title: Improved performance of maternal-fetal medicine staff after maternal cardiac arrest simulation-based training.
abstract: OBJECTIVE
  To determine the impact of simulation-based maternal cardiac arrest training on performance, knowledge, and confidence among Maternal-Fetal Medicine staff.
  
  
  METHODS
  Maternal-Fetal Medicine staff (n = 19) participated in a maternal arrest simulation program. Based on evaluation of performance during initial simulations, an intervention was designed including: basic life support course, advanced cardiac life support pregnancy modification lecture, and simulation practice. Postintervention evaluative simulations were performed. All simulations included a knowledge test, confidence survey, and debriefing. A checklist with 9 pregnancy modification (maternal) and 16 critical care (25 total) tasks was used for scoring.
  
  
  RESULTS
  Postintervention scores reflected statistically significant improvement. Maternal-Fetal Medicine staff demonstrated statistically significant improvement in timely initiation of cardiopulmonary resuscitation (120 vs 32 seconds, P = .042) and cesarean delivery (240 vs 159 seconds, P = .017).
  
  
  CONCLUSIONS
  Prompt cardiopulmonary resuscitation initiation and pregnancy modifications application are critical in maternal and fetal survival during cardiac arrest. Simulation is a useful tool for Maternal-Fetal Medicine staff to improve skills, knowledge, and confidence in the management of this catastrophic event.
authors: Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY, USA.
authors: Nelli
authors: N
authors: Fisher
authors: Lewis A
authors: LA
authors: Eisen
authors: Jyothshna V
authors: JV
authors: Bayya
authors: Alina
authors: A
authors: Dulu
authors: Peter S
authors: PS
authors: Bernstein
authors: Irwin R
authors: IR
authors: Merkatz
authors: Dena
authors: D
authors: Goffman
mesh_terms: D000328:Adult; D016887:Cardiopulmonary Resuscitation / Q000193:education*; D057189:Checklist; D002983:Clinical Competence; D005260:Female; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D007744:Obstetric Labor Complications / Q000628:therapy*; D011247:Pregnancy