Brief leadership instructions improve cardiopulmonary resuscitation in a high-fidelity simulation: a randomized controlled trial

Critical Care Medicine
Sabina HunzikerStephan Marsch

Abstract

The influence of teaching leadership on the performance of rescuers remains unknown. The aim of this study was to compare leadership instruction with a general technical instruction in a high-fidelity simulated cardiopulmonary resuscitation scenario. Prospective, randomized, controlled superiority trial. Simulator Center of the University Hospital Basel in Switzerland. Two-hundred thirty-seven volunteer medical students in teams of three. During a baseline visit, the medical students participated in a video-taped simulated witnessed cardiac arrest. Participants were thereafter randomized to receive instructions focusing either on correct positions of arms and shoulders (technical instruction group) or on leadership and communication to enhance team coordination (leadership instruction group). A follow-up simulation was conducted after 4 mos. The primary outcome was the amount of hands-on time, defined as duration of uninterrupted cardiopulmonary resuscitation in the first 180 secs after the onset of the cardiac arrest (hands-on time) [corrected]. Secondary outcomes were time to start cardiopulmonary resuscitation, total leadership utterances, and technical skills. Outcomes were compared based on videotapes coded by two independ...Continue Reading

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Citations

Jun 23, 2011·Intensive Care Medicine·Sabina HunzikerStephan Marsch
Jul 20, 2012·General Thoracic and Cardiovascular Surgery·Robert R Cima, Claude Deschamps
Oct 4, 2011·Resuscitation·Joseph P OrnatoUNKNOWN NRCPR Investigators
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Oct 11, 2013·Clinical Nurse Specialist CNS·Tara MahramusMary Lou Sole
Mar 2, 2011·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Seraina StreiffStephan Marsch
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