AI Article Synopsis
- The Mega Code is a simulated cardiac arrest scenario used for students to practice ACLS skills in a team environment.
- The study evaluated the performance of 32 medical residents and 9 critical care nurses as ACLS team leaders, finding that MDs performed significantly better than RNs on key assessments.
- It highlighted gaps in the AHA ACLS curriculum regarding drug therapy and the team approach to resuscitation, suggesting that Mega Code testing can improve training and identify focus areas for refresher courses.
Article Abstract
The Mega Code is a simulated cardiac arrest during which students practice as members of a team and learn to integrate the knowledge and skills of advanced cardiac life support (ACLS). This study used the Mega Code and American Heart Association (AHA) standards to evaluate 32 medical residents (MDs) and nine critical care nurses (RNs) in the role of ACLS team leader. All had been previously trained in ACLS. The testing sequence included ventricular fibrillation (VF) refractory to initial countershock (defib), asystole after second defib, recurrent VF after drug therapy, and finally sinus rhythm after third defib. A blood gas report indicated respiratory acidosis and hypoxemia. Assessment of patient status was poor in both groups, although MDs did significantly (p = .001) better than RNs. Other problem areas were drug therapy and trouble-shooting are not adequately stressed in the AHA ACLS curriculum; moreover, there is no lecture that specifically addresses the team approach to resuscitation and the role of team leader. We found that the Mega Code effectively evaluated individual and group performance. Results of objective-based Mega Code testing can be used both to improve ACLS curriculum and to indicate areas to be stressed during refresher training.
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| http://dx.doi.org/10.1097/00003246-198602000-00005 | DOI Listing |
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