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• W2076608764 abstract "I read with interest the letter, Crisis Averted: Important and Unexpected Lessons Learnt From a Simulated Case of Ventricular Fibrillation by Dr. Peter Brindley and Samantha Taylor. The authors’ work to improve clinical training and refine protocols through simulation is very impressive. Philips agrees that test loads, used as standard procedure for defibrillator testing for many years, should never be connected to a defibrillator during patient care. As mentioned in the letter, the HeartStart MRx has a test load to test the electrical continuity of the therapy cable. Problems with the therapy cable are rare, but can occur due to physical wear or abuse. Historically, test loads supplied by Philips and other defibrillator manufacturers have been used as standard procedure during shift checks performed at the beginning of each change in clinical personnel to verify the readiness of a defibrillator. One of the innovative features Philips introduced with the HeartStart MRx is its automated test functionality. This eliminates the need to perform the shift checks that were necessary in the past, freeing clinicians to spend more time caring for patients and less time caring for their defibrillator. Without the need for user intervention, the MRx tests its internal circuitry on an hourly, daily and weekly basis. The automated tests verify clinical functions of the MRx, including internal defibrillator discharges without the need for the test load to be connected. In addition to the automated testing, Philips recommends that a defibrillation shock be discharged into the test load or through the paddles at least once each week. If the test load is used, it should not remain connected in between the weekly tests, or when the MRx is staged for clinical use. The Brindley/Taylor letter demonstrates the value of simulation as a tool for clinical training. I appreciate Dr. Brindley's effort to raise awareness that leaving a test load on a therapy cable could result in delays in defibrillation. Philips and other device manufacturers can benefit from this experience as we continue to refine our resuscitation solutions. Nancy E. Hinckley is Director of Marketing, Cardiac Care, Philips Healthcare. Crisis averted: Important and unexpected lessons learnt from a simulated case of ventricular fibrillationResuscitationVol. 80Issue 1PreviewOur Intensive Care Unit (ICU) recently assumed cardiopulmonary resuscitation (CPR) responsibilities for our tertiary-care hospital. While medical simulation has not yet been shown to directly save lives, evidence has shown its unique ability to accelerate CPR training and to increase adherence to guidelines.1,2 It has also been shown to enhance team performance and increase skill retention when compared to didactic instruction.1–5 Simulation is also risk-free for patients, and blame-free for participants. Full-Text PDF" @default.
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• W2076608764 date "2009-01-01" @default.
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• W2076608764 title "Response to “Crisis averted: Important and unexpected lessons learnt from a simulated case of ventricular fibrillation”" @default.
• W2076608764 doi "https://doi.org/10.1016/j.resuscitation.2008.10.004" @default.
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