A novel approach to life support training using "action-linked phrases"

Elizabeth Hunt, Hillenn Cruz-Eng, Jamie Haggerty Bradshaw, Melanie Hodge, Tammi Bortner, Christie L. Mulvey, Kristen N. McMillan, Hannah Galvan, Jordan Duval-Arnould, Kareen Jones, Nicole Shilkofski, David L. Rodgers, Elizabeth H. Sinz

Research output: Contribution to journalArticle

Abstract

Background: Observations of cardiopulmonary arrests (CPAs) reveal concerning patterns when clinicians identify a problem, (e.g. loss of pulse) but do not immediately initiate appropriate therapy (e.g. compressions) resulting in delays in life saving therapy. Methods: We hypothesized that when individuals utilized specific, short, easy-to-state action phrases stating an observation followed by an associated intervention, there would be a higher likelihood that appropriate action would immediately occur. Phase I: A retrospective analysis of residents in simulated CPAs measured what proportion verbalized "There's no pulse", statements and/or actions that followed and whether "Action-Linked Phrases" were associated with faster initiation of compressions. Phase II: Two prospective, quasi-experimental studies evaluated if teaching three Action-Linked Phrases for Basic Life Support (BLS) courses or six Action-Linked Phrases for Advanced Cardiovascular Life Support (ACLS) courses was associated with increased use of these phrases. Results: Phase I: 62% (42/68) of residents verbalized "there's no pulse" during initial assessment of a pulseless patient, and only 16/42 (38%) followed that by stating "start compressions". Residents verbalizing this Action-Linked Phrase started compressions sooner than others: (30. s [IQR:19-42] vs. 150 [IQR:51-242], p

Original languageEnglish (US)
Pages (from-to)1-5
Number of pages5
JournalResuscitation
Volume86
DOIs
StatePublished - Jan 1 2015

Fingerprint

Training Support
Heart Arrest
Teaching
Observation
Therapeutics

Keywords

  • ACLS
  • Action-linked phrases
  • BLS
  • CPR training
  • Education
  • Response time

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Emergency
  • Emergency Medicine

Cite this

Hunt, E., Cruz-Eng, H., Bradshaw, J. H., Hodge, M., Bortner, T., Mulvey, C. L., ... Sinz, E. H. (2015). A novel approach to life support training using "action-linked phrases". Resuscitation, 86, 1-5. https://doi.org/10.1016/j.resuscitation.2014.10.007

A novel approach to life support training using "action-linked phrases". / Hunt, Elizabeth; Cruz-Eng, Hillenn; Bradshaw, Jamie Haggerty; Hodge, Melanie; Bortner, Tammi; Mulvey, Christie L.; McMillan, Kristen N.; Galvan, Hannah; Duval-Arnould, Jordan; Jones, Kareen; Shilkofski, Nicole; Rodgers, David L.; Sinz, Elizabeth H.

In: Resuscitation, Vol. 86, 01.01.2015, p. 1-5.

Research output: Contribution to journalArticle

Hunt, E, Cruz-Eng, H, Bradshaw, JH, Hodge, M, Bortner, T, Mulvey, CL, McMillan, KN, Galvan, H, Duval-Arnould, J, Jones, K, Shilkofski, N, Rodgers, DL & Sinz, EH 2015, 'A novel approach to life support training using "action-linked phrases"', Resuscitation, vol. 86, pp. 1-5. https://doi.org/10.1016/j.resuscitation.2014.10.007
Hunt, Elizabeth ; Cruz-Eng, Hillenn ; Bradshaw, Jamie Haggerty ; Hodge, Melanie ; Bortner, Tammi ; Mulvey, Christie L. ; McMillan, Kristen N. ; Galvan, Hannah ; Duval-Arnould, Jordan ; Jones, Kareen ; Shilkofski, Nicole ; Rodgers, David L. ; Sinz, Elizabeth H. / A novel approach to life support training using "action-linked phrases". In: Resuscitation. 2015 ; Vol. 86. pp. 1-5.
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