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Low-dose high-frequency cardiac arrest training for emergency medical professionals

Falck Ambulance Denmark

Company description

At Falck, we save and improve lives. This promise has made Falck a global leader in EMS and for more than 100 years, it has been our mission to prevent accidents, disease and emergency situations, to rescue and assist people in emergencies quickly and competently and ensure a durable and healthy work life. We value people who are accessible, competent, efficient, fast, helpful, and reliable. And we reward people who - in addition – are high-performers and contribute to Falck’s turn-around and setting new standards for the future. In 2017, Falck launched a new strategy to become more focused, develop global standard operating models and become industry leaders in our core business areas. Part of this journey for Falck is to explore and develop new solutions and thinking that will keep us at the frontier of the EMS industry. Falck will take part in developing prehospital care through new technologies, new business models, new partnerships and new skills to allow us to be smart about saving and improving even more lives.In Denmark we operate around 400 ambulances with 2500 emergency medical professionals.

Project description

Out of Hospital Cardiac Arrest (OHCA) is an emergency, where immediate cardiopulmonary resuscitation is paramount for survival. Emergency Medical Services clinicians are rarely exposed to OHCA and even less often pediatric OHCA. CPR must be trained in an organised fashion with provider feedback to maintain and improve quality. Medical simulation with feedback is recommended as an educational strategy, and although it is known that CPR skills decay within months, the optimal frequency and duration for training is not known. It has been suggested that different short and frequent models of self-administered CPR refresher training strategies could be viable to ensure skill retention, reduce economic expenses and provide more staff to daily operations. However, the scientific support for these Low Dose High Frequency (LDHF) designs lacks rigor and quality and further research for its impact and viability in EMS is needed . During 2018 and 2019, we conducted a non-published pilot project investigating whether 8 minutes of CPR training of EMS clinicians, once a month for eight months would ensure CPR skill retention. Results from this pilot suggest that a LDHF training strategy in Emergency Medical Services (EMS) is beneficial for skill retention. However, an important finding in this project was, that the nature of EMS did not allow for 8 minutes uninterrupted training, as the EMS clinicians were on duty during training. Semi-structured interviews performed subsequently revealed, that the actual time used for training was closer to 15 minutes, as equipment was to be made ready. The interviews further revealed, that a strategy of shorter training session but every shift would be more promising, using mannequins unpacked and ready to use. Our aim is to determine if a 5-minute, every shift, CPR training strategy ensures skill retention in EMS clinicians compared to annual all-at-once training. RESEARCH QUESTION: In EMS clinicians, does a strategy of self-administered CPR training on adult and pediatric mannequins with automatic feedback 5 minutes every shift for a year ensure CPR quality and skill retention compared to standard annual all-at-once CPR training?

Student description

A high level of independence and ability to perform cross-functional team work is expected, and we look for a highly-motivated candidate with a sense of adventure to jump in and grow with us. We imagine that the candidate would be in the field of medical, healthcare or natural sciences. We offer office space to conduct your thesis if required and will cover alle travel expenses etc. as we believe the data collection will take place in several locations in Denmark, which the candidate will supervise. We offer several company supervisors with research experience (PhD, professor, Mres) We have a draft research protocol and funding for the equipment used. Upon successfull completion of the project the candidate will be internationally recognised as the subject is lacking research for international resuscitation guidelines.

Low-dose high-frequency cardiac arrest training for emergency medical professionals | Match My Thesis
Aug 02, 2019