Rethinking Resuscitation
Online Training with Real-Time Manikin Feedback
Manikin technology is advancing swiftly as well . Current guidance from International Liaison Committee on Resuscitation ( ILCOR ) states that practice with high fidelity manikins improves resuscitation competence ( Greif et al ., 2020 ). The guidance also supports shorter bouts of training taken with greater frequency than the previously recommended cadence of every two years . Frequency increases are easily achieved with new smart manikins . Original versions were tethered to a computer and required the learner to look at a monitor to see such things as compression rate and depth . Today , the latest manikins are Bluetooth enabled , and therefore instead of having to look at a monitor , feedback is being delivered through LED lighting under the manikin ’ s skin , allowing the learner to keep their attention entirely focused on the “ patient .” Manikins are also used in various body sizes ranging from newborns to adults .
Reducing Hospital-to-Hospital Variation
There is also an opportunity to improve resuscitation outcomes by reducing educational variation across hospitals . Research has shown that survival for in-hospital cardiac arrest varies threefold across hospitals , from 11 % to 35 % ( Chan , 2016 ). What differences account for this variation ? Comparison of practices of higher performing versus lower performing hospitals will likely shed light on what can be done to reduce this wide range in survival .
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