Can VAST Improve ACLS in Rwanda

Education Clinical Trial

Official title:

Can the VAST Course Enhance Resuscitation Skills in a Resource-limited Setting?

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05278884
• Other study ID #: TSkelton
• Status: Completed
• Phase: N/A
• Start date: May 1, 2022
• Est. completion date: October 1, 2022

Study information

• Verified date: November 2022
• Source: University of Toronto
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Aim The purpose of this study is to determine if the addition of the VAST Course to technical resuscitation skills training enhances healthcare providers' resuscitation performance in a resource-limited setting.

Objectives

The aims of this research will be achieved by meeting the following objectives:

1. Quantitative evaluation of study participants' resuscitation performance during a simulation scenario before ACLS course, immediately following ACLS course, immediately following VAST course, and at 4 months post training.

2. Qualitative exploration of the barriers and supports identified by course participants to implementing resuscitation in the workplace after resuscitation skills training through focus groups.

New knowledge Lessons learned from this study will help inform the design and the implementation of resuscitation training programs in resource-limited settings. This has potential to improve resuscitation capacity in resource-limited settings leading to higher quality of care for patients.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 47
• Est. completion date: October 1, 2022
• Est. primary completion date: July 1, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Full course participation

• Available for focus group interviews

Exclusion Criteria:

• Refusal to provide informed consent

• Participated in VAST or ACLS training in the four months prior to study

Related Conditions & MeSH terms

• Education
• Global Health
• Resuscitation

Intervention

Behavioral:
• Advanced Cardiac Life Support Training
Advanced Cardiovascular Life Support (ACLS) is a resuscitation course to teach recognition and treatment of cardiopulmonary arrest in patients.
• Vital Anesthesia Simulation Training
The Vital Anesthesia Simulation Training (VAST) Course focuses on core clinical practices and non-technical skills needed to respond to the most common urgent and emergent clinical challenges found in hospitals in resource-limited settings like Rwanda.

Locations

Country	Name	City	State
Rwanda	University of Rwanda	Kigali

Sponsors (3)

Lead Sponsor	Collaborator
University of Toronto	ANZCA Health Equity Project, University of Rwanda

Country where clinical trial is conducted

Rwanda, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Time to initiation of CPR	The time it takes for the team to start chest compressions in the simulation in seconds	From start of simulation scenario to time of first chest compressions, assessment up to 2 minutes of simulation
Secondary	Time to epinephrine administration	The time it takes for the team to give epinephrine in the simulation in seconds	From start of simulation scenario to time of first epinephrine administration, assessment up to 5 minutes of simulation
Secondary	Time to defibrillation	The time it takes for the team to defibrillate in the simulation in seconds	From start of simulation scenario to time of first defibrillation, assessment up to 5 minutes of simulation