Testing airway management skills: interactive video courseware vs ACLS instructor.
Background: Lectures and demonstrations have been the teaching and testing strategies most often employed by the American Heart Association in Advance Cardiac Life Support (ACLS) training. I compared the abilities of interactive videodisc (IVD) courseware and ACLS instructors to evaluate airway mana...
| Publicado en: | Respiratory Care Vol. 36; no. 8; pp. 849 - 857 |
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| Autor principal: | |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
1991 Aug
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107509199&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107509199 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: 1991 Aug vid: 36 iid: 8 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 107509199 107509199 1991131917 NLM10145480 107509199 ppf: 849 ppct: 8 formats: tig: atl: Testing airway management skills: interactive video courseware vs ACLS instructor. aug: au: Rubens AJ sug: subj: Airway Management Education Videodiscs Evaluation Teachers Evaluation Resuscitation, Cardiopulmonary Education Computer-Assisted Instruction Evaluation Educational Measurement Intubation, Intratracheal Evaluation Pilot Studies Quasi-Experimental Studies Models, Anatomic Evaluation Teaching Methods Evaluation Human ab: Background: Lectures and demonstrations have been the teaching and testing strategies most often employed by the American Heart Association in Advance Cardiac Life Support (ACLS) training. I compared the abilities of interactive videodisc (IVD) courseware and ACLS instructors to evaluate airway management skills. Methods & materials: Twenty-two subjects were simultaneously tested during 30 attempts at endotracheal (ET) intubation and 34 attempts at esophageal obturator airway or esophageal gastric tube airway (EOA/EGTA) insertion. The instructors were blind to the visual and auditory messages produced. Results: The IVD program and the ACLS instructors showed high agreement in their evaluation of student performance for time of intubation (95.5% ET; 100% EOA/EGTA), proper tube placement (91% ET; 93% EOA/EGTA), appropriate tube assessment (95.5% ET; 100% EOA/EGTA), and correct EOA/EGTA cuff inflation (100%). Lower levels of agreement were noted with ET and EOA/EGTA appropriate head positioning, and the evaluation of tooth pressure with ET intubation (60.5%, 76.5%, and 66.0%, respectively). The IVD system was unable to detect certain procedural errors associated with appropriate intubation procedure -- syringe attachment, syringe removal after cuff inflation, and control of tube after intubation. The low agreement for tooth pressure suggests that the sensor-equipped manikin may better evaluate tooth pressure than does the observer. Conclusion: Although the IVD system shows promise as an adjunct method for instruction and testing, it cannot be considered suitable for 'stand-alone' instruction. Further research is needed to explore costs, skills retention, and possible impact of the medium for training hospital and prehospital-care personnel. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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