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Development and Pilot of an Online, Interactive Defibrillator Simulation for Advanced Cardiovascular Life Support

Michael R Kazior¹, Fei Chen¹, Kimberly S Samuels¹

¹Michael R. Kazior is an Assistant Professor in the Department of Anesthesiology, Richmond Veterans Affairs Medical Center, Richmond, VA and the Department of Anesthesiology, Virginia Commonwealth University Health, Richmond, VA. The following authors are in the Department of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill, NC: Fei Chen is Co-Director of the TEACHER Lab and an Assistant Professor; Susan M. Martinelli is the Edward A. Norfleet, MD '70 Distinguished Professor of Anesthesiology and Residency Program Director. Kimberly S. Samuels is the Mock Code Coordinator and REDI Director at the Richmond Veterans Affairs Medical Center, Richmond, VA. The following authors in the Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL: Christopher Samouce is an Assistant Scientist at CSSALT; Nikolaus Gravenstein is the Jerome H. Modell, MD, Professor of Anesthesiology; Samsun Lampotang is the Joachim S. Gravenstein Professor of Anesthesiology and the Director of CSSALT.

The Journal of Education in Perioperative Medicine : JEPM

|April 10, 2025

Summary

An online simulation effectively trains users on manual external defibrillator (MED) skills, significantly reducing the time needed for cardioversion, defibrillation, and pacing procedures. This digital approach enhances device management for healthcare professionals.

Keywords:

Simulation advanced cardiovascular life support critical care medicine resuscitation

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Area of Science:

Medical Education
Emergency Medicine
Cardiovascular Technology

Background:

Manual external defibrillators (MED) require proficient management to ensure patient safety.
Device mismanagement risks necessitate improved training methods for healthcare providers.

Purpose of the Study:

To develop and evaluate an online simulation for building and assessing manual external defibrillator (MED) skills.
To reduce the risk of device mismanagement through accessible, simulated training.

Main Methods:

An interactive, simulation-based curriculum was developed using the successive approximation method, incorporating 2020 American Heart Association ACLS guidelines.
Twenty-two users completed pre- and post-assessments measuring pad placement, cardioversion, defibrillation, and pacing, tracking pass/fail rates, attempts, and completion times.
The curriculum included instructional videos and an interactive tutorial for hands-on practice in a simulated environment.

Main Results:

User feedback was positive, indicating acceptance of the online simulation.
Significant reductions in the time required for simulated cardioversion (P = .001), defibrillation (P < .0001), and pacing (P < .0001) were observed post-curriculum.
No significant change was found in the time to correctly place defibrillator pads.

Conclusions:

The online simulation-based curriculum is well-received and effectively improves manual external defibrillator (MED) device management skills.
This digital training solution offers a valuable alternative for healthcare professionals, especially those with limited access to in-person MED training.