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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Advanced Cardiac Resuscitation Evaluation (ACRE): A randomised single-blind controlled trial of peer-led vs. expert-led advanced resuscitation training | Hughes et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2010 18 3 http www.sjtrem.eom content 18 1 3 SCANDINAVIAN JOURNAL OF t emergency medicine ORIGINAL RESEARCH Open Access Advanced Cardiac Resuscitation Evaluation ACRE A randomised single-blind controlled trial of peer-led vs. expert-led advanced resuscitation training Thomas C Hughes1 Zoeb Jiwaji2 Kamaldeep Lally2 Antonia Lloyd-Lavery2 Amrit Lota2 Andrea Dale2 Robert Janas1 Christopher JK Bulstrode1 Abstract Background Advanced resuscitation skills training is an important and enjoyable part of medical training but requires small group instruction to ensure active participation of all students. Increases in student numbers have made this increasingly difficult to achieve. Methods A single-blind randomised controlled trial of peer-led vs. expert-led resuscitation training was performed using a group of sixth-year medical students as peer instructors. The expert instructors were a senior and a middle grade doctor and a nurse who is an Advanced Life Support ALS Instructor. A power calculation showed that the trial would have a greater than 90 chance of rejecting the null hypothesis that expert-led groups performed 20 better than peer-led groups if that were the true situation. Secondary outcome measures were the proportion of High Pass grades in each groups and safety incidents. The peer instructors designed and delivered their own course material. To ensure safety the peer-led groups used modified defibrillators that could deliver only low-energy shocks. Blinded assessment was conducted using an Objective Structured Clinical Examination OSCE . The checklist items were based on International Liaison Committee on Resuscitation ILCOR guidelines using Ebel standard-setting methods that emphasised patient and staff safety and clinical effectiveness. The results were analysed using Exact methods chi-squared and t-test. Results A total of 132 students were randomised 58 into the expert-led .
