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Related Experiment Videos

Testing airway management skills: interactive video courseware vs ACLS instructor.

A J Rubens1

  • 1School of Allied Health Professions, North Illinois University, DeKalb.

Respiratory Care
|August 1, 1991
PubMed
Summary

Interactive videodisc (IVD) courseware shows promise for Advanced Cardiac Life Support (ACLS) training, but cannot replace instructors for evaluating airway management skills. Further research is needed for comprehensive assessment.

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Using interactive videodisc to test advanced airway management skills.

Prehospital and disaster medicine·1995

Area of Science:

  • Medical Education
  • Emergency Medicine
  • Simulation Technology

Background:

  • Traditional Advanced Cardiac Life Support (ACLS) training relies heavily on lectures and demonstrations for teaching and assessment.
  • Evaluating critical airway management skills requires accurate and reliable methods.

Purpose of the Study:

  • To compare the effectiveness of interactive videodisc (IVD) courseware with ACLS instructors in evaluating airway management skills.
  • To assess the agreement between IVD and human instructors in judging procedural accuracy during intubation and airway device insertion.

Main Methods:

  • Twenty-two subjects performed endotracheal (ET) intubation and esophageal obturator airway/esophageal gastric tube airway (EOA/EGTA) insertions.
  • ACLS instructors evaluated subject performance while blind to IVD system feedback.

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  • Agreement was calculated for various performance metrics, including time, tube placement, and cuff inflation.

    • Main Results:

    • High agreement was observed between IVD and instructors for intubation time, tube placement, and assessment.
    • Lower agreement was noted for head positioning and tooth pressure evaluation.
    • The IVD system failed to detect specific procedural errors, such as syringe manipulation and tube control.

    Conclusions:

    • IVD courseware can serve as a valuable adjunct for ACLS instruction and testing.
    • It is not yet suitable for standalone instruction due to limitations in detecting certain procedural errors.
    • Further investigation into costs, skill retention, and broader training impact is warranted.