Cardiopulmonary Arrest With Successful Resuscitation Clinical Trial
Official title:
Comparative Evaluation of Video-based On-line Course vs. Serious Game for Training Medical Students in Cardiopulmonary Resuscitation: a Randomized Trial
Participants were 45 first-year medical students randomly assigned to cardiopulmonary resuscitation (CPR) self-training using either a video-based presentation or a serious game developed in a 3D learning environment for up to 20 min. Each participant was evaluated on a written, multiple-choice test (theoretical test) and then on a scenario of cardiac arrest (practical test) before and after exposure to the self-learning methods.
A prospective, simulation-based, randomised controlled trial was conducted. Participants were
randomised to the video group watched a video-recorded lecture on the management of adult
cardiac arrest, while participants randomised to the game group played a serious game on the
same topic.
The video was developed based on a previously recorded Keynote presentation (version 6.6.2,
Apple Inc.) with the addition of voice-over narration of the events. The video was edited to
contain the same information as provided in the serious game. The learning environment
simulated an urban public space where the player should identify a victim of cardiac arrest
and perform CPR manoeuvres. The game was designed to be a CPR self-learning tool for both
health professionals and the lay public. The game involved only one rescuer without access to
a portable defibrillator. During the game, the player should identify the victim, diagnose
cardiac arrest correctly and initiate CPR as early as possible. The actions of the player
were guided throughout the game by step-by-step instructions that should be followed to save
the victim's life and to score on the game. Whenever the manoeuvres were not performed
correctly, the victim died and the game automatically restarted from the beginning.
After exposure to the self-learning methods, participants were reassessed individually for
their theoretical knowledge on a written, 10-question, multiple-choice test (theoretical
post-test) and for their practical performance by three examiners, blinded to group
assignment, who independently rated the participants' actions on a 10-min simulated scenario
of cardiac arrest using a CPR training manikin (practical post-test).
Simulated scenario The same simulated scenario was used for pre-exposure and post-exposure
practical evaluation. When the student entered the simulation room, a manikin was lying on
the floor, simulating a person lying on the street, unconscious, not responding to
stimulation and with no respiratory effort or pulse. The student was alone without access to
medical equipment such as a defibrillator. Participants were expected to recognise the
cardiac arrest, call the emergency services, and initiate chest compressions and ventilations
as soon as possible for at least two cycles. A 10-min time limit was set for each simulation
session.
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