Chapter 25 The Effect of a Simulation-Based Training on the Performance of ACLS and Trauma Team of 5-Year Medical Students

摘要

Objective 56 5-year medical students without Advanced Cardiovascular Life Support (ACLS) and trauma management learning experience were took as the research object, to compare the efficacy of a simulation- based course versus a video plus case-based learning course in medical students on ACLS and trauma management. Methods This is a self-controlled randomized crossover study design with blinded assessors carried out in a university simulation center and using a high -fidelity patient simulator. Two hour simulation course or video plus case-based learning (CBL) course were taken after the theory course. The students . undertook a theory test before and after the training. ACLS and trauma management skills assessment and teamwork behavior evaluation were made before and after the simulation course or video plus case-based learning course in pre- and post-assessment scenarios. Results We demonstrated significant improvements in scores after the simulation training for the theoretical examinations, the practical skills and the team cooperation ability. There was significant difference of improvements between simulation group and CBL group except for overall teamwork behavior in trauma teamwork. Conclusion Simulation-based learning or video plus case-based learning also seemed to be an effective teaching strategy. A simulation-based learning for emergency team training in medical students can improve practical ability and teamwork more.