A randomised control trial to determine if use of the iResus© application on a smart phone improves the performance of an advanced life support provider in a simulated medical emergency

Anaesthesia. 2011 Apr;66(4):255-62. doi: 10.1111/j.1365-2044.2011.06649.x.

Abstract

This study sought to determine whether using the Resuscitation Council UK's iResus© application on a smart phone improves the performance of doctors trained in advanced life support in a simulated emergency. Thirty-one doctors (advanced life support-trained within the previous 48 months) were recruited. All received identical training using the smart phone and the iResus application. The participants were randomly assigned to a control group (no smart phone) and a test group (access to iResus on smart phone). Both groups were tested using a validated extended cardiac arrest simulation test (CASTest) scoring system. The primary outcome measure was the overall cardiac arrest simulation test score; these were significantly higher in the smart phone group (median (IQR [range]) 84.5 (75.5-92.5 [64-96])) compared with the control group (72 (62-87 [52-95]); p=0.02). Use of the iResus application significantly improves the performance of an advanced life support-certified doctor during a simulated medical emergency. Further studies are needed to determine if iResus can improve care in the clinical setting.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Advanced Cardiac Life Support / education
  • Advanced Cardiac Life Support / standards*
  • Algorithms
  • Attitude of Health Personnel
  • Cell Phone*
  • Clinical Competence*
  • Emergencies
  • England
  • Female
  • Heart Arrest / therapy
  • Humans
  • Male
  • Software