Volume 8, Issue 2, December 2020, Page: 42-46
Simulation Based Training in Basic Life Support for Medical and Non-medical Personnel in Resource Limited Settings
Christopher Nyirenda, Department of Internal Medicine, Ndola Teaching Hospital, Copper Belt University, Ndola, Zambia
Samuel Phiri, Arthur Davison Children’s Teaching Hospital, Copper Belt University, Ndola, Zambia
Boniface Kawimbe, Department of Surgery, Ndola Teaching Hospital, Copper Belt University, Ndola, Zambia
Received: Jul. 1, 2020;       Accepted: Jul. 16, 2020;       Published: Aug. 20, 2020
DOI: 10.11648/j.ijacm.20200802.13      View  164      Downloads  23
Abstract
Medical and non-medical personnel commonly encounter victims of life threatening injuries inflicted by various causes in diverse settings. More than 90% of global deaths and disability adjusted life-years (DALYs) lost because of injuries reportedly occur in low-income and middle-income countries (LMICs). The degree of readiness and competence to manage victims of accidents is likely to vary among individual care givers for knowledge, skill and confidence which would also depend on their training status. It would thus be justified that training in basic life support and other emergency clinical skills be administered to enhance competences in resuscitating the accident victims. Whatever the scale of a mass casualty incident, the first response will be carried out by members of the local community-not just health care staff and designated emergency workers, but also many ordinary citizens. Therefore, both medical and non-medical personnel should be targeted to receive training in basic life support (BLS). In medical training, the traditional (didactic) approach has been suggested to be an efficient and well-experienced training method while with the advances in technology the use of simulation-based medical training (SBMT) is increasing since SBMT provides a safe and supportive educational setting, so that students can improve their performance without causing adverse clinical outcomes. Similarly, the use of simulation based training in BLS would not only reduce the procedural associated risks but also benefit more participants from the public domain than would be the case if the training was conducted on human subjects. Compared with the developed world set-up simulation based training in resource constrained settings may not be that well established. This paper will therefore seek to examine the role of medical simulation as a necessary advancement and supplementary method of training in basic life support for medical and non-medical personnel in resource limited settings.
Keywords
Basic Life Support, Medical, Non-medical, Resource Limited, Simulation, Simulators
To cite this article
Christopher Nyirenda, Samuel Phiri, Boniface Kawimbe, Simulation Based Training in Basic Life Support for Medical and Non-medical Personnel in Resource Limited Settings, International Journal of Anesthesia and Clinical Medicine. Vol. 8, No. 2, 2020, pp. 42-46. doi: 10.11648/j.ijacm.20200802.13
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Alonge O, Agrawal P, Talab A, Rahman QS, Rahman AKMF, El Arifeen S, Hyder AA. Fatal and non-fatal injury outcomes: results from a purposively sampled census of seven rural sub districts in Bangladesh. Lancet Glob Health 2017; 5: e818-27.
[2]
Haagsma JA, Graetz N, Bolliger I, et al. The global burden of injury: incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013. Inj Prev 2016; 22: 3-18.
[3]
WHO. Global Health Estimates 2015. Geneva: World Health Organization, 2016.
[4]
Alonge O, Hyder AA. Reducing the global burden of childhood unintentional injuries. Arch Dis Child 2014; 99: 62-69.
[5]
Ballesteros MF, Schieber R, Gilchrist J, Holmgreen P, Annest JL. Differential ranking of causes of fatal versus non-fatal injuries among US children. Inj Prev 2003; 9: 173-76.
[6]
WHO. The injury chart book: a graphical overview of the global burden of injuries. Geneva: World Health Organization, 2002.
[7]
Balan B, Lingam L. Unintentional injuries among children in resource poor settings: where do the fingers point? Arch Dis Child 2012; 97: 35-38.
[8]
Gabriel IO, Aluko JO. Theoretical knowledge and psychomotor skill acquisition of basic life support training programme among secondary school students. World J Emerg Med 2019; 10 (2): 81–87 DOI: 10.5847/wjem.j.1920–8642.2019.02.003.
[9]
Celermajer DS, Chow CK, Marijon E, Anstey NM, Woo KS. Cardiovascular disease in the developing world: Prevalences, patterns, and the potential of early disease detection. J Am Coll Cardiol. 2012; 60 (14): 1207-16.
[10]
Da l U, Sa rpkaya D. Knowl edge and psychomotor skills of nursing students in North Cyprus in the area of cardiopulmonary resuscitation. Pakistan J Med Sci. 2013; 29 (4): 1-6.
[11]
Olajumoke TO, Afolayan JM, Raji SA, Adekunle MA. Cardiopulmonary resuscitation - knowledge, attitude &practices in Osun State, Nigeria. J West African Coll Surg. 2012; 2 (2): 23-32.
[12]
World Health Organization. Mass Casualty Management Systems. Strategies and guidelines for building health sector capacity. 2007. World Health Organization, Geneva. http://www.who.int/crises.
[13]
Alharbi MM, Horaib YF, Almutairi OM, Alsuaidan BH, Alghoraibi MS, Alhadeedi FH, et al. Exploring the extent of knowledge of CPR skills among school teachers in Riyadh, KSA. J Taibah Univ Med Sci. 2016; 11 (5): 497-501.
[14]
Kobras M, Langewand S, Murr C, Neu C, Schmid J. Short lessons in basic life support improve self-assurance in performing cardiopulmonary resuscitation. World J Emerg Med 2016; 7 (4): 255–262 DOI: 10.5847/wjem.j. 1920- 8642.2016.04.003.
[15]
Koster R. Modern BLS, dispatch and AED concepts. Best Pract Res Clin Anaesthesiol 2013; 27: 327–334.
[16]
Berger JM, Fisek MH, Norman RZ, Zelditch M. Status characteristics and social interaction: an expectation states approach. New York, NY: Elsevier Scientifi c, 1977.
[17]
Goar C, Sell J. Using task definition to modify racial inequality within task groups. Sociol Q 2005; 46: 525–543.
[18]
Lucas J. Status processes and the institutionalization of women as leaders. Am Sociol Rev 2003; 68: 464–480.
[19]
Tschan F, Norbert NK, Gautschi D, Hunziger PR, Spychiger M, Marsch SC. Leading to recovery: group performance and coordinative activities in medical emergency driven groups. Human Performance 2006; 19: 277–304.
[20]
Sanri E, Karacabey S, Eroglu SE, Akoglu H, Denizbasi A. The additional ımpact of simulation based medical training to traditional medical training alone in advanced cardiac life support: a scenario based evaluation. SIGNA VITAE 2018; 14 (2): 68-72S.
[21]
Kim JH, Kim WO, Min KT, Yang JY, Nam YT. Learning by computer simulation does not lead to better test performance than textbook study in the diagnosis and treatment of dysrhythmias. J Clin Anesth 2002; 14 (5): 395-400.
[22]
Perkins GD. Simulation in resuscitation training. Resuscitation 2007; 73 (2): 202-11.
[23]
Eng. AJ, Namba JM, Box KW, Lane JR, Kim DY, Davis DP, et al. High-fidelity simulation training in advanced resuscitation for pharmacy residents. Am J PharmEduc 2014; 78 (3): 59.
[24]
Brigita Marc1,*, Eva Dolenc2, and Damjan Slabe. Simulation-based first aid training of students of health sciences. SHS Web of Conferences 48, 01042 (2018). https://doi.org/10.1051/shsconf/20184801042 ERPA 2018.
[25]
DeVita MA, Schaefer J, Lutz J, Wang H, Dongilli T. Improving medical emergency team (MET) performance using a novel curriculum and a computerized human patient simulator. Qual Saf Health Care 2005; 14 (5): 326-31.
[26]
Breuer G, Knipfer C, Huber T, Huettl S, Shams N, Knipfer K, et al. Competency in managing cardiac arrest: A scenario-based evaluation of dental students. Acta Odontol Scand 2016; 74 (4): 241-9.
[27]
Wayne DB, Didwania A, Feinglass J, Fudala MJ, Barsuk JH, McGaghie WC. Simulation-based education improves quality of care during cardiac arrest team responses at an academic teaching hospital: a case-control study. Chest 2008; 133 (1): 56-61.
[28]
Ruesseler M, Weinlich M, Muller MP, Byhahn C, Marzi I, Walcher F. Simulation training improves ability to manage medical emergencies. Emerg Med J 2010; 27 (10): 734-8.
[29]
Sandeep Sahu and Indu Lata. Simulation in resuscitation teaching and training, an evidence based practice review. J Emerg Trauma Shock. 2010 Oct-Dec; 3 (4): 378-384. doi: 10.4103/0974-2700.70758.
[30]
Gaba DM. The future vision of simulation in health care. Qual Saf Health Care. 2004; 13: 2-10. [PMC free article] [PubMed] [Google Scholar].
[31]
Ziv A, Ben-David S, Ziv M. Simulation Based Medical Education: An opportunity to learn from errors. Med Teach. 2005; 27: 193-9. [PubMed: 16011941].
[32]
Paul E. Ogden, MD, Lauren S. Cobbs, MD, Martha R. Howell, MEd, Stephen J. B. Sibbitt, MD, Donald J. DiPette, MD. Clinical Simulation: Importance to the Internal Medicine Educational Mission. The American Journal of Medicine, Vol 120, No 9, September 2007.
[33]
McGuire CH. Simulation: its essential nature and characteristics. In: Tekian A, McGuire CH, McGaghie WC (eds). Innovative Simulations for Assessing Professional Competence: From Paper and Pencil to Virtual Reality. Chicago, IL: University of Illinois at Chicago, 1999: 3.
[34]
Handley AJ. Basic life support. British Journal of Anaesthesia 1997; 79: 151-158.
[35]
Dajer AJ. First Aid and Emergency Medical Services. Encyclopaedia of Occupational Health and Safety. Fourth Edition. (ILO) publication. Chapter 14.
[36]
Fitzpatrick B, Watt GCM, Tunstall-Pedoe H. Potential impact of emergency intervention on sudden deaths from coronary heart disease in Glasgow. British Heart Journal 1992; 67: 250-254.
[37]
Cummins RO, E isenberg MS. P rehospital c ardiopulmonary resuscitation. Is it effective? Journal of the American Medical Association 1985; 253: 2408-2412.
[38]
Eisenberg MS, Bergner L, Hallstrom A. Cardiac resuscitation in the community. Importance of rapid provision and implications for program planning. Journal of the American Medical Association 1979; 241: 1905-1907.
[39]
Panday M, Siva N, Sharma K. A Study to Assess the Effectiveness of Simulation in terms of Knowledge and Skill Regarding Basic Life Support (BLS) Among Non-Medical Faculty.-A Narrative Review. International Journal of Advanced Nursing Science and Practice 2019, Volume 3, Issue 1, pp. 60-63.
[40]
Veloso SG, Pereira GS, Vasconcelos NN, Senger MH and Delbone de Faria RM. Learning by teaching basic life support: a non-randomized controlled trial with medical students. Veloso et al. BMC Medical Education (2019) 19: 67. https://doi.org/10.1186/s12909-019-1500-7.
[41]
CPR training manikins. 2020. https://www.laerdal.com/us/nav/192/CPR.
[42]
Al-Elq A H. Simulation-based medical teaching and learning. J Family Community Med. 2010 Jan-Apr; 17 (1): 35-40.
[43]
Seropian MA, Brown K, Gavilanes JS, Driggers B. Simulation: Not just a Manikin. J Nurs Educ. 2004; 43: 164-9. [PubMed: 15098910].
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