Presented as a poster at the Neonatal Society 2016 Summer Meeting.
Panici M, Bellot A, Guillois B
Neonatology, University Hospital, Caen, France
Background: In the birth-room, in the event of cardiac arrest, the administration of adrenalin is recommended, intravenously, as a first response. This requires the installation of an umbilical venous catheter (UVC), an action which can be performed by a midwife (1). Aim: The objective was to compare two teaching methods, both simulating the installation of a UVC in case of emergency: in one, the demonstration was done by an instructor (standard method), in the other, the demonstration was made using a pedagogical film.
Methods: The exploratory study took place in a controlled setting; it was random and mono-centric, and included 22 midwives students divided into two groups according to their learning method: “standard” or “film”. The teaching method was evaluated by filming the students while they were performing the technique on a mannequin, ten days after their instruction. Two physicians observed their performance and evaluated the students using a dimensional grid of ten points. The two physicians were independent of each other and were not previously informed as to the training (standard or film) that the students had received. The study hypothesized that the “film” method of instruction was not inferior to the “standard” method. The procedure was regarded as “learned” when the student achieved an average grade (among the two instructors) of ≥ 7,5 points out of 10.
Results: Of the 22 participants, ten received the “standard” instruction and twelve were taught by using the film. The average grade among the students who received the “standard” instruction was 7,8 ± 1,1 and that of the students who were trained using the film, 8,4 ± 0,7 (p=0,272). All of the students who were trained by use of the film acquired the skill, as compared to only 80% of the students who were trained according to the “standard” method.
Conclusion: Our study demonstrates the interest in using the “film” method of training for the insertion of an UVC in emergency situations.
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1. Maconochie I et al. European resuscitation Council Guidelines for Resuscitation 2015 Section 6. Paediatric life support Resuscitation 95(2015)223-248.