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

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

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

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

6. Formula of Survival:

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

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

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

10. 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

11. The Triangle:

12. BLSD in Italy
...But reality is different!

13. BLSD in Italy
CPR before EMS arrival ?

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

15. 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

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

17. 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

18. OHCA chain of survival:
FROM TO
CPR TEAM

19. Italian Red Cross Bologna
Emergency Simulation Training Academy

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

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

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

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

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

25. Preliminary research data
Our hypothesis
(Very) preliminary report

26. 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

27. 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

28. 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)

29. 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

30. 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

31. 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

32. 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

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

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

35. Children are the future