Assessment of Advanced Cardiac Life Support Provider’s Ability to Perform Cardioversion and Transcutaneous Pacing Using Standardized Patients

초록

Purpose: The aim of this study was to analyze the ability of Advanced Cardiac Life Support (ACLS) providers in performing cardioversion and transcutaneous pacing (TCP) in standardized patients. Methods: In 19 ACLS providers, an observational study was conducted in order to examine their abilities in performing cardioversion and TCP. We conducted this study using a defibrillator not producing electric current and standardized patients. Primary outcomes were the completeness in carrying out a task when performing cardioversion or TCP. Results: Completeness rates reached 100% for “Power on” and “Mental status evaluation” regarding both cardioversion and TCP. Regarding both cardioversion and TCP, the completeness rate was less than 50% for “Saturation identification”. In cardioversion, ACLS providers showed good performance for electrical therapies but not for reassessment. In contrast, they showed good performance for reassessment not for electrical therapies. Conclusion: Simulation using a defibrillator not producing electric current for standardized patients was useful in assessing the ability of ACLS providers when performing cardioversion and TCP. This could be helpful to ACLS providers in performing electrical therapies.

키워드