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Korean J Crit Care Med > Volume 27(1); 2012 > Article
Korean Journal of Critical Care Medicine 2012;27(1): 5-9. doi: https://doi.org/10.4266/kjccm.2012.27.1.5
대본을 이용한 소생팀 훈련이 소생술의 질에 미치는 영향
손무륭ㆍ김현종*ㆍ정성필*ㆍ이한식*ㆍ장문준
성애병원 응급의학과, *연세대학교 의과대학 응급의학교실
Effect of Cardiac Arrest Team Training Using Script on the Quality of Simulated Resuscitation
Mao Lung Sun, Hyun Jong Kim, Sung Phil Chung, Hahn Shick Lee, Wen Joen Chang
1Department of Emergency Medicine, Sungae Hospital, Seoul, Korea.
2Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Korea. emstar@naver.com
ABSTRACT
BACKGROUND: The purpose of this study was to compare the quality of simulated resuscitation between the conventional simulation training group and the script based training group. METHODS: This was a retrospective analysis of video clips from a previous study of cardiopulmonary resuscitation (CPR) team simulation training. A total of eighty-four video clips were analyzed. Each video clip belonged to either the conventional group or the script group, of either pre-training or post-training. One of the authors analyzed all the video clips. The qualities of resuscitation team plays were compared in terms of the hands-on compression time, the interval to meaningful measures and the number of utterances of the team leader and members. RESULTS: The hands-on time of the conventional group improved after training whereas that of the script group deteriorated (22.2 vs -7.0 sec, p = 0.009). The time to defibrillation also improved in the conventional group whereas that of the script group deteriorated (-24.0 vs 33.0 sec, p = 0.002). There were no differences in the utterances of team leaders and members between groups and between pre- and post-training. CONCLUSIONS: This study suggested that the effect of script-based training on quality of CPR was less useful than that of conventional training using simulation and debriefing. Therefore, CPR team training using a script alone should not be recommended.
Key Words: cardiopulmonary resuscitation; leadership; patient care team; quality
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