Ascano-Ravelo Mari Stefani, Drew Danielle L, Bouyounes Elias M, Lindsey Tom, Parks Michael J
Center for Simulation and Technology, VCOM-Carolinas, Spartanburg, USA.
Cureus. 2025 Apr 1;17(4):e81572. doi: 10.7759/cureus.81572. eCollection 2025 Apr.
Introduction Medical students often face a critical challenge when transitioning from academia to real-world clinical practice, especially in life-or-death situations such as cardiac arrests. Despite extensive classroom training, newly trained physicians often feel unprepared for actual emergencies. Simulation-based learning has emerged as a crucial tool in bridging this gap, offering students realistic scenarios for practicing life-saving skills, such as cardiopulmonary resuscitation (CPR). This study aimed to assess whether increased exposure to simulated cardiac arrest scenarios enhances the response time of first-year medical students when initiating CPR. Methods A total of 29 first-year medical students were randomized into two groups: the "lethal treatment arm" and the "normal treatment arm," differing in the frequency of CPR simulations. All participants completed a pre-test, followed by six practice simulations, and a final test. The time to initiate CPR ("time to chest") was recorded and compared between the two groups. Results Results showed significant reductions in CPR response times from the initial to final simulation for both groups, though no statistically significant difference was found between the two groups in terms of response time improvement. Conclusion This suggests that even limited exposure to CPR simulations significantly enhances medical students' readiness to respond to cardiac arrests. Further research is needed to determine the optimal quantity and frequency of simulation training for maintaining high-quality CPR performance among medical students.
引言
医学生从学术环境过渡到实际临床实践时,常常面临严峻挑战,尤其是在心脏骤停等生死攸关的情况下。尽管接受了广泛的课堂培训,但新培训的医生在面对实际紧急情况时往往仍觉得准备不足。基于模拟的学习已成为弥合这一差距的关键工具,为学生提供了练习心肺复苏术(CPR)等救生技能的逼真场景。本研究旨在评估增加模拟心脏骤停场景的接触是否能提高一年级医学生开始进行心肺复苏时的反应时间。
方法
总共29名一年级医学生被随机分为两组:“致死治疗组”和“常规治疗组”,两组的心肺复苏模拟频率不同。所有参与者均完成一次预测试,随后进行六次模拟练习,最后进行一次测试。记录并比较两组开始进行心肺复苏的时间(“按压时间”)。
结果
结果显示,两组从初始模拟到最终模拟的心肺复苏反应时间均显著缩短,不过两组在反应时间改善方面未发现统计学上的显著差异。
结论
这表明,即使是有限地接触心肺复苏模拟,也能显著提高医学生对心脏骤停的应对准备。需要进一步研究以确定模拟训练的最佳数量和频率,以保持医学生高质量的心肺复苏表现。