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a tool for immediate and automated assessment of resuscitation skills for a full-scale simulator直接的工具和自动化的评估为全面复苏技能模拟器
Schulz et al. BMC Research Notes 2011, 4:550
/1756-0500/4/550
TECHNICAL NOTE Open Access
A tool for immediate and automated assessment
of resuscitation skills for a full-scale simulator
1* 2 3 4 5
Christian M Schulz , Valentin Mayer , Matthias Kreuzer , Eberhard F Kochs and Gerhard Schneider
Abstract
Background: For performance assessment during simulation, mostly observers rate the trainees’ performance using
checklists. Simulator outcome may provide immediate and objective feedback to the participants but requires
additional work for the accurate scenario design. High-fidelity simulators are based on physiologic models and
store all changes of the simulator conditions during the scenarios and may therefore be used for the assessment
of performance. In the present work, the design of a simulator script for the assessment of resuscitation skills using
an Emergency Care Simulator (ECS, METI, Sarasota, Florida) is described.
Findings: A standardized resuscitation simulator script and a visual basic-based macro were programmed for the
immediate and automated extraction of performance-related variables from the log files. The following parameters
were assessed: mean cardiac output, time until return of spontaneous circulation, no-flow-time, no-flow-time
fraction, the time until the first defibrillation, the number and fraction of indicated and non-indicated defibrillations.
Furthermore, mean deviation of defibrillation interval from the 2 minutes interval, the mean interval of
defibrillations and the time until the first administration of epinephrine were calculated. As an example, the results
of resuscitation efforts according to 2005 guidelines by five teams that consisted of one emerge
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