Pre-hospital advanced life support resuscitation – a curriculum for pre-hospital education
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Keywords

paramedic
education
resuscitation
pre-hospital
advanced life support training

How to Cite

1.
Reid D, Sim M, Beatty S, Grantham H, Gale M. Pre-hospital advanced life support resuscitation – a curriculum for pre-hospital education. Australasian Journal of Paramedicine [Internet]. 2020Apr.16 [cited 2020Aug.8];17. Available from: https://ajp.paramedics.org/index.php/ajp/article/view/757

Abstract

Introduction

There is a broad evidence base to support advanced life support (ALS) education for healthcare professionals being structured, realistic and inclusive of a range of human factors. This paper outlines a curriculum for ALS resuscitation education for providers working in the pre-hospital or resource-limited settings. The focus on pre-hospital ALS education is important because actions taken by pre-hospital healthcare professionals have a critical impact on the likelihood of patient survival.

Methods

The pre-hospital ALS curriculum developed in this research was derived from a survey and interviews with pre-hospital healthcare professionals and first responders, and input from resuscitation, medical and education experts. Following completion of the interviews an expert panel of resuscitation experts was consulted.

Results

Information collected indicated that a pre-hospital ALS course should follow current recommendations of the Australian Resuscitation Council and that the course should be delivered in a mixed mode comprising of online pre-reading and a quiz followed by one day of face-to-face teaching. Equipment should reflect that used in the pre-hospital environment and a pre-hospital ALS course should include scenarios relevant to the pre-hospital setting involving varying numbers of interprofessional healthcare teams as well as first responders and lay persons. Candidates should be assessed on a continual basis and certificates of participation be valid for 2 to 3 years.

Conclusion

To improve pre-hospital resuscitation education and maximise the likelihood of patient survival, ALS education for pre-hospital providers should follow Australian Resuscitation Council guidelines, include pre-course reading, case studies and practical simulation in situations that are likely to be encountered by pre-hospital professionals.

https://doi.org/10.33151/ajp.17.757
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References

Reid D, Jone R, Sim M. Pre-hospital advanced life support education - core components for pre-hospital professionals. Australasian Journal of Paramedicine 2018;15(1).

Lyon RM, Sinclair N. National standards in prehospital resuscitation training are required. Emerg Med J 2012;29:602.

Australian Resuscitation Council (NSW Branch). (Undated). Cardiac arrest - an introduction. Sydney. Available at: http://arcnsw.org.au/files/4913/5088/1980/Cardiac_Arrest_-_intro_summary_-_ARC_NSW_document.pdf

Perkins G, Fullerton JN, Davis-Gomez N, et al. The effect of pre-course e-learning prior to advanced life support training: a randomised controlled trial. Resuscitation 2010;81:877-81.

Williams NM. Advanced life support training and assessment: a literature review. Australas Emerg Nurs J 2011;14:240-5.

Bonnetain E, Boucheix J, Hamet M, Freysz M. Benefits of computer screen-based simulation in learning cardiac arrest procedures. Med Educ 2010;44:716-22.

Christenson J, Parrish K, Barabé S, et al. A comparison of multimedia and standard advanced cardiac life support learning. Acad Emerg Med 1998;5:702-8.

Gale M, Grantham H, Morley P, Parr M. Advanced life support level 2. Perth: Australian Resuscitation Council; 2016.

Gjerra K, Moller TP, Ostergaard D. Efficacy of simulation-based trauma team training of non-technical skills. A systematic review. Acta Anaesthesiol Scand 2014;58:775-87.

Bredmose PP, Habig K, Davies G, Grier G, Lockey DJ. Scenario based outdoor simulation in pre-hospital trauma care using a simple mannequin model. Scand J Trauma Resusc Emerg Med 2010;18:13.

Lumsden H. Newborn life support course: training students. Br J Midwifery 2008;16:717-21.

Hoadley TA. Learning advanced cardiac life support: a comparison study of the effects of low- and high-fidelity simulation. Nurs Educ Perspect 2009;30:91-5.

Aqel AA, Ahmad MM. High-fidelity simulation effects on cpr knowledge, skills, acquisition, and retention in nursing students. Worldviews Evid Based Nurs 2014;11:394-400.

Davis LE, Storjohann TD, Spiegel JJ, Beiber KM, Barletta JF. High-fidelity simulation for advanced cardiac life support training. Am J Pharm Educ 2013;77:59.

Von Wyl T, Zuercher M, Amsler F, Walter B, Ummenhofer W. Technical and non-technical skills can be reliably assessed during paramedic simulation training. Acta Anaesthesiol Scand 2009;53:121-7.

Husebø SE, Rystedt H, Friberg F. Educating for teamwork - nursing students’ coordination in simulated cardiac arrest situations. J Adv Nurs 2011;67:2239-55.

Dagnone JD, McGraw RC, Pulling CA, Patteson AK. Interprofessional resuscitation rounds: a teamwork approach to ACLS education. Med Teach 2008;30:e49-54.

Birkhoff SD, Donner C. Enhancing pediatric clinical competency with high-fidelity simulation. J Contin Educ Nurs 2010;41:418-23.

Garbee DD, Paige J, Barrier K, et al. Interprofessional teamwork among students in simulated codes: a quasi-experimental study. Nurs Educ Perspect 2013;34:339-44.

Eysenbach G. Improving the quality of web surveys: the checklist for reporting results of internet e-surveys (CHERRIES). J Med Internet Res 2004;6(3).

Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32 item checklist for intrdviews and focus groups. Int J Qual Health Care 2007;19:349-57.

Gearing R. Bracketing in research: a typology. Qual Health Res 2004;14:1429-52.

Neutens J. Research techniques for the health sciences. 5th edn. Sydney: Pearson; 2014.

Cohen D, Crabtree B. Qualitative research guidelines project New Jersey: Robert Wood Johnson Foundation; 2006. Available at: www.qualres.org/HomeInte-3516.html

Saunders B, Sim J, Kingstone T, et al. Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quanti 2018;52:1893-907.