Evaluation of cardiopulmonary resuscitation performed on a simulator by medical students

• Published in: 蘇生 Vol. 16; no. 1; pp. 24 - 27
• Main Authors: Matsuda Tomio, Kawaguchi Shuji, Matsuda Tomoyuki, Oyanagi Satoru, Ariyama Jun, Aono Makoto
• Format: Journal Article
• Language: Japanese
• Published: The Japanese Society of Reanimatology 1997; 日本蘇生学会
• Subjects: Cardiopulmonary resuscitation; Cardiopulmonary resuscitation education; Medical Student; 医学生; 心肺蘇法; 心肺蘇生教育
• ISSN: 0288-4348; 1884-748X
• DOI: 10.11414/jjreanimatology1983.16.24

Ninety six fifth-year students at the Department of Medicine, Kanazawa MedicalUniversity served as subjects to determine how well students who had completed only a theory class on cardiopulmonary resuscitation (CPR) could actually perform CPR on a simulator. The simulator which was controlled by a microcomputer was set on the normal mode (opens eyes in response to voice, respiratory abdominal movement, and palpable pulse) . Each student performed CPR on the simulator and was evaluated by the same instructor on observation, judgement and treatment (emphasis on observation and judgement) .Of the 96 students, 26 (27%) correctly identified consciousness; 67 (69.8%) asked for assistance; 48 (50%) correctly identified breathing; and 34 (35.4%) correctly identified pulse. Only six students (6.2%) were able to correctly identify everything. Of 42 students who judged the situation as cardiopulmonary arrest, 34 students actu-ally secured airway, and performed artificial respiration and closed chest massage.These findings suggested that students lacked an ability to observe and judge basic life support situation, thus suggesting the necessity to provide cardiopulmonary resuscitation education that also emphasizes primary care. 心肺蘇生法の講義のみを履修した医学生がどの程度の一次救命処置を実施できるかをシミュレータを用いて評価した。4学年時に心肺蘇生法の講義を1時限 (50分) のみ履修した金沢医科大学医学部5学年96名を対象とした。正常モード (声に反応して開眼, 呼吸性腹璧運動, 脈拍触知) に設定したマイコン制御の心肺蘇生用シミュレータに対し, 医学生がどのように対応するかを観察・評価した。意識の有無の評価, 救援の依頼, 呼吸・心拍の観察・判断・処置を評価項目とした。その結果, 42名 (43.8%) が心肺停止状態と誤認し, すべてを正しく観察・判断できた学生はわずか6名 (6.2%) であった。心肺蘇生教育をより効果的に実施するためには, プライマリ・ケアによって患者の観察, 病態の把握を徹底して教育することが重要と考える。