, Volume 22, Issue 1, pp 10-18

A model of standardized training in basic life support skills of emergency medicine residents

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This intervention study was designed to determine the current level of basic life support knowledge and skills of residents in a university-based emergency medicine residency program, and to investigate the potential benefit derived by these residents from a standardized theoretical and practical training session. All residents underwent tests before and after the training session. The residents were asked to perform basic life support on a recording cardiopulmonary resuscitation mannequin. Assessments were made using a 10-item checklist, with the highest score being 17. Each step performed by the resident was scored by an emergency physician for accuracy and effectiveness. Twenty-eight residents participated in the study. According to the modified Berden scale, the pretest and posttest scores were 11.2±2.9 and 15.6±1.0, respectively, and the mean difference was 4.36±2.9 (t test, P < .001). Only 11 residents (39.3%) were rated as “good” or “very good” in the pretest, whereas the corresponding figure in the posttest was 27 (96.4%) (P < .001). Skills, such as checking the airway patency (P < .001), checking breathing (P < .001), appropriate compression rate (P < .003), and delivering 2 effective breaths (P < .001), improved significantly. Depth of chest compression (P < .023) was improved significantly only in residents with fewer than 2 years of experience. The training process should comprise standardized courses to facilitate acquisition of the desired skills.