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Utilizing the Modified T-Maze to Assess Functional Memory Outcomes After Cardiac Arrest
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Published on: January 5, 2018

Advanced life support cardiac arrest scenario test evaluation.

Gavin D Perkins1, Robin P Davies, Nigel Stallard

  • 1Warwick Medical School, University of Warwick, Warwick CV4 4AL, United Kingdom. gavin.perkins@virgin.net

Resuscitation
|July 17, 2007
PubMed
Summary

The Cardiac Arrest Scenario Test (CASTest) scenarios are equivalent for Advanced Life Support (ALS) testing. However, a candidate's profession and training center significantly impact their pass rate.

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Area of Science:

  • Medical Education
  • Emergency Medicine
  • Healthcare Simulation

Background:

  • The Cardiac Arrest Scenario Test (CASTest) is integral to Advanced Life Support (ALS) Course assessments.
  • Variability in CASTest performance could affect the reliability of ALS certification.

Purpose of the Study:

  • To determine the equivalence of four CASTest scenarios.
  • To investigate the influence of candidate profession, test order, and course center on CASTest pass rates.

Main Methods:

  • A cluster randomized study design was employed.
  • CASTest scenarios were randomly assigned to candidates within course centers.
  • Performance data and pass/fail outcomes were analyzed using Chi-squared and logistic regression.

Main Results:

  • No significant difference in pass rates was found between the four CASTest scenarios (average pass rate 74.4%).
  • Pass rates varied significantly by course center (40-93%) and professional group (42-100%).
  • The order in which candidates undertook the test did not affect their pass rate.

Conclusions:

  • CASTest scenarios demonstrate equivalent difficulty for ALS assessment.
  • Candidate profession and the specific assessment center are significant factors influencing pass rates.
  • Further research is needed to understand variations in pass rates across different course centers.