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Use of Simulation-Based Medical Education for Advanced Resuscitation of In-Hospital Cardiac Arrest Patients With Suspected or Confirmed COVID-19.
Boivin-Proulx, Laurie-Anne; Doherty, Amélie; Rousseau-Saine, Nicolas; Doucet, Serge; Ly, Hung Q; Lavoie, Patrick; Thibodeau-Jarry, Nicolas.
  • Boivin-Proulx LA; CHUM Research Center and Cardiovascular Center, Montréal, Québec, Canada. Electronic address: laurieanneboivinproulx@gmail.com.
  • Doherty A; Montréal Heart Institute, Montréal, Québec, Canada.
  • Rousseau-Saine N; Montréal Heart Institute, Montréal, Québec, Canada.
  • Doucet S; Montréal Heart Institute, Montréal, Québec, Canada.
  • Ly HQ; Montréal Heart Institute, Montréal, Québec, Canada.
  • Lavoie P; Montréal Heart Institute, Montréal, Québec, Canada.
  • Thibodeau-Jarry N; Montréal Heart Institute, Montréal, Québec, Canada.
Can J Cardiol ; 37(8): 1267-1270, 2021 08.
Article in English | MEDLINE | ID: covidwho-1155438
ABSTRACT
Cardiac arrest is common in critically ill patients with coronavirus disease 2019 (COVID-19) and is associated with poor survival. Simulation is frequently used to evaluate and train code teams with the goal of improving outcomes. All participants engaged in training on donning and doffing of personal protective equipment for suspected or confirmed COVID-19 cases. Thereafter, simulations of in-hospital cardiac arrest of patients with COVID-19, so-called protected code blue, were conducted at a quaternary academic centre. The primary endpoint was the mean time-to-defibrillation. A total of 114 patients participated in 33 "protected code blue" simulations over 8 weeks 10 were senior residents, 17 were attending physicians, 86 were nurses, and 5 were respiratory therapists. Mean time-to-defibrillation was 4.38 minutes. Mean time-to-room entry, time-to-intubation, time-to-first-chest compression and time-to-epinephrine were 2.77, 5.74, 6.31, and 6.20 minutes, respectively; 92.84% of the 16 criteria evaluating the proper management of patients with COVID-19 and cardiac arrest were met. Mean time-to-defibrillation was longer than guidelines-expected time during protected code blue simulations. Although adherence to the modified advanced cardiovascular life-support protocol was high, breaches that carry additional infectious risk and reduce the efficacy of the resuscitation team were observed.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cardiopulmonary Resuscitation / Infectious Disease Transmission, Patient-to-Professional / Education, Medical / Time-to-Treatment / Simulation Training / COVID-19 / Heart Arrest Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Humans Country/Region as subject: North America Language: English Journal: Can J Cardiol Journal subject: Cardiology Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Cardiopulmonary Resuscitation / Infectious Disease Transmission, Patient-to-Professional / Education, Medical / Time-to-Treatment / Simulation Training / COVID-19 / Heart Arrest Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Humans Country/Region as subject: North America Language: English Journal: Can J Cardiol Journal subject: Cardiology Year: 2021 Document Type: Article