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Recall after cardiac arrest scenario testing.

机译:在心脏骤停情况测试后召回。

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摘要

The Resuscitation Council (UK) Advanced Life Support (ALS) Course is a multidisciplinary training course which teaches participants how to manage the resuscitation of a patient at risk of or in cardiac arrest. To reduce variability in assessments, four standardised patient scenarios have been developed with common performance criteria. The aim of the study was to establish how much candidates remembered about their test in order to assess the potential for collusion. Eighty-nine candidates were asked immediately after testing what they remembered about their ALS scenario. Recall of the underlying problem with the simulated patient was good (85 [96%]). Forty-two [47%] correctly remembered the initial cardiac arrest rhythm and 55 [61%] the subsequent cardiac arrest rhythm. Fifty-nine [60%] candidates passed the assessment. Candidates who passed the assessment were significantly more likely to correctly recall the initial and subsequent cardiac arrest rhythms than those who did not. However, even in this group, the overall recall of all elements of the scenario was correct in only 49% of instances. This study demonstrated that immediately after testing candidates had good recall of the initial clinical scenario with which they were presented, but poor recall of cardiac arrest rhythms during the simulated resuscitation attempt. These findings provide some reassurance that the likelihood of successful collusion improving subsequent candidates performance is likely to be small as recall of the scenario progression is limited.
机译:复苏委员会(英国)高级生命支持(ALS)课程是一门多学科的培训课程,该课程向学员教授如何管理有心脏骤停危险或处于心脏骤停状态的患者的复苏。为了减少评估中的差异,已经开发了四种具有通用性能标准的标准化患者方案。该研究的目的是确定考生对自己的考试有多少记忆,以评估串通的可能性。在测试了他们对ALS情景的记忆后,立即询问了89名候选人。回忆起模拟患者的潜在问题很好(85 [96%])。有42位[47%]正确记住了最初的心脏骤停节律,而55​​位[61%]正确地记住了随后的心脏骤停节律。 59名[60%]候选人通过了评估。与未通过评估的候选人相比,通过评估的候选人更容易正确回忆起初和随后的心脏骤停节律。但是,即使在该组中,该场景中所有元素的整体召回率也只有49%是正确的。这项研究表明,经过测试的候选人可以立即很好地回忆起最初出现的临床情况,但是在模拟复苏尝试过程中对心脏骤停节律的回忆却很差。这些发现提供了一些保证,即随着场景进展的召回受到限制,成功串通提高后续候选人表现的可能性可能很小。

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