Improved recognition of ineffective chest compressions after a brief Crew Resource Management (CRM) training: A prospective, randomised simulation study
Haffner L, Mahling M, Muench A, Castan C, Schubert P, Naumann A, Reddersen S, Herrmann-Werner A, Reutershan J, Riessen R, Celebi N (2017)
Publication Type: Journal article
Publication year: 2017
Journal
Book Volume: 17
Article Number: 7
Journal Issue: 1
DOI: 10.1186/s12873-017-0117-6
Abstract
Background: Chest compressions are a core element of cardio-pulmonary resuscitation. Despite periodic training, real-life chest compressions have been reported to be overly shallow and/or fast, very likely affecting patient outcomes. We investigated the effect of a brief Crew Resource Management (CRM) training program on the correction rate of improperly executed chest compressions in a simulated cardiac arrest scenario. Methods: Final-year medical students (n=57) were randomised to receive a 10-min computer-based CRM or a control training on ethics. Acting as team leaders, subjects performed resuscitation in a simulated cardiac arrest scenario before and after the training. Team members performed standardised overly shallow and fast chest compressions. We analysed how often the team leader recognised and corrected improper chest compressions, as well as communication and resuscitation quality. Results: After the CRM training, team leaders corrected improper chest compressions (35.5%) significantly more often compared with those undergoing control training (7.7%, p=0.03*). Consequently, four students have to be trained (number needed to treat=3.6) for one improved chest compression scenario. Communication quality assessed by the Leader Behavior Description Questionnaire significantly increased in the intervention group by a mean of 4.5 compared with 2.0 (p=0.01*) in the control group. Conclusion: A computer-based, 10-min CRM training improved the recognition of ineffective of chest compressions. Furthermore, communication quality increased. As guideline-adherent chest compressions have been linked to improved patient outcomes, our CRM training might represent a brief and affordable approach to increase chest compression quality and potentially improve patient outcomes.
Authors with CRIS profile
Involved external institutions
Eberhard Karls Universität Tübingen
Germany (DE)
Klinikum Passau
Germany (DE)
PHV Dialysezentrum Waiblingen
Germany (DE)
Klinikum Bayreuth
Germany (DE)
Germany (DE)
Klinikum Passau
Germany (DE)
PHV Dialysezentrum Waiblingen
Germany (DE)
Klinikum Bayreuth
Germany (DE)
How to cite
APA:
Haffner, L., Mahling, M., Muench, A., Castan, C., Schubert, P., Naumann, A.,... Celebi, N. (2017). Improved recognition of ineffective chest compressions after a brief Crew Resource Management (CRM) training: A prospective, randomised simulation study. BMC Emergency Medicine, 17(1). https://doi.org/10.1186/s12873-017-0117-6
MLA:
Haffner, Leopold, et al. "Improved recognition of ineffective chest compressions after a brief Crew Resource Management (CRM) training: A prospective, randomised simulation study." BMC Emergency Medicine 17.1 (2017).
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