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Can tablets be used as a simulator for automated external defibrillation during cardiopulmonary resuscitation courses?
1Istria County Institute of Emergency Medicine, Emergency Medical Service Pazin, Pazin, Croatia
2University Hospital “Sisters of Mercy”, Zagreb, Croatia
3Zagreb County Health Center, Health Center Samobor, Samobor, Croatia
4First Aid Student Team Project, Croatian Medical Students’ International Committee, Zagreb, Croatia
5Primorsko-goranska County Institute of Emergency Medicine, Emergency Medical Service Rijeka, Rijeka, Croatia
*Corresponding Author(s): IVOR KOVIC E-mail: ivorkovic@gmail.com
Background. A novel, tablet-based auto-mated external defibrillator (AED) simu-lator has been developed to facilitate AED training.
Objective. To evaluate if the tablet AED simulator (an AED simulator based on mobile technology (M-AED)) can be suc-cessfully used during cardiopulmonary re-suscitation (CPR) courses. To test medical and dental students’ CPR attitudes, knowl-edge and skills, and evaluate the impact of a one day CPR course.
Methods. One hundred and twenty-four medical and dental students of University of Zagreb participated in a basic life sup-port and automated external defibrillator (BLS/AED) course. All students filled out demographic, CPR attitudes and knowl-edge questionnaires before and after the course. Half of the students practised AED skills during the course on a conventional AED trainer (C-AED), and half on M-AED. All underwent assessment of CPR skills after the course with C-AED. Those that used M-AED during training, rated its use.
Results. All students successfully complet-ed the assessment of skills after the course, with no significant difference in the num-ber of those who had to be retested be-tween C-AED and M-AED. A significant improvement in CPR attitudes and knowl-edge was noted after the course among all students, with no difference between C-AED and M-AED groups. M-AED as an AED trainer was highly rated.
Conclusions. Tablet based AED simula-tors can be effectively utilized during BLS/AED courses as a substitute for conven-tional AED trainers.
defibrillators, computer simu-lation, mobile applications, cardiopulmo-nary resuscitation, European Resuscitation Council Guidelines
IVOR KOVIC,DINKA LULIC,FRANKO HALLER,JOSIP DRUZIJANIC,ILEANA LULIC. Can tablets be used as a simulator for automated external defibrillation during cardiopulmonary resuscitation courses?. Signa Vitae. 2016. 12(S1);31-35.
1. Koster RW, Baubin MA, Bossaert LL, Caballero A, Cassan P, Castrén M, et al. European Resuscitation Council Guidelines for Resus-citation 2010 Section 2. Adult basic life support and use of automated external defibrillators. Resuscitation 2010;81:1277-92.
2. Weisfeldt ML, Becker LB. Resuscitation after cardiac arrest: a 3-phase time- sensitive model. JAMA 2002;288:3035–8.
3. Murakami Y, Iwami T, Kitamura T, Nishiyama C, Nishiuchi T, Hayashi Y, Kawamura T; Utstein Osaka Project. Outcomes of out-of-hospital cardiac arrest by public location in the public-access defibrillation era. J Am Heart Assoc 2014;3:e000533.
4. Deakin CD1, Shewry E, Gray HH. Public access defibrillation remains out of reach for most victims of out-of-hospital sudden cardiac arrest. Heart 2014;100:619-23.
5. Nielsen AM1, Folke F, Lippert FK, Rasmussen LS. Use and benefits of public access defibrillation in a nation-wide network. Resus-citation 2013;84:430-4.
6. Eckstein M. The Los Angeles public access defibrillator (PAD) program: ten years after. Resuscitation 2012;83:1411-2.
7. Weisfeldt ML, Sitlani CM, Ornato JP, Rea T, Aufderheide TP, Davis D, et al; ROC Investigators. Survival after application of automatic external defibrillators before arrival of the emergency medical system: evaluation in the resuscitation outcomes consortium popula-tion of 21 million. J Am Coll Cardiol 2010;55:1713-20.
8. Schober P, van Dehn FB, Bierens JJ, Loer SA, Schwarte LA. Public access defibrillation: time to access the public. Ann Emerg Med 2011;58:240-7.
9. Kovic I, Lulic I. Mobile phone in the chain of survival. Resuscitation 2011;82:776-9.
10. AED Training Apps [Internet]. Rijeka: Ivor Medical; [cited 2014 July 24]. Available from: http://ivormedical.com/products/aed-trainer-app/.
11. First Aid Student Team [Internet]. Zagreb: Croatian Medical Students’ International Committee; [cited 2014 July 24]. Available from: http://cromsic.hr/studentska-ekipa-prve-pomoci/.
12. Facebook: First Aid Student Team [Internet]. Zagreb: Croatian Medical Students’ International Committee; [cited 2014 July 24]. Available from: https://www.facebook.com/stepp.fast/.
13. Kovic I, Lulic D, Haller F, Druzijanic J, Lulic I. Can the iPad be used as an automated external defibrillator (AED) trainer during basic life support and automated external defibrillator (BLS/AED) courses? A preliminary study. Resuscitation October 15 2012;83:e114.
14. Freund Y, Duchateau FX, Baker EC, Goulet H, Carreira S, Schmidt M, et al. Self-perception of knowledge and confidence in perform-ing basic life support among medical students. Eur J Emerg Med 2013;20:193-6.
15. Sopka S, Biermann H, Druener S, Skorning M, Knops A, Fitzner C, et al. Practical skills training influences knowledge and attitude of dental students towards emergency medical care. Eur J Dent Educ 2012;16:179-86.
16. Toner P, Connolly M, Laverty L, McGrath P, Connolly D, McCluskey DR. Teaching basic life support to school children using medical students and teachers in a ‘peer-training’ model–results of the ‘ABC for life’ programme. Resuscitation 2007;75:169-75.
17. Robak O, Kulnig J, Sterz F, Uray T, Haugk M, Kliegel A, et al. CPR in medical schools: learning by teaching BLS to sudden cardiac death survivors–a promising strategy for medical students? BMC Med Educ 2006;6:27.
18. Nicol P, Carr S, Cleary G, Celenza A. Retention into internship of resuscitation skills learned in a medical student resuscitation pro-gram incorporating an Immediate Life Support course. Resuscitation 2011;82:45-50.
19. Lešnik D, Lešnik B, Golub J, Križmarić M, Mally S, Grmec S. Impact of additional module training on the level of basic life support knowledge of first year students at the University of Maribor. Int J Emerg Med 2011;4:16.
20. Defibshop: AED Training Units [Internet]. Manchester: Imperative Training Ltd; [cited 2014 July 24]. Available from: http://www. defibshop.co.uk/aed-training-units.
21. Zickuhr K, Lee R. E-reading Rises as Device Ownership Jumps [Internet]. Washington, DC: Pew Internet & American Life Project;[cited 2014 July 24]. Available from: http://www.pewinternet.org/2014/01/16/e-reading-rises-as-device-ownership-jumps/
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