Leadership Instructions Improve Cardiopulmonary Resuscitation in a High Fidelity Simulation

Study Overview
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Brief Summary
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Whether teaching leadership with a short debriefing has a positive influence on the performance of cardiopulmonary resuscitation remains largely unknown. The investigators will assess the sustained efficacy of a short leadership debriefing compared to a technical debriefing in a high fidelity simulated cardiopulmonary resuscitation.

Detailed Description
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Context: Whether the performance of cardiopulmonary resuscitation can be positively influenced by teaching leadership with a short debriefing remains largely unknown Objective: To test the hypothesis that (1) leadership instruction are effective and (2) improved leadership results in better performance in a high fidelity simulated cardiopulmonary resuscitation. Design: Prospective, randomized-controlled superiority trial Setting: Simulator Center of the University Hospital Basel in Switzerland Patients or Other Participants: 237 volunteer medical students in teams of 3 Intervention: During a baseline visit, the medical students participate in a video-taped simulated witnessed cardiac arrest. Participants are randomized to receive thereafter a short video-assisted debriefing focusing either on correct positions of arms and shoulders (technical debriefing) or on leadership and communication to enhance team coordination (leadership debriefing). A follow-up simulation is conducted after 4 months. Leadership utterances, technical skills and the resuscitation performance of the teams are compared based on videotapes coded by two independent researchers. Main Outcome Measures: The primary outcomes for this study are the amount of hands-on time in the first 180 seconds after the onset of the cardiac arrest and the time elapsed until cardiopulmonary resuscitation was started. Secondary endpoints are the effectiveness of the technical and leadership instructions, respectively.

Official Title
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Brief Leadership Instructions Improve Cardiopulmonary Resuscitation in a High Fidelity Simulation: a Randomised Controlled Trial

Conditions
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Cardiopulmonary Resuscitations

Intervention / Treatment
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* Other: instruction


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: volunteer medical students Exclusion Criteria: no informed consent

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Technical<br>Technical Instructions | Other: instruction<br>* Debriefing<br>|
| Experimental: Leadership<br>Leadership-Instructions | Other: instruction<br>* Debriefing<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hands-on time in the first 180 seconds after the onset of the cardiac arrest and the time elapsed until cardiopulmonary resuscitation is started. |  | 180 sec after start of CPR | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The effectiveness of the technical and leadership instructions |  | 180 sec after starting CPR | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Leadership, Team building, Resuscitation