High Fidelity Simulation and CPR: An Added Value Maurizio Menarini Elena Tragni

Presenter Disclosure Information Maurizio Menarini High Fidelity Simulation and CPR: An Added Value FINANCIAL DISCLOSURE: None UNLABELED/UNAPPROVED USES DISCLOSURE:

Presenter Disclosure Information Elena Tragni High Fidelity Simulation and CPR: An Added Value FINANCIAL DISCLOSURE: None UNLABELED/UNAPPROVED USES DISCLOSURE:

High Fidelity Simulation and CPR: an added value Background Preliminary report and study hyphotesis

Formula of Survival:

High Fidelity Simulation: an added Value Medical science Educational efficiency and effectiveness Local implementation European Resuscitation Council Guidelines Courses EMS systems

Institutional task of Italian Red Cross First aid culture diffusion BLSD education

Lay people – In ambulance Volunteers Paramedics / Physician (ALS) The Chain of Survival: Lay people – In ambulance Volunteers Paramedics / Physician (ALS)

No legal obligation to respond to first aid emergency Legal protection BLSD in Italy Valid laws AED use Workplace first aid Sports centers No legal obligation to respond to first aid emergency Legal protection

The Triangle:

BLSD in Italy ...But reality is different!

BLSD in Italy CPR before EMS arrival ?

A good performance in resuscitation Good CPR preformance A good performance in resuscitation Technical Non technical skills

not always good quality of CPR lack of non technical skills BLSD in Italy: Evidence not always good quality of CPR lack of non technical skills

new role of bystander and volunteers education Our proposal new role of bystander and volunteers education

Bystander CPR can improve outcome in case of cardiac arrest Bystanders and CPR: Bystander CPR can improve outcome in case of cardiac arrest Confidence Quality of BLS

OHCA chain of survival: FROM TO CPR TEAM

Italian Red Cross Bologna Emergency Simulation Training Academy

Italian Red Cross First Responders: Ambulance Red Cross volunteers – BLSD scenarios poor BLSD interruption of chest compressions leadership and communication to improve

Observation of Lay people: basic course: poor skills and sequence retention in real life: low confidence

Traditional vs New training programs Training methods: Traditional vs New training programs

New training programs Blended BLSD Shorter courses than in the past More frequent refresher courses Apps Peer education High fidelity simulation

High Fidelity Simulation: High-Fidelity Simulation: why? realistic scenarios debriefing psychological fidelity non technical skills learning

Preliminary research data Our hypothesis (Very) preliminary report

Traditional approach to BLSD education Time 0 = theory + practice – final evaluation (basic course) 5 or 8 hours long After 12 – 18 months : retraining After ? = retraining

New approach to BLSD education with high fidelity simulation volunteers Time 0 = blended BLSD + final evaluation 5 hours long After 3 months : refresh with high fidelity simulation scenario After 12 months : refresh with high fidelity scenario

20 Red Cross volunteers and 20 controls (traditional) New approach to BLSD education with high-fidelity simulation-volunteers 20 Red Cross volunteers and 20 controls (traditional)

better skills retention better sequence introduction of NTS New approach to BLSD education with high-fidelity simulation-volunteers Results after 3 months better skills retention better sequence introduction of NTS debriefing model

Results after 12 months better BSLD sequence improvement of NTS New approach to BLSD education with high-fidelity simulation-volunteers Results after 12 months better BSLD sequence improvement of NTS better communication

New approach to BLSD education with high-fidelity simulation-lay people Time 0 = blended BLSD – final evaluation (basic course) 4 hours long After 3 months : refresh with high- fidelity simulation scenario + questionnaire for confidence evaluation After 12 months : refresh with high fidelity scenario

better skills retention better sequence introduction of NTS New approach to BLSD education with high-fidelity simulation-lay people after 3 and 12 months better skills retention better sequence introduction of NTS better confidence

Conclusions The preliminary results the new educational model are encouraging High-fidelity simulation can be an added value for BLSD education

Thanks for your attention! Thank you for your attention Thanks for your attention! See you in Bologna

Children are the future