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Gemeinsame Jahrestagung der Gesellschaft für Medizinische Ausbildung (GMA) und des Arbeitskreises zur Weiterentwicklung der Lehre in der Zahnmedizin (AKWLZ)

30.09. - 03.10.2015, Leipzig

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Chest compression in resuscitation – actual performance and self-assessment of final-year medical students

Meeting Abstract

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  • corresponding author presenting/speaker Jan Stiepak - Heidelberg University Hospital, Department of Cardiology, Angiology and Pneumology, Heidelberg, Germany
  • Christian Fastner - University of Heidelberg, University Medical Centre Mannheim, First Department of Medicine, Mannheim, Germany
  • Manuel Kuhner - Heidelberg University Hospital, Department of Cardiology, Angiology and Pneumology, Heidelberg, Germany
  • Christoph Nikendei - Heidelberg University Hospital, Department of General Internal Medicine and Psychosomatics, Heidelberg, Germany
  • Ansgar Koechel - Heidelberg University Hospital, Department of General Internal Medicine and Psychosomatics, Heidelberg, Germany
  • Michael Preusch - Heidelberg University Hospital, Department of Cardiology, Angiology and Pneumology, Heidelberg, Germany

Gemeinsame Jahrestagung der Gesellschaft für Medizinische Ausbildung (GMA) und des Arbeitskreises zur Weiterentwicklung der Lehre in der Zahnmedizin (AKWLZ). Leipzig, 30.09.-03.10.2015. Düsseldorf: German Medical Science GMS Publishing House; 2015. DocP9-134

doi: 10.3205/15gma304, urn:nbn:de:0183-15gma3041

Veröffentlicht: 31. August 2015

© 2015 Stiepak et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen. Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden. Lizenz-Angaben siehe http://creativecommons.org/licenses/by-nc-nd/3.0/.

Gliederung

Text

Objective: Chest compression performance is considered to be an important factor influencing patient’s outcome following cardiac arrest. In this study we evaluated the chest compression performance of 53 final-year medical students at the University Hospital of Heidelberg in a simulated basic life support scenario. Results were compared to the participants’ self-assessment of their CPR skills.

Methods: After a brief theoretical refresher course on basic life support, participants had to perform chest compressions in a 2 minute compression-only scenario. Chest-compression quality was measured with a blackened automated feedback device ; self-assessment of participants CPR-Skills was evaluated using a questionnaire with a six point likert scale. After data collection, chest compression quality and self-assessment were compared.

Results: Overall, only four participants (8%) showed a sufficient chest-compression performance with a chest compression depth between 50 and 60 mm and compression rate between 100 and 120/min. Nevertheless, nearly half of the contestants (49%) rated themselves as confident towards their CPR skills but did not perform sufficient chest compression. There was no significant correlation between confidence and overall performance (0.1), or confidence towards chest compression depth (0.1) and chest compression frequency (-0.09)

Conclusions: The overall chest compression quality among final-year-medical-students is poor. There is no correlation between self-assessment of CPR skills and actual performance. Feeling self-confident but performing insufficient chest compressions seems to be common even among healthcare professionals and could affect patients’ outcomes.