PMID- 10145480
OWN - NLM
STAT- MEDLINE
DCOM- 19910918
LR  - 20061115
IS  - 0020-1324 (Print)
IS  - 0020-1324 (Linking)
VI  - 36
IP  - 8
DP  - 1991 Aug
TI  - Testing airway management skills: interactive video courseware vs ACLS 
      instructor.
PG  - 849-56
AB  - Lectures and demonstrations have been the teaching and testing strategies most 
      often employed by the American Heart Association in Advanced Cardiac Life Support 
      (ACLS) training. I compared the abilities of interactive videodisc (IVD) 
      courseware and ACLS instructors to evaluate airway management skills. METHODS & 
      MATERIALS: Twenty-two subjects were simultaneously tested during 30 attempts at 
      endotracheal (ET) intubation and 34 attempts at esophageal obturator airway or 
      esophageal gastric tube airway (EOA/EGTA) insertion. The instructors were blind 
      to the visual and auditory messages produced. RESULTS: The IVD program and the 
      ACLS instructors showed high agreement in their evaluation of student performance 
      for time of intubation (95.5% ET; 100% EOA/EGTA), proper tube placement (91% ET; 
      93% EOA/EGTA), appropriate tube assessment (95.5% ET; 100% EOA/EGTA), and correct 
      EOA/EGTA cuff inflation (100%). Lower levels of agreement were noted with ET and 
      EOA/EGTA appropriate head positioning, and the evaluation of tooth pressure with 
      ET intubation (60.5%, 76.5%, and 66.0%, respectively). The IVD system was unable 
      to detect certain procedural errors associated with appropriate intubation 
      procedure--syringe attachment, syringe removal after cuff inflation, and control 
      of tube after intubation. The low agreement for tooth pressure suggests that the 
      sensor-equipped manikin may better evaluate tooth pressure than does the 
      observer. CONCLUSIONS: Although the IVD system shows promise as an adjunct method 
      for instruction and testing, it cannot be considered suitable for 'stand-alone' 
      instruction. Further research is needed to explore costs, skills retention, and 
      possible impact of the medium for training hospital and prehospital-care 
      personnel.
FAU - Rubens, A J
AU  - Rubens AJ
AD  - School of Allied Health Professions, North Illinois University, DeKalb.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Respir Care
JT  - Respiratory care
JID - 7510357
MH  - American Heart Association
MH  - Clinical Competence
MH  - Computer-Assisted Instruction/*standards
MH  - Educational Measurement
MH  - Intubation, Intratracheal/*standards
MH  - Pennsylvania
MH  - Pilot Projects
MH  - Resuscitation/*education
MH  - Teaching/*methods
MH  - United States
MH  - Videodisc Recording/*standards
EDAT- 1991/08/01 00:00
MHDA- 1999/04/02 00:01
CRDT- 1991/08/01 00:00
PHST- 1991/08/01 00:00 [pubmed]
PHST- 1999/04/02 00:01 [medline]
PHST- 1991/08/01 00:00 [entrez]
PST - ppublish
SO  - Respir Care. 1991 Aug;36(8):849-56.