Performance metrics in cardiac resuscitation: Rapid cycle deliberate practice (RCDP) versus simulated clinical

Parag Rishipathak1, Shrimathy Vijayaraghavan1, Dharmendra Dubey2

  • 1Symbiosis Centre for Health Skills, Symbiosis International (Deemed University), Pune, Maharashtra, India.

Insights

Rapid Cycle Deliberate Practice (RCDP) significantly improved cardiac arrest resuscitation performance compared to Simulated Clinical Experience (SCE). RCDP led to faster response times and better outcomes in managing ventricular tachyarrhythmias.

Area of Science:

  • Medical Education
  • Emergency Medicine
  • Cardiology

Background:

  • Cardiovascular diseases (CVDs) are a leading global cause of death.
  • Sudden cardiac arrest (SCA) from ventricular tachyarrhythmias causes 25% of CVD deaths.
  • Simulation-based training is vital for cardiac emergency preparedness.

Purpose of the Study:

  • To compare the effectiveness of Rapid Cycle Deliberate Practice (RCDP) and Simulated Clinical Experience (SCE) in managing cardiac arrest.
  • To evaluate RCDP versus SCE for improving resuscitation performance metrics.

Main Methods:

  • A pre-post interventional study involving 240 healthcare professionals trained in Advanced Cardiovascular Life Support (ACLS).
  • Participants were divided into RCDP and SCE groups, undergoing two simulation scenarios.
  • Key metrics included time to rhythm recognition, CPR initiation, defibrillation, and ROSC identification.

Main Results:

  • The RCDP group demonstrated significantly faster response times and reduced variability in all measured metrics.
  • RCDP showed improved Chest Compression Fractions (P=0.018) and ROSC identification (P=0.003).
  • The SCE group showed modest improvements, with RCDP yielding superior outcomes due to its iterative feedback and repetitive structure.

Conclusions:

  • Rapid Cycle Deliberate Practice (RCDP) provides significant benefits for enhancing resuscitation performance.
  • Both RCDP and SCE contribute to skill development in managing cardiac emergencies.
  • RCDP is a more effective method for improving key performance indicators in cardiac arrest management.
Abstract

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