Can VAST Improve ACLS in Rwanda

Not Applicable

Completed

• Conditions: Education; Global Health; Resuscitation
• Interventions: Behavioral: Advanced Cardiac Life Support Training; Behavioral: Vital Anesthesia Simulation Training

• Registration Number: NCT05278884
• Lead Sponsor: University of Toronto

Brief Summary

Aim The purpose of this study is to determine if the addition of the VAST Course to technical resuscitation skills training enhances healthcare providers' resuscitation performance in a resource-limited setting.

Objectives

The aims of this research will be achieved by meeting the following objectives:

1. Quantitative evaluation of study participants' resuscitation performance during a simulation scenario before ACLS course, immediately following ACLS course, immediately following VAST course, and at 4 months post training.

2. Qualitative exploration of the barriers and supports identified by course participants to implementing resuscitation in the workplace after resuscitation skills training through focus groups.

New knowledge Lessons learned from this study will help inform the design and the implementation of resuscitation training programs in resource-limited settings. This has potential to improve resuscitation capacity in resource-limited settings leading to higher quality of care for patients.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-02-28
• Study First Submitted QC: 2022-03-09
• Study First Posted: 2022-03-14
• Study Start: 2022-05-01
• Primary Completion: 2022-07-01
• Study Completion: 2022-10-01
• Status Verified: 2022-11
• Last Update Submitted: 2022-11-13
• Last Update Posted: 2022-11-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 47

Inclusion Criteria

• Full course participation
• Available for focus group interviews

Exclusion Criteria

• Refusal to provide informed consent
• Participated in VAST or ACLS training in the four months prior to study

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Arm && Interventions

Group	Intervention	Description
ACLS and then VAST teaching intervention	Advanced Cardiac Life Support Training	For each hospital, the intervention will be to pair a 2-day technical resuscitation skills training adapted from the ACLS/AHA and a 3-day VAST course for a multidisciplinary team of 20 participants (i.e., nurses, doctors, non-physician anesthesia providers). Participants' resuscitation skills will be tested at 4 time points: immediately before the ACLS course, immediately after the ACLS course, immediately after the VAST Course, and at 4 months post training.
ACLS and then VAST teaching intervention	Vital Anesthesia Simulation Training	For each hospital, the intervention will be to pair a 2-day technical resuscitation skills training adapted from the ACLS/AHA and a 3-day VAST course for a multidisciplinary team of 20 participants (i.e., nurses, doctors, non-physician anesthesia providers). Participants' resuscitation skills will be tested at 4 time points: immediately before the ACLS course, immediately after the ACLS course, immediately after the VAST Course, and at 4 months post training.

Primary Outcome Measures

Name	Time	Method
Time to initiation of CPR	From start of simulation scenario to time of first chest compressions, assessment up to 2 minutes of simulation	The time it takes for the team to start chest compressions in the simulation in seconds

Secondary Outcome Measures

Name	Time	Method
Time to defibrillation	From start of simulation scenario to time of first defibrillation, assessment up to 5 minutes of simulation	The time it takes for the team to defibrillate in the simulation in seconds
Time to epinephrine administration	From start of simulation scenario to time of first epinephrine administration, assessment up to 5 minutes of simulation	The time it takes for the team to give epinephrine in the simulation in seconds

Trial Locations

Locations (1)

University of Rwanda; 🇷🇼 Kigali, Rwanda