LOW COST SIMULATOR FOR CARDIOPULMONARY RESUSCITATION IN INFANTS
LOW COST SIMULATOR FOR CARDIOPULMONARY RESUSCITATION IN INFANTS
Keywords:high fidelity simulation training, medical education, cardiopulmonary resuscitation, choking
Introduction: The use of realistic simulation methodology is used in several learning scenarios, allowing students to participate directly in the problematization of situations that require immediate professional action.
Objective: To develop, validate and validate a low cost simulator for cardiopulmonary resuscitation and resuscitation procedures in infants.
Methods: An experimental study carried out with undergraduate students of the 1st year of the Nursing course at a higher education institution in the State of Paraíba, developed a simulator model with dimensions similar to an infant with low cost materials and made possible the use as a prototype for Basic Life Support training. The prototype was developed with the accessories for disengagement and cardiopulmonary resuscitation maneuvers. The data collection instrument was a questionnaire based on the American Hearth Association Basic Life Support guideline to enable and validate the Basic Life Support training instrument.
Results: The low-cost prototype for Basic Life Support training was used as a learning object adequately and enabled the teaching-learning process as an accessible resource at low cost. Based on the questionnaire applied, we observed that there was an increase in the median number of correct answers and a reduction in the median of errors, which indicated an improvement in the acquisition of information and improvement in learning, observed through the test of Signal of Related Samples and the test of the Signs of Wilcoxon, (MA) and errors (ME), before and after training where it was found that there was an increase in MA and a reduction in ME with 5% significance (p <0.001). The frequencies of response modifications after training with the simulator were also studied by means of the two-tailed McNemar test where Q1, Q2, Q3, Q4, Q8, Q9, Q13 and Q15 questions showed significant changes (p <0, 05).
Conclusion: A prototype was developed that simulated the training activity in Basic Life Support, which made it possible to carry out the procedures appropriately in positioning and simulation of cardiac resuscitation, mouth / nose ventilation, and tapping in the scapular region. Which allowed the validation of disengagement and resuscitation training as a low cost alternative for health education.
Ferreira, C., Carvalho, J. M. & Carvalho, F. L. de Q. Impacto da metodologia de simulação realística, enquanto tecnologia aplicada a educação nos cursos de saúde. II STAES - Semin. Tecnol. Apl. a Educ. e Saúde (2015).
Turton, D., Buchan, K., Hall-Jackson, M. & Pelletier, C. Simulation: the power of what hurts. Med. Educ. 326–328 (2019). doi:10.1111/medu.13788
Page, R. L. Brief history of flight simulation. in Proceedings of SimTecT 2000 (2000). doi:10.1.1.132.5428
Bradley, P. The history of simulation in medical education and possible future directions. Med. Educ. 40, 254–262 (2006).
Ziv, A., Wolpe, P. R., Small, S. D. & Glick, S. Simulation-based medical education: an ethical imperative. Simul. Healthc. 1, 252–256 (2006).
Filho, A. P. & Scarpelini, S. 2_Simulacao_Definicao. 40, 162–166 (2007).
Go, A. S. et al. American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics—2013 update: a report from the American Heart Association. Circulation (2013). doi:10.1161/CIR.0b013e31828124ad
Nichol, G. et al. Regional Variation in Out-of-Hospital Cardiac Arrest Incidence and Outcome. JAMA 300, 1423–1431 (2008).
Berdowski, J., Berg, R. A., Tijssen, J. G. P. & Koster, R. W. Global incidences of out-of-hospital cardiac arrest and survival rates: Systematic review of 67 prospective studies. Resuscitation 81, 1479–1487 (2010).
Christenson, J. et al. Cardiopulmonary Resuscitation Quality: Improving Cardiac Resuscitation Outcomes Both Inside and Outside the Hospital. Circulation 128, 417–435 (2013).
Al-Elq, A. H. Simulation-based medical teaching and learning. J. Family Community Med. 17, 35–40 (2010).
Tavares, L. F. B. et al. KNOWLEDGE OF HEALTH SCIENCES UNDERGRADUATE STUDENTS IN OBJECTIVE TESTS ON BASIC LIFE SUPPORT. J. Hum. Growth Dev. 25, 297 (2015).
KITAMURA & T. Implementation Working Group for the All-Japan Utstein Registry of the Fire and Disaster Management Agency. Nationwide public-access defibrillation in Japan. N Engl J Med 367, 994–1004 (2010).
Process, E. E. Part 1: Introduction. Circulation 112, IV-1-IV-5 (2005).
Pugh, C. M. Low-cost, locally fabricated simulators: The wave of the future. Journal of Surgical Research (2011). doi:10.1016/j.jss.2010.07.018
Varga, C. R. R. et al. Relato de experiência: o uso de simulações no processo de ensino-aprendizagem em medicina. Rev. Bras. Educ. Med. (2009). doi:10.1590/s0100-55022009000200018
Access, O., Souza, F. L. De, Ramallo, B. T., Laranjeira, I. P. & Navarro, F. Scientia Medica. Sci. Me 26, 130–136 (2016).
Pergola, A. M. & Araujo, I. E. M. O leigo e o suporte básico de vida. Rev. da Esc. Enferm. da USP 43, 335–342 (2009).
Zangirolami-Raimundo, J., Echeimberg, J. de O. & Leone, C. Research methodology topics: Cross-sectional studies. J. Hum. Growth Dev. (2018). doi:10.7322/jhgd.152198
Silva, R. R. e, Lourenção Jr., A., Goncharov, M. & Jatene, F. B. Low Cost Simulator for Heart Surgery Training. Brazilian J. Cardiovasc. Surg. 31, 449–453 (2016).
Denadai, R., Saad-Hossne, R., Todelo, A. P., Kirylko, L. & Souto, L. R. M. Low-fidelity bench models for basic surgical skills training during undergraduate medical education. Rev. Col. Bras. Cir. 41, 137–145 (2014).
Vieira, J. E. & Tamousauskas, M. R. G. Avaliação das resistências de docentes a propostas de renovações em currículos de graduação em medicina. Rev. Bras. Educ. Med. (2013). doi:10.1590/s0100-55022013000100005
Denadai, R., Oshiiwa, M. & Saad-Hossne, R. Does bench model fidelity interfere in the acquisition of suture skills by novice medical students? Rev. Assoc. Med. Bras. (2012). doi:10.1590/s0104-42302012000500019
Denadai, R. & Kirylko, L. Teaching basic plastic surgical skills on an alternative synthetic bench model. Aesthetic Surg. J. 33, 458–461 (2013).
Denadai, R. & Souto, L. R. M. Modelo de bancada orgânico para complementar o ensino-aprendizagem de habilidades cirúrgicas básicas. Acta Cir. Bras. (2012). doi:10.1590/S0102-86502012000100015
Petit, A. et al. An innovative pedagogic course combining video and simulation to teach medical students about pediatric cardiopulmonary arrest: a prospective controlled study. Eur. J. Pediatr. 175, 767–774 (2016).
Wang, C., Chen, L., Mu, D., Xin, M. & Luan, J. A Low-Cost Simulator for Training in Endoscopic-Assisted Transaxillary Dual-Plane Breast Augmentation. Ann. Plast. Surg. 79, 525–528 (2017).
Gandomkar, R., Sandars, J. & Mirzazadeh, A. Many questions remain to be answered about understanding self-regulated learning in the clinical environment. Med. Educ. 52, 882–884 (2018).
Chen, K. et al. medical education in review Academic outcomes of fl ipped classroom learning : a. 910–924 (2018). doi:10.1111/medu.13616
Targino, Ailton & Patricio, Alan & Oliveira, Adriana & Echeimberg, Jorge & Abreu, Luiz & Raimundo, Rodrigo. (2020). Nursing students’ assessment before and after basic life support training with a low cost infant simulator. PREPRINT (Version 2) available at Research Square 10.21203/rs.3.rs-16646/v1.
Vieira, L. J. E. de S., Carneiro, R. C. M. M., Frota, M. A., Gomes, A. L. A. & Ximenes, L. B. Ações e possibilidades de prevenção de acidentes com crianças em creches de Fortaleza, Ceará. Cien. Saude Colet. (2009). doi:10.1590/S1413-81232009000500010
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