+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Positive impact of crisis resource management training on no-flow time and team member verbalisations during simulated cardiopulmonary resuscitation: a randomised controlled trial

, : Positive impact of crisis resource management training on no-flow time and team member verbalisations during simulated cardiopulmonary resuscitation: a randomised controlled trial. Resuscitation 82(10): 1338-1343

To evaluate the impact of video-based interactive crisis resource management (CRM) training on no-flow time (NFT) and on proportions of team member verbalisations (TMV) during simulated cardiopulmonary resuscitation (CPR). Further, to investigate the link between team leader verbalisation accuracy and NFT. The randomised controlled study was embedded in the obligatory advanced life support (ALS) course for final-year medical students. Students (176; 25.35±1.03 years, 63% female) were alphabetically assigned to 44 four-person teams that were then randomly (computer-generated) assigned to either CRM intervention (n=26), receiving interactive video-based CRM-training, or to control intervention (n=18), receiving an additional ALS-training. Primary outcomes were NFT and proportions of TMV, which were subdivided into eight categories: four team leader verbalisations (TLV) with different accuracy levels and four follower verbalisation categories (FV). Measurements were made of all groups administering simulated adult CPR. NFT rates were significantly lower in the CRM-training group (31.4±6.1% vs. 36.3±6.6%, p=0.014). Proportions of all TLV categories were higher in the CRM-training group (p<0.001). Differences in FV were only found for one category (unsolicited information) (p=0.012). The highest correlation with NFT was found for high accuracy TLV (direct orders) (p=0.06). The inclusion of CRM training in undergraduate medical education reduces NFT in simulated CPR and improves TLV proportions during simulated CPR. Further research will test how these results translate into clinical performance and patient outcome.


PMID: 21664757

DOI: 10.1016/j.resuscitation.2011.05.009

Other references

Linder, H., 1913: Beitrage zur Kenntnis der Plesiosaurier-Gattungen Peloneustes und Pliosaurus Nebst Anh Uber die beiden erston Halswirbel der Plesiosaurier. Geologische u Palaeontologische Abhandlungen Jena (N F): 11 339-409

Beveridge, T.J.; Southam, G.; Jericho, M.H.; Blackford, B.L., 1990: High-resolution topography of the S-layer sheath of the archaebacterium Methanospirillum hungatei provided by scanning tunneling microscopy. The inner and outer surfaces of the sheath of Methanospirillum hungatei GP1 have been imaged for the first time by using a bimorph scanning tunneling microscope (STM) on platinum-coated or uncoated specimens to a nominal resolution in height of ca...

Lele, S., R.; Keim, J., L., 2006: Weighted distributions and estimation of resource selection probability functions. Understanding how organisms selectively use resources is essential for designing wildlife management strategies. The probability that an individual uses a given resource, as characterized by environmental factors, can be quantified in terms of th...

Morgado Muñoz, I.; Martínez Fernández, E.; Fuentes Rodríguez, R.; Torres Morera, L.M., 2004: Special precautions for anesthesia in women reproductive age. Revista Espanola de Anestesiologia Y Reanimacion 50(10): 548-549

Wysokińska, T., 1973: Immunogenicity of some staphylococcal antigens. 3. Action of protein A, coagulase and ribosomal fraction. Medycyna Doswiadczalna i Mikrobiologia 25(1): 21-30

Turillazzi, S.; Tonarelli, S.; Ugolini, A., 1979: Adoption of artificial nests in Polistes Hymenoptera Vespidae. Monitore Zoologico Italiano, 132-3: 218

Wilhelmus, M.M.M.; Otte Holler, I.; Davis, J., 2005: Apolipoprotein E Genotype Regulates Amyloid-b Cytotoxicity. Journal of Neuroscience 25(14): 21-7

Garbutt, J.C.; Loosen, P.T., 1984: A dramatic behavioral response to thyrotropin-releasing hormone following low-dose neuroleptics. A dramatic improvement in mood and behavior after TRH occurred during treatment with low-dose neuroleptics in a patient with major depression and borderline personality disorder. This response was observed during both open and double-blind trials....

White, Ag, 1986: European pear breeding strategy in New Zealand. Special ication Agronomy Society of New Zealand: ) 150-154

Lusztig, G.; Mák, L., 1976: Relationship between the thickness of the aortic adventitia and the fat content of blood and the aortic wall. 10 rabbits underwent a cholesterol feeding. 10 rabbits were used as control animals. After 12 weeks in the tissue extract of the intima-media-complex of the aorta as well as in the serum the total lipids and the total cholesterol were determined....