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Adherence to the ABCDE approach in relation to the method of instruction: a randomized controlled simulation study
Marjolein Linders1, Mathijs Binkhorst2, Jos M T Draaisma1
1Radboud Institute for Health Sciences, Department of Pediatrics, Radboud University Medical Center Amalia Children's Hospital, Nijmegen, the Netherlands.
BMC Emergency Medicine
|October 16, 2021
Summary
Adherence to the Airway, Breathing, Circulation, Disability, and Exposure (ABCDE) approach in neonatal resuscitation was low overall. Video-based instruction significantly improved adherence compared to traditional lectures.
Area of Science:
- Medical Education
- Emergency Medicine
- Neonatal Care
Background:
- The Airway, Breathing, Circulation, Disability, and Exposure (ABCDE) approach is a cornerstone of resuscitation training.
- Assessing adherence to this critical algorithm is essential for effective patient care.
- The impact of different teaching methodologies on ABCDE adherence requires investigation.
Purpose of the Study:
- To evaluate adherence to the ABCDE algorithm in neonatal resuscitation.
- To determine if video-based instruction improves adherence compared to conventional lectures.
Main Methods:
- A randomized controlled trial was conducted using high-fidelity simulation for neonatal advanced life support (NALS) scenarios.
- Healthcare providers were randomized to either video-based instruction or a lecture-based group.
- Adherence to the ABCDE approach was assessed by blinded evaluators using a validated tool.
Main Results:
- Overall adherence to the ABCDE algorithm was low, averaging 31.5%.
- The video-based instruction group demonstrated significantly higher adherence (38.8%) than the lecture group (27.8%).
- Adherence to domains B and C was significantly better in the video group; neonatal ward clinicians outperformed nurses.
Conclusions:
- Overall adherence to the ABCDE algorithm in neonatal resuscitation is suboptimal.
- Video-based instruction is a more effective teaching method than lectures for improving ABCDE adherence in NALS training.
- Targeted interventions may be needed to enhance adherence among specific healthcare professional groups.
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