Part 8: Education, Implementation, and Teams

Advanced Life Support Training • Precourse preparation for advanced life support (ALS) courses (EIT 637) • High-fidelity manikins in training (EIT 623) • Team and leadership training (EIT 631) • Timing for advanced resuscitation training (EIT 633) Implementation • Implementation of guidelines in communities (EIT 641) • Cardiac arrest centers (EIT 624) • Social media technologies (EIT 878) • Measuring performance of resuscitation systems (EIT 640) • CPR feedback devices in training (EIT 648) • Debriefing of resuscitation performance (EIT 645) • Medical emergency teams (METs) for adults (EIT 638) Summary of New Treatment RecommendationsThe following is a summary of the most important new reviews or changes in recommendations for education, implementation, and teams since the last ILCOR review, in 2010: Training• High-fidelity manikins may be preferred to standard manikins at training centers/organizations that have the infrastructure, trained personnel, and resources to maintain the program.• CPR feedback devices (providing directive feedback) are useful for learning psychomotor CPR skills.• One-to 2-year retraining cycles are not adequate to maintain competence in resuscitation skills.The optimal retraining intervals are yet to be defined, but more frequent training may be helpful for providers likely to encounter a cardiac arrest. Systems Level• You can't improve what you can't measure, so systems that facilitate performance measurement and quality improvement initiatives are to be used where possible.• Data-driven performance-focused debriefing can help improve future performance of resuscitation teams.• Out-of-hospital cardiac arrest (OHCA) victims should be considered for transport to a specialist cardiac arrest center as part of a wider regional system of care.• There have been advances in the use of technology and social media for notification of the occurrence of suspected OHCA and sourcing of bystanders willing to provide CPR.