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Impact of a novel, resource appropriate resuscitation curriculum on Nicaraguan resident physician’s management of cardiac arrest

PURPOSE: Project Strengthening Emergency Medicine, Investing in Learners in Latin America (SEMILLA) created a novel, language and resource appropriate course for the resuscitation of cardiac arrest for Nicaraguan resident physicians. We hypothesized that participation in the Project SEMILLA resuscit...

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Autores principales: Taira, Breena R., Orue, Aristides, Stapleton, Edward, Lovato, Luis, Vangala, Sitaram, Tinoco, Lucia Solorzano, Morales, Orlando
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korea Health Personnel Licensing Examination Institute 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4914483/
https://www.ncbi.nlm.nih.gov/pubmed/27378010
http://dx.doi.org/10.3352/jeehp.2016.13.25
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author Taira, Breena R.
Orue, Aristides
Stapleton, Edward
Lovato, Luis
Vangala, Sitaram
Tinoco, Lucia Solorzano
Morales, Orlando
author_facet Taira, Breena R.
Orue, Aristides
Stapleton, Edward
Lovato, Luis
Vangala, Sitaram
Tinoco, Lucia Solorzano
Morales, Orlando
author_sort Taira, Breena R.
collection PubMed
description PURPOSE: Project Strengthening Emergency Medicine, Investing in Learners in Latin America (SEMILLA) created a novel, language and resource appropriate course for the resuscitation of cardiac arrest for Nicaraguan resident physicians. We hypothesized that participation in the Project SEMILLA resuscitation program would significantly improve the physician’s management of simulated code scenarios. METHODS: Thirteen Nicaraguan resident physicians were evaluated while managing simulated cardiac arrest scenarios before, immediately, and at 6 months after participating in the Project SEMILLA resuscitation program. This project was completed in 2014 in Leon, Nicaragua. The Cardiac Arrest Simulation Test (CASTest), a validated scoring system, was used to evaluate performance on a standardized simulated cardiac arrest scenario. Mixed effect logistic regression models were constructed to assess outcomes. RESULTS: On the pre-course simulation exam, only 7.7% of subjects passed the test. Immediately post-course, the subjects achieved a 30.8% pass rate and at 6 months after the course, the pass rate was 46.2%. Compared with pre-test scores, the odds of passing the CASTest at 6 months after the course were 21.7 times higher (95% CI 4.2 to 112.8, P<0.001). Statistically significant improvement was also seen on the number of critical items completed (OR=3.75, 95% CI 2.71-5.19), total items completed (OR=4.55, 95% CI 3.4-6.11), and number of “excellent” scores on a Likert scale (OR=2.66, 95% CI 1.85-3.81). CONCLUSIONS: Nicaraguan resident physicians demonstrate improved ability to manage simulated cardiac arrest scenarios after participation in the Project SEMILLA resuscitation course and retain these skills.
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spelling pubmed-49144832016-06-29 Impact of a novel, resource appropriate resuscitation curriculum on Nicaraguan resident physician’s management of cardiac arrest Taira, Breena R. Orue, Aristides Stapleton, Edward Lovato, Luis Vangala, Sitaram Tinoco, Lucia Solorzano Morales, Orlando J Educ Eval Health Prof Research Article PURPOSE: Project Strengthening Emergency Medicine, Investing in Learners in Latin America (SEMILLA) created a novel, language and resource appropriate course for the resuscitation of cardiac arrest for Nicaraguan resident physicians. We hypothesized that participation in the Project SEMILLA resuscitation program would significantly improve the physician’s management of simulated code scenarios. METHODS: Thirteen Nicaraguan resident physicians were evaluated while managing simulated cardiac arrest scenarios before, immediately, and at 6 months after participating in the Project SEMILLA resuscitation program. This project was completed in 2014 in Leon, Nicaragua. The Cardiac Arrest Simulation Test (CASTest), a validated scoring system, was used to evaluate performance on a standardized simulated cardiac arrest scenario. Mixed effect logistic regression models were constructed to assess outcomes. RESULTS: On the pre-course simulation exam, only 7.7% of subjects passed the test. Immediately post-course, the subjects achieved a 30.8% pass rate and at 6 months after the course, the pass rate was 46.2%. Compared with pre-test scores, the odds of passing the CASTest at 6 months after the course were 21.7 times higher (95% CI 4.2 to 112.8, P<0.001). Statistically significant improvement was also seen on the number of critical items completed (OR=3.75, 95% CI 2.71-5.19), total items completed (OR=4.55, 95% CI 3.4-6.11), and number of “excellent” scores on a Likert scale (OR=2.66, 95% CI 1.85-3.81). CONCLUSIONS: Nicaraguan resident physicians demonstrate improved ability to manage simulated cardiac arrest scenarios after participation in the Project SEMILLA resuscitation course and retain these skills. Korea Health Personnel Licensing Examination Institute 2016-06-09 /pmc/articles/PMC4914483/ /pubmed/27378010 http://dx.doi.org/10.3352/jeehp.2016.13.25 Text en © 2016, Korea Health Personnel Licensing Examination Institute This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Taira, Breena R.
Orue, Aristides
Stapleton, Edward
Lovato, Luis
Vangala, Sitaram
Tinoco, Lucia Solorzano
Morales, Orlando
Impact of a novel, resource appropriate resuscitation curriculum on Nicaraguan resident physician’s management of cardiac arrest
title Impact of a novel, resource appropriate resuscitation curriculum on Nicaraguan resident physician’s management of cardiac arrest
title_full Impact of a novel, resource appropriate resuscitation curriculum on Nicaraguan resident physician’s management of cardiac arrest
title_fullStr Impact of a novel, resource appropriate resuscitation curriculum on Nicaraguan resident physician’s management of cardiac arrest
title_full_unstemmed Impact of a novel, resource appropriate resuscitation curriculum on Nicaraguan resident physician’s management of cardiac arrest
title_short Impact of a novel, resource appropriate resuscitation curriculum on Nicaraguan resident physician’s management of cardiac arrest
title_sort impact of a novel, resource appropriate resuscitation curriculum on nicaraguan resident physician’s management of cardiac arrest
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4914483/
https://www.ncbi.nlm.nih.gov/pubmed/27378010
http://dx.doi.org/10.3352/jeehp.2016.13.25
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