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J Pediatr Intensive Care 2023; 12(04): 271-277
DOI: 10.1055/s-0041-1731787
Original Article

Observational Study on the Effect of Duration from Pediatric Advanced Life Support (PALS) Certification on PALS Performance in Pediatric Interns in Simulated Cardiopulmonary Arrest

Nancy M. Tofil
1   Department of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, United States
,
Stacy L. Gaither 
1   Department of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, United States
,
Charli Cohen
1   Department of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, United States
,
Carrie Norwood
2   Children's of Alabama, Pediatric Simulation Center, Birmingham, Alabama, United States
,
Jerry Lynn Zinkan
2   Children's of Alabama, Pediatric Simulation Center, Birmingham, Alabama, United States
,
Sai S. Raju
3   Department of Pediatrics, University of Texas at Austin, Austin, Texas, United States
,
Chrystal Rutledge
1   Department of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, United States
› Author Affiliations Funding This study was partially funded by Department of Pediatrics Founders Fund Grant, University of Alabama at Birmingham.
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Abstract

Pediatric advanced life support (PALS) training is critical for pediatric residents. It is unclear how well PALS skills are developed during this course or maintained overtime. This study evaluated PALS skills of pediatric interns using a validated PALS performance score following their initial PALS certification. All pediatric interns were invited to a 45-minute rapid cycle deliberate practice (RCDP) training session following their initial PALS certification from July 2017 to June 2019. The PALS score and times for key events were recorded for participants prior to RCDP training. We then compared performance scores for those who took PALS ≥3 months, between 3 days to 3 months and 3 days after PALS. There were 72 participants, 30 (of 30) in 3 days, 18 in 3 days to 3 months, and 24 in ≥3 months groups (42 total of 52 residents, 81%). The average PALS performance score was 53 ± 20%. There was no significant difference between the groups (3 days, 53 ± 15%; 3 days–3 months, 51 ± 19%; ≥3 months, 54 ± 26%, p = 0.922). Chest compressions started later in the ≥3 months groups compared with the 3 days or ≤3 months groups (p = 0.036). Time to defibrillation was longer in the 3 days group than the other groups (p = 0.008). Defibrillation was asked for in 3 days group at 97%, 73% in 3 days to 3 months and 68% in ≥3 months groups. PALS performance skills were poor in pediatric interns after PALS certification and was unchanged regardless of when training occurred. Our study supports the importance of supplemental resuscitation training in addition to the traditional PALS course.

Keywords

rapid cycle deliberate practice - PALS - pediatrics - resident - simulation


Publication History

Received: 18 March 2021

Accepted: 29 May 2021

Article published online:
08 July 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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