Are instructors correctly gauging ventilation competence acquired by course attendees?

Resuscitation

Department of Anesthesiology Intensive Care and Emergency, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Department of Pathophysiology and Transplantation, University of Milan, Italy. Electronic address:

Published: July 2024

AI Article Synopsis

  • The success of training in ventilation skills relies heavily on instructors' assessment of attendees' ability to ventilate properly, considering the rate and chest compression to ventilation ratio, along with observable indicators like chest rise.
  • A study evaluated the accuracy of these assessments by comparing instructors' ratings of 20 ACLS course attendees with data from a ventilation feedback device.
  • Results showed a discrepancy: instructors believed all attendees met competence standards, but the feedback device revealed ventilation practices that did not follow current guidelines, highlighting the importance of accurate instructor evaluation for effective CPR training.

Article Abstract

Achievement of adequate ventilation skills during training courses is mainly based on instructors' perception of attendees' capability to ventilate with correct rate and chest compression:ventilation ratio, while leading to chest raising, as evidence of adequate tidal volume. Accuracy in evaluating ventilation competence was assessed in 20 ACLS provider course attendees, by comparing course instructors' evaluation with measures from a ventilation feedback device. According to course instructors, all candidates acquired adequate ventilation competence. However, data from the feedback device indicated a ventilation not aligned with current guidelines, with higher tidal volume and lower rate (p < 0.01). Deploying quality ventilation during CPR is a skill whose acquisition starts with effective training. Therefore, course instructors' capability to accurately evaluate attendees' ventilation maneuvers is crucial.

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Source
http://dx.doi.org/10.1016/j.resuscitation.2024.110240DOI Listing

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