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Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
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Related Experiment Video

Updated: Apr 26, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Immersive Virtual Reality Training to Improve Novice Physicians' Emergency Response Skills: Randomized Controlled

Yeon-Ju Huh1,2, Ju Whi Kim1,3, Narae Yoon1,4

  • 1Office of Medical Education, Seoul National University College of Medicine, Education building, 2nd Fl., 103, Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea, 8227408177, 8227411187.

JMIR Medical Education
|March 19, 2026
PubMed
Summary

Virtual reality (VR) and high-fidelity simulation (HFS) both enhance medical interns' confidence in managing emergencies. While HFS offered greater satisfaction, VR’s accessibility makes it a valuable complementary training tool.

Keywords:
clinical decision-makingconfidenceeducational technologyemergency responsehigh-fidelity simulationmedical Internsrandomized controlled trialsatisfactionsimulation-based educationvirtual reality

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Area of Science:

  • Medical Education
  • Simulation Technology
  • Emergency Medicine Training

Background:

  • Simulation-based training is crucial for medical interns managing emergencies.
  • Virtual reality (VR) simulation is increasingly used, but its effectiveness compared to high-fidelity simulation (HFS) needs more evidence.

Purpose of the Study:

  • To compare the perceived educational effectiveness of VR and HFS.
  • To assess improvements in novice physicians' confidence, satisfaction, and preparedness for managing acute oxygen desaturation.

Main Methods:

  • A randomized controlled trial with 164 medical interns comparing VR and HFS for managing simulated oxygen desaturation.
  • Confidence and satisfaction were measured via surveys; usability was assessed using the User Experience Questionnaire-Short.
  • Focus group interviews explored real-world application and behavior transfer post-training.

Main Results:

  • Both VR and HFS significantly improved intern confidence in managing oxygen desaturation (P<.001).
  • High-fidelity simulation (HFS) resulted in significantly greater participant satisfaction compared to VR (P=.02).
  • Qualitative data revealed VR's strengths in immersion and focused practice, while HFS excelled in realism and immediate feedback.

Conclusions:

  • Virtual reality (VR) simulation can effectively complement high-fidelity simulation (HFS) in emergency response training.
  • Both methods improve intern confidence and perceived preparedness.
  • VR's scalability and accessibility offer potential for diverse training scenarios.