Can VAST Improve ACLS in Rwanda

University of Toronto

Status: Completed

Conditions: Education; Global Health; Resuscitation

Treatments: Behavioral: Advanced Cardiac Life Support Training; Behavioral: Vital Anesthesia Simulation Training

Study type: Interventional

Funder types: Other

Identifiers

NCT05278884

TSkelton

Details and patient eligibility

About

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.

Enrollment: 47 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Health Services Research

Allocation: N/A

Interventional model: Sequential Assignment

Masking: None (Open label)

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47 participants in 1 patient group

ACLS and then VAST teaching intervention

Experimental group

Description:

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.

Treatment:

Behavioral: Advanced Cardiac Life Support Training

Behavioral: Vital Anesthesia Simulation Training