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. 2023 Aug 14:15:100436.
doi: 10.1016/j.resplu.2023.100436. eCollection 2023 Sep.

Bilingual resuscitation training does not affect adherence to resuscitation guidelines but reduces leadership skills and overall team performance. An observational study with cross-border German-Polish training

Marie-Luise Ruebsam  1 , Bibiana Metelmann  1 , Christian Hofmann  1 , Dorota Orsson  1 , Klaus Hahnenkamp  1 , Camilla Metelmann  1
Affiliations

Bilingual resuscitation training does not affect adherence to resuscitation guidelines but reduces leadership skills and overall team performance. An observational study with cross-border German-Polish training

Marie-Luise Ruebsam et al. Resusc Plus. .

Abstract

Aim of study: This study aims to investigate feasibility and quality of a bilingual cardiopulmonary resuscitation training with interprofessional emergency teams from Germany and Poland.

Methods: As part of a cross-border European Territorial Cooperation (Interreg-VA) funded project a combined communication and simulation training was organised. Teams of German and Polish emergency medicine personnel jointly practised resuscitation. The course was held in both languages with consecutive translation.Quality of chest compression was assessed using a simulator with feedback application. Learning objectives (quality of cardiopulmonary resuscitation, adherence to guidelines, closed loop communication), and team performance were assessed by an external observer. Coopeŕs Team Emergency Assessment Measure questionnaire was used.

Results: Twenty-one scenarios with 17 participants were analysed. In all scenarios, defibrillation and medication were delivered with correct dosage and at the right time. Mean fraction of correct hand position was 85.7% ± 25.7 [95%-CI 74.0; 97.4], mean fraction of compression depth 75.1% ± 21.0 [95%-CI 65.6; 84.7], compression rate 117.7 min-1 ± 7.1 [95%-CI 114.4; 120.9], and chest compression fraction 83.3% ± 3.8 [95%-CI 81.6; 85.0].Quality of cardiopulmonary resuscitation was rated as "fair" to "good", adherence to guidelines as "good", and closed loop communication as "fair". Bilingual teams demonstrated good situational awareness, but lack of leadership and suboptimal overall team performance.

Conclusion: Bilingual and interprofessional cross-border resuscitation training in German and Polish tandem teams is feasible. It does not affect quality of technical skills such as high-quality chest compression but does affect performance of non-technical skills (e.g. closed loop communication and leadership).

Keywords: Advanced life support; Bilingual; Cross-border; Interprofessional; Resuscitation training; Simulation training.

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Conflict of interest statement

The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: The simulation training we are reporting about was funded by the European Union with-in the scope of Interreg VA -Mecklenburg-Vorpommern/Brandenburg/Pomerania.

Figures

Fig. 1
Fig. 1
Assessment of the three learning objectives “quality of chest compression”, “adherence to ERC guideline”, and “closed-loop communication” measured on a 5-point-Likert scale. Data is presented as absolute numbers (n = 21 scenarios).
See this image and copyright information in PMC

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