A randomised control trial to determine if use of the iResus© application on a smart phone improves the performance of an advanced life support provider in a simulated medical emergency
A randomised control trial to determine if use of the iResus© application on a smart phone improves the performance of an advanced life support provider in a simulated medical emergency
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DOI：
10.1111/j.1365-2044.2011.06649.x
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发表时间：
2011-04-01
期刊：
影响因子：
10.7
通讯作者：
Nolan, J.
中科院分区：
文献类型：
--
作者：
Low, D.;Clark, N.;Nolan, J.
这项研究旨在确定在智能手机上使用英国复苏理事会的iResus（c）应用程序是否能提高接受过高级生命支持培训的医生在模拟紧急情况下的表现。招募了31名医生（在过去48个月内接受过高级生命支持培训）。所有人都接受了使用智能手机和iResus应用程序的相同培训。参与者被随机分配到对照组（没有智能手机）和测试组（在智能手机上访问iResus）。两组均使用经验证的扩展心脏骤停模拟试验（CASTest）评分系统进行测试。主要结局指标是总体心脏骤停模拟试验评分;智能手机组（中位数（IQR [范围]）84.5（75.5-92.5 [64-96]））显著高于对照组（72（62-87 [52-95]）; p = 0.02）。iResus应用程序的使用显著提高了高级生命支持认证医生在模拟医疗紧急情况下的表现。需要进一步的研究来确定iResus是否可以改善临床环境中的护理。
This study sought to determine whether using the Resuscitation Council UK's iResus (c) application on a smart phone improves the performance of doctors trained in advanced life support in a simulated emergency. Thirty-one doctors (advanced life support-trained within the previous 48 months) were recruited. All received identical training using the smart phone and the iResus application. The participants were randomly assigned to a control group (no smart phone) and a test group (access to iResus on smart phone). Both groups were tested using a validated extended cardiac arrest simulation test (CASTest) scoring system. The primary outcome measure was the overall cardiac arrest simulation test score; these were significantly higher in the smart phone group (median (IQR [range]) 84.5 (75.5-92.5 [64-96])) compared with the control group (72 (62-87 [52-95]); p = 0.02). Use of the iResus application significantly improves the performance of an advanced life support-certified doctor during a simulated medical emergency. Further studies are needed to determine if iResus can improve care in the clinical setting.