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Han JE, Trammell AR, Finklea JD, et al. Evaluating Simulation-Based ACLS Education on Patient Outcomes: A Randomized, Controlled Pilot Study. J Grad Med Educ. 2014;6(3):501-6doi: 10.4300/JGME-D-13-00420.1.
Han, J. E., Trammell, A. R., Finklea, J. D., Udoji, T. N., Dressler, D. D., Honig, E. G., Abraham, P., Ander, D. S., Cotsonis, G. A., Martin, G. S., & Schulman, D. A. (2014). Evaluating Simulation-Based ACLS Education on Patient Outcomes: A Randomized, Controlled Pilot Study. Journal of graduate medical education, 6(3), 501-6. https://doi.org/10.4300/JGME-D-13-00420.1
Han, Jenny E, et al. "Evaluating Simulation-Based ACLS Education on Patient Outcomes: A Randomized, Controlled Pilot Study." Journal of graduate medical education vol. 6,3 (2014): 501-6. doi: https://doi.org/10.4300/JGME-D-13-00420.1
Han JE, Trammell AR, Finklea JD, Udoji TN, Dressler DD, Honig EG, Abraham P, Ander DS, Cotsonis GA, Martin GS, Schulman DA. Evaluating Simulation-Based ACLS Education on Patient Outcomes: A Randomized, Controlled Pilot Study. J Grad Med Educ. 2014 Sep;6(3):501-6. doi: 10.4300/JGME-D-13-00420.1. PMID: 25210581; PMCID: PMC4160059.
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J Grad Med Educ. 2014 Sep;6(3):501-6. doi: 10.4300/JGME-D-13-00420.1.

Evaluating Simulation-Based ACLS Education on Patient Outcomes: A Randomized, Controlled Pilot Study.

Journal of graduate medical education

Jenny E Han, Antoine R Trammell, James D Finklea, Timothy N Udoji, Daniel D Dressler, Eric G Honig, Prasad Abraham, Douglas S Ander, George A Cotsonis, Greg S Martin, David A Schulman

PMID: 25210581 PMCID: PMC4160059 DOI: 10.4300/JGME-D-13-00420.1

Abstract

BACKGROUND: Simulation training is widely accepted as an effective teaching tool, especially for dealing with high-risk situations.

OBJECTIVE: We assessed whether standardized, simulation-based advanced cardiac life support (ACLS) training improved performance in managing simulated and actual cardiac arrests.

METHODS: A total of 103 second- and third-year internal medicine residents were randomized to 2 groups. The first group underwent conventional ACLS training. The second group underwent two 2 1/2-hour sessions of standardized simulation ACLS teaching. The groups were assessed by evaluators blinded to their assignment during in-hospital monthly mock codes and actual inpatient code sheets at 3 large academic hospitals. Primary outcomes were time to initiation of cardiopulmonary resuscitation, time to administration of first epinephrine/vasopressin, time to delivery of first defibrillation, and adherence to American Heart Association guidelines.

RESULTS: There were no differences in primary outcomes among the study arms and hospital sites. During 21 mock codes, the most common error was misidentification of the initial rhythm (67% [6 of 9] and 58% [7 of 12] control and simulation arms, respectively, P  =  .70). There were no differences in primary outcome among groups in 147 actual inpatient codes.

CONCLUSIONS: This blinded, randomized study found no effect on primary outcomes. A notable finding was the percentage of internal medicine residents who misidentified cardiac arrest rhythms.

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