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Comprehensive assessment of a nationwide simulation-based course for artificial life support
Mateusz Puslecki1,2,3, Marek Dabrowski3,4, Marcin Ligowski2
1Department of Medical Rescue, Chair of Emergency Medicine, Poznan University of Medical Sciences, Poznan, Poland.
Plos One
|October 7, 2021
Summary
Simulation-based training significantly improved medical staff knowledge and skills in managing patients requiring extracorporeal membrane oxygenation (ECMO). This approach is vital for establishing new ECMO centers and ensuring high standards of care, especially during pandemics.
Area of Science:
- Medical Education
- Critical Care Medicine
- Simulation Technology
Background:
- Extracorporeal membrane oxygenation (ECMO) implementation requires trained personnel.
- The COVID-19 pandemic accelerated the need for new ECMO centers and continuous training.
- A National Education Centre for Artificial Life Support (NEC-ALS) was established to address these needs.
Purpose of the Study:
- To assess the effectiveness of a simulation-based training program for ECMO management.
- To evaluate improvements in knowledge, cognitive, behavioral, and technical skills.
- To gauge the impact on manual chest compression quality.
Main Methods:
- Nine "Artificial Life Support with ECMO" courses were conducted in 2020.
- High-fidelity simulation-based training was adapted for COVID-19 social distancing.
- Pre- and post-course assessments measured knowledge and skills (Likert scale).
Main Results:
- 115 participants, primarily anesthesiologists/intensivists, showed significant post-course improvements.
- Technical skills in ECMO management improved most dramatically (approx. 1.0 to 4.0).
- Knowledge scores increased from 11.4 to 13 (out of 15), and manual chest compression quality improved.
Conclusions:
- Simulation is invaluable for training, skill upgrading, and practicing rare ECMO cases.
- The education program supports the establishment of specialized Advanced Life Support centers.
- The NEC-ALS plays a crucial role in knowledge transfer, necessitating further research.
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