Resuscitation Education: Narrowing the Gap Between Evidence-Based Resuscitation Guidelines and Performance Using Best Educational Practices - 07/08/11

Doi : 10.1016/j.pcl.2008.04.007

Elizabeth A. Hunt, MD, MPH, PhD ^a,^⁎ , Melinda Fiedor-Hamilton, MD, MSc ^b, Walter J. Eppich, MD, MEd ^c
^a Department of Anesthesiology and Critical Care Medicine and Pediatrics, Johns Hopkins University School of Medicine, Johns Hopkins Medicine Simulation Center, 600 North Wolfe Street, Blalock 904, Baltimore, MD 21287, USA
^b Department of Critical Care Medicine and Pediatrics, University of Pittsburgh School of Medicine, WISER Simulation Center, 3705 Fifth Ave, Room 6839, Main Tower, Pittsburgh, PA 15213, USA
^c Department of Pediatrics, Northwestern University Feinberg School of Medicine, Children’s Memorial Hospital, 2300 Children’s Plaza Box 62, Chicago, IL 60614, USA

Corresponding author.

Abstract

Recent data from in- and out-of-hospital cardiopulmonary arrests reveal that health care teams frequently deviate from American Heart Association guidelines during resuscitation efforts. These discrepancies between the current state of evidence-based resuscitation guidelines and the quality of basic and advanced life support actually delivered represent a missed opportunity and provide a significant target for optimizing patient outcomes through improved educational effectiveness. This article presents discussion of the quality of resuscitation delivered to patients, a brief history of the development of cardiopulmonary resuscitation and attempts to translate the science of resuscitation to the bedside through effective educational strategies, a review of educational best practices that relate to resuscitation education, and discussion of the role of medical simulation in resuscitation training.

Le texte complet de cet article est disponible en PDF.