scholarly journals Comparing Basic Life Support Serious Gaming Scores With Hands-on Training Platform Performance Scores: Pilot Simulation Study for Basic Life Support Training

10.2196/24166 ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. e24166
Author(s):  
Mehmet Emin Aksoy

Background Serious games enrich simulation-based health care trainings and improve knowledge, skills, and self-confidence of learners while entertaining them. Objective A platform which can combine performance data from a basic life support (BLS) serious game app and hands-on data based on the same scoring system is not available in the market. The aim of this study was to create such a platform and investigate whether performance evaluation of BLS trainings would be more objective compared to conventional Objective Structured Clinical Examination (OSCE) examinations if these evaluations were carried out with the platform which combines OSCE scoring criteria with sensor data retrieved from the simulator’s sensors. Methods Participants were 25 volunteers (11 men [44.0%] and 14 [56.0] women) among Acıbadem Mehmet Ali Aydınlar University students without prior knowledge of the BLS protocol. A serious game module has been created for teaching learners the European Resuscitation Council Basic Life Support 2015 protocol. A second module called the hands-on module was designed for educators. This module includes a checklist used for BLS OSCE examinations and can retrieve sensor data such as compression depth, compression frequency, and ventilation volume from the manikin (CPR Lilly; 3B Scientific GmbH) via Bluetooth. Data retrieved from the sensors of the manikin enable educators to evaluate learners in a more objective way. Performance data retrieved from the serious gaming module have been combined with the results of the hands-on module. Data acquired from the hands-on module have also been compared with the results of conventional OSCE scores of the participants, which were obtained by watching the videos of the same trainings. Results Participants were considered successful in the game if they scored 80/100 or above. Overall, participants scored 80 or above in an average of 1.4 (SD 0.65) trials. The average BLS serious game score was 88.3/100 (SD 5.17) and hands-on average score was 70.7/100 (SD 17.3), whereas the OSCE average score was 84.4/100 (SD 12.9). There was no statistically significant correlation between success on trials (score ≥80/100), serious game, hands-on training app, and OSCE scores (Spearman rho test, P>.05). The mean BLS serious game score of the participants was 88.3/100 (SD 5.17), whereas their mean hands-on training app score was 70.7/100 (SD 17.3) and OSCE score was 84.4/100 (SD 12.9). Conclusions Although scoring criteria for OSCE and hands-on training app were identical, OSCE scores were 17% higher than hands-on training app scores. After analyzing the difference of scores between hands-on training app and OSCE, it has been revealed that these differences originate from scoring parameters such as compression depth, compression frequency, and ventilation volume. These data suggest that evaluation of BLS trainings would be more objective if these evaluations were carried out with the modality, which combines visual OSCE scoring criteria with sensor data retrieved from the simulator’s sensors. Trial Registration ClinicalTrials.gov NCT04533893; https://clinicaltrials.gov/ct2/show/NCT04533893

2020 ◽  
Author(s):  
Mehmet Emin Aksoy

BACKGROUND Serious games enrich simulation-based health care trainings and improve knowledge, skills, and self-confidence of learners while entertaining them. OBJECTIVE A platform which can combine performance data from a basic life support (BLS) serious game app and hands-on data based on the same scoring system is not available in the market. The aim of this study was to create such a platform and investigate whether performance evaluation of BLS trainings would be more objective compared to conventional Objective Structured Clinical Examination (OSCE) examinations if these evaluations were carried out with the platform which combines OSCE scoring criteria with sensor data retrieved from the simulator’s sensors. METHODS Participants were 25 volunteers (11 men [44.0%] and 14 [56.0] women) among Acıbadem Mehmet Ali Aydınlar University students without prior knowledge of the BLS protocol. A serious game module has been created for teaching learners the European Resuscitation Council Basic Life Support 2015 protocol. A second module called the hands-on module was designed for educators. This module includes a checklist used for BLS OSCE examinations and can retrieve sensor data such as compression depth, compression frequency, and ventilation volume from the manikin (CPR Lilly; 3B Scientific GmbH) via Bluetooth. Data retrieved from the sensors of the manikin enable educators to evaluate learners in a more objective way. Performance data retrieved from the serious gaming module have been combined with the results of the hands-on module. Data acquired from the hands-on module have also been compared with the results of conventional OSCE scores of the participants, which were obtained by watching the videos of the same trainings. RESULTS Participants were considered successful in the game if they scored 80/100 or above. Overall, participants scored 80 or above in an average of 1.4 (SD 0.65) trials. The average BLS serious game score was 88.3/100 (SD 5.17) and hands-on average score was 70.7/100 (SD 17.3), whereas the OSCE average score was 84.4/100 (SD 12.9). There was no statistically significant correlation between success on trials (score ≥80/100), serious game, hands-on training app, and OSCE scores (Spearman rho test, <i>P</i>>.05). The mean BLS serious game score of the participants was 88.3/100 (SD 5.17), whereas their mean hands-on training app score was 70.7/100 (SD 17.3) and OSCE score was 84.4/100 (SD 12.9). CONCLUSIONS Although scoring criteria for OSCE and hands-on training app were identical, OSCE scores were 17% higher than hands-on training app scores. After analyzing the difference of scores between hands-on training app and OSCE, it has been revealed that these differences originate from scoring parameters such as compression depth, compression frequency, and ventilation volume. These data suggest that evaluation of BLS trainings would be more objective if these evaluations were carried out with the modality, which combines visual OSCE scoring criteria with sensor data retrieved from the simulator’s sensors. CLINICALTRIAL ClinicalTrials.gov NCT04533893; https://clinicaltrials.gov/ct2/show/NCT04533893


2018 ◽  
Vol 26 (2) ◽  
pp. 106-110 ◽  
Author(s):  
Yoshiaki Takahashi ◽  
Takeji Saitoh ◽  
Misaki Okada ◽  
Hiroshi Satoh ◽  
Toshiya Akai ◽  
...  

Background: Conventional hands-on chest compression, in cardiopulmonary resuscitation, is often inadequate, especially when the rescuers are weak or have a small physique. Objectives: This study aimed to investigate the potential of leg-foot chest compression, with and without a footstool, during cardiopulmonary resuscitation. Methods and Results: We prospectively enrolled 21 medical workers competent in basic life support. They performed cardiopulmonary resuscitation on a manikin for 2 min using conventional hands-on compression (HO), leg-foot compression (LF), and leg-foot compression with a footstool (LF + FS). We analyzed the compression depths, changes in the rescuers’ vital signs, and the modified Borg scale scores after the trials. The compression depth did not differ between the cases using HO and LF. In the case of LF + FS, compression depths ⩾5 cm were more frequently observed (median, inter-quartile range: 93%, 81%–100%) than in HO (9%, 0%–57%, p < 0.01) and LF (28%, 11%–47%, p < 0.01). The increase in the heart rate or modified Borg scale scores, after the trials, did not differ between the HO and LF group; however, the values were the lowest in the case of LF + FS (49 ± 18 beats/min and 5 (4–7) in HO, 46 ± 18 and 6 (5–7) in LF, and 32 ± 11 and 2 (1–3) in LF + FS, respectively, p < 0.01). However, the increase in blood pressure, SpO2, and respiratory rate were not different among each group. The increases in the heart rate and modified Borg scale scores negatively were correlated with the rescuers’ body size, in the case of HO and LF, but not LF + FS. Conclusion: LF can be used as an alternative to HO, when adequate HO is difficult. LF + FS could be used when rescuers are weak or have a small physique and when the victims are bigger than the rescuers.


2021 ◽  
Vol 60 (1) ◽  
Author(s):  
W Laosuksri ◽  
◽  
B Chenthanakij ◽  
K Sutham ◽  
W Rangsri ◽  
...  

Objectives Basic Life Support (BLS) should be taught to everyone; however, there is a lack of Automated External Defibrillation (AED) trainers in Thailand due to the cost of the imported equipment. An AED trainer, manikin, and manikin controller system was locally developed which can display training results to help reduce the cost. Methods This is a descriptive study of a locally developed controller and feedback system, the Chiang Mai AED trainer and manikin. The controller was examined by 5 BLS instructors using a 10-point scale questionnaire consisting of 3 questions to evaluate the efficacy of the device. Correlation among BLS instructors was also calculated. Results The controller and feedback system for the Chiang Mai AED trainer and manikin worked appropriately as intended. The instructor set up either a ‘shock advised’ or a ‘no shock advised’ scenario for 2 two-minute chest compressions. The AED trainer responded promptly when the electrode pads were attached to the manikin. The controller was also able to display compression depth, compression speed, chest recoils, rescue breaths, and time to first defibrillation. Evaluation of the controller using a 10-point scale resulted in a median of 27 (interquartile range 26-29) out of 30. Intraclass correlation was 0.97 (95% confidence interval 0.90-0.99, p < 0.001). Conclusions The controller for the Chiang Mai AED trainer and manikin is effective for use in BLS training. Chiang Mai Medical Journal 2021;60(1):87-98. doi 10.12982/CMUMEDJ.2021.08


Author(s):  
Bikram K. Gupta ◽  
Shubham Tomar ◽  
Anukul Karn ◽  
Jassimran Singh ◽  
Aditi Agrawal ◽  
...  

Background: Every medical student in India have to undergo a compulsory rotatory internship for completion of their course where they encounter various medical emergencies and apply their medical knowledge. An early encounter to a basic life support course and training will increase the efficacy of cardiopulmonary resuscitation and thus the outcome of the patient. This study was designed to test knowledge of MBBS students in a tertiary care hospital.Methods: This observational study was conducted in a tertiary care hospital in Uttar Pradesh and used a preformed validated questionnaire to test awareness and knowledge of basic life support and cardiopulmonary resuscitation in a sample of 500 MBBS students. Descriptive analysis was performed on the questionnaire responses. All data obtained from the questionnaire was evaluated and statistically analysed using software IBM SPSS Statistics software version 24 (IBM Corp., Armonk, NY, USA) for MS windows.Results: With a response rate of 47% among 500 MBBS students, the mean score obtained was 2.34±1.066 out of a maximum score of five. A maximum score of 2.804±1.055 obtained by 5th-year students. Surprisingly, first-year students achieved an average score of 2.66±0.97, which was higher than that of 2nd, 3rd, and 4th year students. 87% of students were like-minded to participate in the cardiopulmonary resuscitation (CPR) awareness program. Only 45% of students correctly answered the order of CPR as C-A-B (chest compression-airway-breathing).Conclusions: The study showed that though the awareness and importance of basic life support (BLS) are high among the medical students, the accurate knowledge required in performing BLS is inadequate. This study also showed that the National medical commission has taken a positive step in the incorporation of BLS in the curriculum.


Author(s):  
Bernd Wallner ◽  
Luca Moroder ◽  
Hannah Salchner ◽  
Peter Mair ◽  
Stefanie Wallner ◽  
...  

Abstract Background The aim of this manikin study was to evaluate the quality of cardiopulmonary resuscitation (CPR) with restricted patient access during simulated avalanche rescue using over-the-head and straddle position as compared to standard position. Methods In this prospective, randomised cross-over study, 25 medical students (64% male, mean age 24) performed single-rescuer CPR with restricted patient access in over-the-head and straddle position using mouth-to-mouth ventilation or pocket mask ventilation. Chest compression depth, rate, hand position, recoil, compression/decompression ratio, hands-off times, tidal volume of ventilation and gastric insufflation were compared to CPR with unrestricted patient access in standard position. Results Only 28% of all tidal volumes conformed to the guidelines (400–800 ml), 59% were below 400 ml and 13% were above 800 ml. There was no significant difference in ventilation parameters when comparing standard to atypical rescuer positions. Participants performed sufficient chest compressions depth in 98.1%, a minimum rate in 94.7%, correct compression recoil in 43.8% and correct hand position in 97.3% with no difference between standard and atypical rescuer positions. In 36.9% hands-off times were longer than 9 s. Conclusions Efficacy of CPR from an atypical rescuer position with restricted patient access is comparable to CPR in standard rescuer position. Our data suggest to start basic life-support before complete extrication in order to reduce the duration of untreated cardiac arrest in avalanche rescue. Ventilation quality provided by lay rescuers may be a limiting factor in resuscitation situations where rescue ventilation is considered essential.


PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254923
Author(s):  
Saša Sopka ◽  
Fabian Hahn ◽  
Lina Vogt ◽  
Kim Hannah Pears ◽  
Rolf Rossaint ◽  
...  

Introduction Training Basic Life Support saves lives. However, current BLS training approaches are time-consuming and costly. Alternative cost-efficient and effective training methods are highly needed. The present study evaluated whether a video-feedback supported peer-guided Basic Life Support training approach achieves similar practical performance as a standard instructor-guided training in laypersons. Methods In a randomized controlled non-inferiority trial, 288 first-year medical students were randomized to two study arms with different Basic Life Support training methods: 1) Standard Instructor Feedback (SIF) or 2) a Peer Video Feedback (PVF). Outcome parameters were objective data for Basic Life Support performance (compression depth and rate) from a resuscitation manikin with recording software as well as overall Basic Life Support performance and subjective confidence. Non-inferiority margins (Δ) for these outcome parameters and sample size calculation were based on previous studies with Standard Instructor Feedback. Two-sided 95% confidence intervals were employed to determine significance of non-inferiority. Results Results confirmed non-inferiority of Peer Video Feedback to Standard Instructor Feedback for compression depth (proportion difference PVF–SIF = 2.9%; 95% CI: -8.2% to 14.1%; Δ = -19%), overall Basic Life Support performance (proportion difference PVF–SIF = 6.7%; 95% CI: 0.0% to 14.3%; Δ = -27%) and subjective confidence for CPR performance (proportion difference PVF–SIF = -0.01; 95% CI: -0.18–0.17; Δ = -0.5) and emergency situations (proportion difference PVF–SIF = -0.02; 95% CI: -0.21–0.18; Δ = -0.5). Results for compression rate were inconclusive. Discussion Peer Video Feedback achieves comparable results as standard instructor-based training methods. It is an easy-to-apply and cost-efficient alternative to standard Basic Life Support training methods. To improve performance with respect to compression rate, additional implementation of a metronome is recommended.


2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Jin Hyuck Lee ◽  
Youngsuk Cho ◽  
Ku Hyun Kang ◽  
Gyu Chong Cho ◽  
Keun Jeong Song ◽  
...  

Background. Basic life support (BLS) training with hands-on practice can improve performance during simulated cardiac arrest, although the optimal duration for BLS training is unknown. This study aimed to assess the effectiveness of various BLS training durations for acquiring cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) skills.Methods. We randomised 485 South Korean nonmedical college students into four levels of BLS training: level 1 (40 min), level 2 (80 min), level 3 (120 min), and level 4 (180 min). Before and after each level, the participants completed questionnaires regarding their willingness to perform CPR and use AEDs, and their psychomotor skills for CPR and AED use were assessed using a manikin with Skill-Reporter™ software.Results. There were no significant differences between levels 1 and 2, although levels 3 and 4 exhibited significant differences in the proportion of overall adequate chest compressions (p<0.001) and average chest compression depth (p=0.003). All levels exhibited a greater posttest willingness to perform CPR and use AEDs (all,p<0.001).Conclusions. Brief BLS training provided a moderate level of skill for performing CPR and using AEDs. However, high-quality skills for CPR required longer and hands-on training, particularly hands-on training with AEDs.


2020 ◽  
Vol 1 (1) ◽  
pp. 13-18
Author(s):  
Putra Agina Widyaswara Suwaryo ◽  
Zulfa Nur Ganda Sari ◽  
Barkah Waladani

Korban henti jantung bisa dialami oleh siapapun dan kapanpun tanpa mengenal tempat kejadian. Salah satu faktor penyebab tingginnya kematian akibat henti jantung adalah terlambatnya pertolongan yang diberikan kepada korban segera setelah henti jantung. Mayoritas kasus henti jantung terjadi di pra-Rumah Sakit, mencapai 72%. Pengetahuan dan ketrampilan orang awam yang baik, meningkatkan angka kelangsungan hidup korban henti jantung sebelum mendapatkan penanganan lanjutan di Rumah Sakit. Relawan adalah orang atau tim yang paling sering menjumpai kejadian henti jantung dan korban tidak sadar ketika melakukan pencarian dan evakuasi korban. Tujuan dilakukan pengabdian masyarakat ini untuk meningkatkan pengetahuan dan ketrampilan relawan bencana. Proses pengabdian masyarakat ini terdiri dari edukasi dan praktik dengan materi bantuan hidup dasar. Perubahan kognitif sebelum dan sesudah edukasi dievaluasi menggunakan pertanyaan, dengan nilai rata-rata 35 menjadi 85. Peserta sangat antusias dalam mengikuti program edukasi bantuan hidup dasar. Pengabdian masyarakat dengan memberikan pengetahuan untuk meningkatkan ketrampilan relawan dalam memberikan pertolongan kepada korban tidak sadar. Tindak lanjut dari pengabdian masyarakat ini yaitu membuat tim relawan kolaborasi dengan medis untuk menangani kasus medis diluar Rumah Sakit Kata kunci: bantuan hidup dasar; ketrampilan; pengetahuan; relawan bencana IMPROVEMENT OF KNOWLEDGE AND SKILLS BASIC LIFE ASSISTANCE IN DISASTER VOLUNTEERS ABSTRACT Victims of cardiac arrest can be experienced by anyone and at any time without knowing the scene. One of the factors causing the high death due to cardiac arrest is the late help given to victims immediately after cardiac arrest. The majority of cases of cardiac arrest occur in pre-hospital, reaching 72%. Good knowledge and skills of lay people, increase the survival rate of victims of cardiac arrest before getting further treatment at the Hospital. Volunteers are the people or teams that most often encounter cardiac arrest and the victim is unconscious when searching and evacuating victims. The purpose of this community service is to increase the knowledge and skills of disaster volunteers. This community service process consists of education and practice with basic life support materials. Cognitive changes before and after education were evaluated using questions, with an average score of 35 to 85. Participants were very enthusiastic in participating in the basic life support education program. Community service by providing knowledge to improve volunteer skills in providing assistance to unconscious victims. Follow-up from this community service is to create a team of volunteers collaborating with the medical to handle medical cases outside the hospital. Keywords: basic life support; disaster volunteer; knowledge; skills


2021 ◽  
Author(s):  
Chang Woo Im ◽  
Dong Keon Lee ◽  
You Hwan Jo ◽  
Todd Chang ◽  
Joo Lee Song ◽  
...  

Abstract BackgroundConventional cardiopulmonary resuscitation (CPR) training for the general public involves the use of a manikin and a training video, which has limitations of lack of realism and immersion. To overcome these limitations, virtual reality and extended reality technologies are being used in the field of medical education. The aim of this study is to explore the efficacy and safety of the extended reality (XR)-based basic life support (BLS) training.MethodsThis study is a prospective, multinational, multicentre, randomized controlled study. Four institutions in 4 countries will participate in the study. A total of 154 participants will be randomly assigned to either the XR group or the conventional group stratified by institution and sex (1:1 ratio). Each participant who is allocated to either group will be sent to a separate room to receive training with an XR BLS module or conventional CPR training video. All participants will perform a test on a CPR manikin after the training. The primary outcome will be mean compression depth. The secondary outcome will be overall BLS performances, including compression rate, correct hand position, compression and full release and hands-off time. DiscussionUsing VR to establish a virtual educational environment can give trainees a sense of realism. In the XR environment, which combines the virtual world with the real world, trainees can more effectively learn various skills. This trial will provide evidence of the usefulness of XR in CPR education.Trial registrationClinicalTrials.gov NCT04736888. Registered on 29 January 2021


2021 ◽  
pp. 633
Author(s):  
Triyana Sari ◽  
Raynold Kaisar Gusti ◽  
Jihan Putri Allyssa

Basic Life Support (BLS) is an action to maintain the patient's life with the first step of rapid recognition to provide emergency ventilation and circulatory support in respiratory or cardiac cases. The quality of basic life support provided for cardiac arrest outside the hospital is often less than optimal and knowledge of basic life support skills in the general public, especially students, is not good. Based on the problems above, we conducted activities related to introduction accompanied by education in the form of basic life support training. The purpose of service activities related to basic life support is to introduce basic life support and improve student skills related to basic life support. The basic life support training service activity on Sunday, September 26, 2021, starting at 08.00-13.00 WIB, was attended by 76 participants consisting of 60 women and 16 men, aged 17-22 years old. Participants who participated in basic life support training as much as 72% had never attended training and 28% had attended training. The average pretest score on basic life support training was 58.77 and the posttest average score was 68.42. So based on the results of the pretest and posttest that have been carried out by the basic life support training participants, there was an increase of 16.41%, with this the service activities that we carried out had increased the knowledge of participants who took part in basic life support training.Bantuan Hidup Dasar atau Basic Life Support/BLS adalah suatu tindakan untuk mempertahankan hidup pasien dengan langkah pertama pengenalan cepat untuk memberikan ventilasi darurat dan dukungan sirkulasi dalam kasus pernapasan atau jantung. Kualitas bantuan hidup dasar yang diberikan pada serangan jantung di luar rumah sakit seringkali kurang optimal serta pengetahuan keterampilan bantuan hidup dasar di  masyarakat umum khususnya mahasiwa kurang baik. Berdasarkan permasalahan di atas kami melakukan kegiatan PKM terkait pengenalan disertai edukasi berupa pelatihan bantuan hidup dasar. Tujuan kegiatan pengabdian terkait bantuan hidup dasar  adalah memperkenalkan tentang bantuan hidup dasar serta meningkatkan keterampilan mahasiswa terkait bantuan hidup dasar.  Kegiatan pengabdian pelatihan bantuan hidup dasar pada hari Minggu tanggal 26 September 2021, dimulai dari pukul 08.00-13.00 WIB,  diikuti 76 peserta terdiri dari 60 perempuan dan 16 laki-laki, berusia 17-22 tahun dapat berlangsung dengan baik. Peserta yang mengikuti pelatihan bantuan hidup dasar sebanyak 72 % belum pernah mengikuti pelatihan dan 28 % sudah pernah mengikuti pelatihan. Nilai rata-rata pretest tentang pelatihan bantuan hidup dasar sebesar 58,77 dan Nilai rata-rata posttest-nya adalah 68,42. Maka berdasarkan hasil pretest dan posttest yang telah dikerjakan peserta pelatihan bantuan hidup dasar terjadi peningkatan sebesar 16,41%, dengan ini kegiatan pengabdian yang kami lakukan telah menambah pengetahuan peserta yang mengikuti pelatihan bantuan hidup dasar.


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