practical training using the manikin simulator (Ambumann model C, Ambu, USA) (post-training group). The residents, without taking a CPR lecture or practical training, were also evaluated. Result: The median scores of OSCE by six evaluators were 13, 17, and 12 in pre-training, post-training, and resident group, respectively. The deviations of the scores among evaluators were small. Data from CPR simulator software kit revealed mean ventilation volume was more than 1 L in pre-training group. The rate of wrong hand position during chest compression was higher in pre-training and resident groups than in the post-training group. Conclusion: The practical training using manikin improves basic life support skills. Since resident's score was lowest, residents must be retrained periodically. CPR software kit can reveal the detailed and objective data that cannot be detected by the OSCE. (author abst.)