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European Resuscitation Council Guidelines for Resuscitation 2015

Section 10. Education and implementation of resuscitation
      The chain of survival
      • Nolan J.
      • Soar J.
      • Eikeland H.
      The chain of survival.
      was extended to the formula of survival
      • Soreide E.
      • Morrison L.
      • Hillman K.
      • et al.
      The formula for survival in resuscitation.
      because it was realised that the goal of saving more lives relies not only on solid and high quality science but also the effective education of lay people and healthcare professionals.
      • Chamberlain D.A.
      • Hazinski M.F.
      Education in resuscitation.
      Ultimately, those who are engaged in the care of cardiac arrest victims should be able to implement resource efficient systems that can improve survival after cardiac arrest.
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      References

        • Nolan J.
        • Soar J.
        • Eikeland H.
        The chain of survival.
        Resuscitation. 2006; 71: 270-271
        • Soreide E.
        • Morrison L.
        • Hillman K.
        • et al.
        The formula for survival in resuscitation.
        Resuscitation. 2013; 84: 1487-1493
        • Chamberlain D.A.
        • Hazinski M.F.
        Education in resuscitation.
        Resuscitation. 2003; 59: 11-43
        • Morley P.T.
        • Lang E.
        • Aickin R.
        • et al.
        Part 2: evidence evaluation and management of conflict of interest for the ILCOR 2015 consensus on science and treatment recommendations.
        Resuscitation. 2015; 95: e33-e41
        • Berdowski J.
        • Schmohl A.
        • Tijssen J.G.
        • Koster R.W.
        Time needed for a regional emergency medical system to implement resuscitation guidelines 2005—The Netherlands experience.
        Resuscitation. 2009; 80: 1336-1341
        • Bigham B.L.
        • Aufderheide T.P.
        • Davis D.P.
        • et al.
        Knowledge translation in emergency medical services: a qualitative survey of barriers to guideline implementation.
        Resuscitation. 2010; 81: 836-840
        • Bigham B.L.
        • Koprowicz K.
        • Aufderheide T.P.
        • et al.
        Delayed prehospital implementation of the 2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiac care.
        Prehospital Emergency Care. 2010; 14 (Official journal of the National Association of EMS Physicians and the National Association of State EMS Directors): 355-360
        • Kudenchuk P.J.
        • Redshaw J.D.
        • Stubbs B.A.
        • et al.
        Impact of changes in resuscitation practice on survival and neurological outcome after out-of-hospital cardiac arrest resulting from nonshockable arrhythmias.
        Circulation. 2012; 125: 1787-1794
        • Steinberg M.T.
        • Olsen J.A.
        • Brunborg C.
        • et al.
        Minimizing pre-shock chest compression pauses in a cardiopulmonary resuscitation cycle by performing an earlier rhythm analysis.
        Resuscitation. 2015; 87: 33-37
        • Swor R.
        • Khan I.
        • Domeier R.
        • Honeycutt L.
        • Chu K.
        • Compton S.
        CPR training and CPR performance: do CPR-trained bystanders perform CPR?.
        Acad Emerg Med. 2006; 13 (Official journal of the Society for Academic Emergency Medicine): 596-601
        • Tanigawa K.
        • Iwami T.
        • Nishiyama C.
        • Nonogi H.
        • Kawamura T.
        Are trained individuals more likely to perform bystander CPR? An observational study.
        Resuscitation. 2011; 82: 523-528
        • Nielsen A.M.
        • Isbye D.L.
        • Lippert F.K.
        • Rasmussen L.S.
        Can mass education and a television campaign change the attitudes towards cardiopulmonary resuscitation in a rural community?.
        Scand J Trauma Resuscitation Emergency Med. 2013; 21: 39
        • Savastano S.
        • Vanni V.
        Cardiopulmonary resuscitation in real life: the most frequent fears of lay rescuers.
        Resuscitation. 2011; 82: 568-571
        • Sasson C.
        • Haukoos J.S.
        • Bond C.
        • et al.
        Barriers and facilitators to learning and performing cardiopulmonary resuscitation in neighborhoods with low bystander cardiopulmonary resuscitation prevalence and high rates of cardiac arrest in Columbus, OH.
        Circ Cardiovasc Qual Outcomes. 2013; 6: 550-558
        • King R.
        • Heisler M.
        • Sayre M.R.
        • et al.
        Identification of factors integral to designing community-based CPR interventions for high-risk neighborhood residents.
        Prehospital Emergency Care. 2015; 19 (Official journal of the National Association of EMS Physicians and the National Association of State EMS Directors): 308-312
        • Greenberg M.R.
        • Barr Jr., G.C.
        • Rupp V.A.
        • et al.
        Cardiopulmonary resuscitation prescription program: a pilot randomized comparator trial.
        J Emergency Med. 2012; 43: 166-171
        • Blewer A.L.
        • Leary M.
        • Esposito E.C.
        • et al.
        Continuous chest compression cardiopulmonary resuscitation training promotes rescuer self-confidence and increased secondary training: a hospital-based randomized controlled trial*.
        Crit Care Med. 2012; 40: 787-792
        • Brannon T.S.
        • White L.A.
        • Kilcrease J.N.
        • Richard L.D.
        • Spillers J.G.
        • Phelps C.L.
        Use of instructional video to prepare parents for learning infant cardiopulmonary resuscitation.
        Proc (Bayl Univ Med Cent). 2009; 22: 133-137
        • Haugk M.
        • Robak O.
        • Sterz F.
        • et al.
        High acceptance of a home AED programme by survivors of sudden cardiac arrest and their families.
        Resuscitation. 2006; 70: 263-274
        • Knight L.J.
        • Wintch S.
        • Nichols A.
        • Arnolde V.
        • Schroeder A.R.
        Saving a life after discharge: CPR training for parents of high-risk children.
        J Healthc Qual. 2013; 35 (quiz7): 9-16
        • Barr Jr., G.C.
        • Rupp V.A.
        • Hamilton K.M.
        • et al.
        Training mothers in infant cardiopulmonary resuscitation with an instructional DVD and manikin.
        J Am Osteopath Assoc. 2013; 113: 538-545
        • Plant N.
        • Taylor K.
        How best to teach CPR to schoolchildren: a systematic review.
        Resuscitation. 2013; 84: 415-421
        • Cave D.M.
        • Aufderheide T.P.
        • Beeson J.
        • et al.
        Importance and implementation of training in cardiopulmonary resuscitation and automated external defibrillation in schools: a science advisory from the American Heart Association.
        Circulation. 2011; 123: 691-706
        • Wissenberg M.
        • Lippert F.K.
        • Folke F.
        • et al.
        Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest.
        JAMA. 2013; 310: 1377-1384
        • Bohn A.
        • Van Aken H.K.
        • Mollhoff T.
        • et al.
        Teaching resuscitation in schools: annual tuition by trained teachers is effective starting at age 10. A four-year prospective cohort study.
        Resuscitation. 2012; 83: 619-625
        • Stroobants J.
        • Monsieurs K.
        • Devriendt B.
        • Dreezen C.
        • Vets P.
        • Mols P.
        Schoolchildren as BLS instructors for relatives and friends: impact on attitude towards bystander CPR.
        Resuscitation. 2014; 85: 1769-1774
        • Stiell I.G.
        • Brown S.P.
        • Christenson J.
        • et al.
        What is the role of chest compression depth during out-of-hospital cardiac arrest resuscitation?*.
        Crit Care Med. 2012; 40: 1192-1198
        • Song K.J.
        • Shin S.D.
        • Park C.B.
        • et al.
        Dispatcher-assisted bystander cardiopulmonary resuscitation in a metropolitan city: A before–after population-based study.
        Resuscitation. 2014; 85: 34-41
        • Lewis M.
        • Stubbs B.A.
        • Eisenberg M.S.
        Dispatcher-assisted cardiopulmonary resuscitation: time to identify cardiac arrest and deliver chest compression instructions.
        Circulation. 2013; 128: 1522-1530
        • Bohm K.
        • Stalhandske B.
        • Rosenqvist M.
        • Ulfvarson J.
        • Hollenberg J.
        • Svensson L.
        Tuition of emergency medical dispatchers in the recognition of agonal respiration increases the use of telephone assisted CPR.
        Resuscitation. 2009; 80: 1025-1028
        • Mancini M.E.
        • Cazzell M.
        • Kardong-Edgren S.
        • Cason C.L.
        Improving workplace safety training using a self-directed CPR-AED learning program.
        AAOHN J. 2009; 57 (quiz 68–9): 159-167
        • Cason C.L.
        • Kardong-Edgren S.
        • Cazzell M.
        • Behan D.
        • Mancini M.E.
        Innovations in basic life support education for healthcare providers: improving competence in cardiopulmonary resuscitation through self-directed learning.
        J Nurses Staff Dev. 2009; 25: E1-E13
        • Einspruch E.L.
        • Lynch B.
        • Aufderheide T.P.
        • Nichol G.
        • Becker L.
        Retention of CPR skills learned in a traditional AHA Heartsaver course versus 30-min video self-training: a controlled randomized study.
        Resuscitation. 2007; 74: 476-486
        • Lynch B.
        • Einspruch E.L.
        • Nichol G.
        • Becker L.B.
        • Aufderheide T.P.
        • Idris A.
        Effectiveness of a 30-min CPR self-instruction program for lay responders: a controlled randomized study.
        Resuscitation. 2005; 67: 31-43
        • Chung C.H.
        • Siu A.Y.
        • Po L.L.
        • Lam C.Y.
        • Wong P.C.
        Comparing the effectiveness of video self-instruction versus traditional classroom instruction targeted at cardiopulmonary resuscitation skills for laypersons: a prospective randomised controlled trial.
        Hong Kong Med J  = Xianggang yi xue za zhi/Hong Kong Acad Med. 2010; 16: 165-170
        • Andersen P.O.
        • Jensen M.K.
        • Lippert A.
        • Ostergaard D.
        Identifying non-technical skills and barriers for improvement of teamwork in cardiac arrest teams.
        Resuscitation. 2010; 81: 695-702
        • Flin R.
        • Patey R.
        • Glavin R.
        • Maran N.
        Anaesthetists’ non-technical skills.
        Br J Anaesth. 2010; 105: 38-44
        • Iwami T.
        • Kitamura T.
        • Kawamura T.
        • et al.
        Chest compression-only cardiopulmonary resuscitation for out-of-hospital cardiac arrest with public-access defibrillation: a nationwide cohort study.
        Circulation. 2012; 126: 2844-2851
        • Nielsen A.M.
        • Folke F.
        • Lippert F.K.
        • Rasmussen L.S.
        Use and benefits of public access defibrillation in a nation-wide network.
        Resuscitation. 2013; 84: 430-434
        • Harrison-Paul R.
        • Timmons S.
        • van Schalkwyk W.D.
        Training lay-people to use automatic external defibrillators: are all of their needs being met?.
        Resuscitation. 2006; 71: 80-88
        • Perkins G.D.
        • Travers A.H.
        • Considine J.
        • et al.
        Part 3: Adult basic life support and automated external defibrillation: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations.
        Resuscitation. 2015;
        • Perkins G.D.
        • Handley A.J.
        • Koster K.W.
        • et al.
        European resuscitation council guidelines for resuscitation 2015 section 2 adult basic life support and automated external defibrillation.
        Resuscitation. 2015; 95: 81-98
        • Yeung J.
        • Meeks R.
        • Edelson D.
        • Gao F.
        • Soar J.
        • Perkins G.D.
        The use of CPR feedback/prompt devices during training and CPR performance: a systematic review.
        Resuscitation. 2009; 80: 743-751
        • Maconochie I.
        • Bingham R.
        • Eich C.
        • et al.
        European resuscitation council guidelines for resuscitation 2015 section 6 Paediatric Life Support.
        Resuscitation. 2015; 95: 222-247
        • Hoke R.S.
        • Chamberlain D.A.
        • Handley A.J.
        A reference automated external defibrillator provider course for Europe.
        Resuscitation. 2006; 69: 421-433
        • Roppolo L.P.
        • Pepe P.E.
        • Campbell L.
        • et al.
        Prospective, randomized trial of the effectiveness and retention of 30-min layperson training for cardiopulmonary resuscitation and automated external defibrillators: the American Airlines Study.
        Resuscitation. 2007; 74: 276-285
        • Isbye D.L.
        • Rasmussen L.S.
        • Lippert F.K.
        • Rudolph S.F.
        • Ringsted C.V.
        Laypersons may learn basic life support in 24 min using a personal resuscitation manikin.
        Resuscitation. 2006; 69: 435-442
        • de Vries W.
        • Turner N.M.
        • Monsieurs K.G.
        • Bierens J.J.
        • Koster R.W.
        Comparison of instructor-led automated external defibrillation training and three alternative DVD-based training methods.
        Resuscitation. 2010; 81: 1004-1009
        • Reder S.
        • Cummings P.
        • Quan L.
        Comparison of three instructional methods for teaching cardiopulmonary resuscitation and use of an automatic external defibrillator to high school students.
        Resuscitation. 2006; 69: 443-453
        • Roppolo L.P.
        • Heymann R.
        • Pepe P.
        • et al.
        A randomized controlled trial comparing traditional training in cardiopulmonary resuscitation (CPR) to self-directed CPR learning in first year medical students: the two-person CPR study.
        Resuscitation. 2011; 82: 319-325
        • Yeung J.
        • Okamoto D.
        • Soar J.
        • Perkins G.D.
        AED training and its impact on skill acquisition, retention and performance—a systematic review of alternative training methods.
        Resuscitation. 2011; 82: 657-664
        • Deakin C.D.
        • Shewry E.
        • Gray H.H.
        Public access defibrillation remains out of reach for most victims of out-of-hospital sudden cardiac arrest.
        Heart. 2014; 100: 619-623
        • Smith K.K.
        • Gilcreast D.
        • Pierce K.
        Evaluation of staff's retention of ACLS and BLS skills.
        Resuscitation. 2008; 78: 59-65
        • Woollard M.
        • Whitfeild R.
        • Smith A.
        • et al.
        Skill acquisition and retention in automated external defibrillator (AED) use and CPR by lay responders: a prospective study.
        Resuscitation. 2004; 60: 17-28
        • Woollard M.
        • Whitfield R.
        • Newcombe R.G.
        • Colquhoun M.
        • Vetter N.
        • Chamberlain D.
        Optimal refresher training intervals for AED and CPR skills: a randomised controlled trial.
        Resuscitation. 2006; 71: 237-247
        • Andresen D.
        • Arntz H.R.
        • Grafling W.
        • et al.
        Public access resuscitation program including defibrillator training for laypersons: a randomized trial to evaluate the impact of training course duration.
        Resuscitation. 2008; 76: 419-424
        • Beckers S.K.
        • Fries M.
        • Bickenbach J.
        • et al.
        Retention of skills in medical students following minimal theoretical instructions on semi and fully automated external defibrillators.
        Resuscitation. 2007; 72: 444-450
        • de Vries W.
        • Handley A.J.
        A web-based micro-simulation program for self-learning BLS skills and the use of an AED. Can laypeople train themselves without a manikin?.
        Resuscitation. 2007; 75: 491-498
        • Jerin J.M.
        • Ansell B.A.
        • Larsen M.P.
        • Cummins R.O.
        Automated external defibrillators: skill maintenance using computer-assisted learning.
        Acad Emerg Med. 1998; 5 (Official Journal of the Society for Academic Emergency Medicine): 709-717
        • Bobrow B.J.
        • Vadeboncoeur T.F.
        • Spaite D.W.
        • et al.
        The effectiveness of ultrabrief and brief educational videos for training lay responders in hands-only cardiopulmonary resuscitation: implications for the future of citizen cardiopulmonary resuscitation training.
        Circ Cardiovasc Qual Outcomes. 2011; 4: 220-226
        • Sutton R.M.
        • Niles D.
        • Meaney P.A.
        • et al.
        Booster” training: evaluation of instructor-led bedside cardiopulmonary resuscitation skill training and automated corrective feedback to improve cardiopulmonary resuscitation compliance of Pediatric Basic Life Support providers during simulated cardiac arrest.
        Pediatr Crit Care Med. 2011; 12 (A Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies): e116-e121
        • Sutton R.M.
        • Niles D.
        • Meaney P.A.
        • et al.
        Low-dose, high-frequency CPR training improves skill retention of in-hospital pediatric providers.
        Pediatrics. 2011; 128: e145-e151
        • Harvey P.R.
        • Higenbottam C.V.
        • Owen A.
        • Hulme J.
        • Bion J.F.
        Peer-led training and assessment in basic life support for healthcare students: synthesis of literature review and fifteen years practical experience.
        Resuscitation. 2012; 83: 894-899
        • Spooner B.B.
        • Fallaha J.F.
        • Kocierz L.
        • Smith C.M.
        • Smith S.C.
        • Perkins G.D.
        An evaluation of objective feedback in basic life support (BLS) training.
        Resuscitation. 2007; 73: 417-424
        • Kitamura T.
        • Iwami T.
        • Kawamura T.
        • et al.
        Conventional and chest-compression-only cardiopulmonary resuscitation by bystanders for children who have out-of-hospital cardiac arrests: a prospective, nationwide, population-based cohort study.
        Lancet. 2010; 375: 1347-1354
        • Castle N.
        • Garton H.
        • Kenward G.
        Confidence vs competence: basic life support skills of health professionals.
        Br J Nurs. 2007; 16: 664-666
        • Wik L.
        • Myklebust H.
        • Auestad B.H.
        • Steen P.A.
        Twelve-month retention of CPR skills with automatic correcting verbal feedback.
        Resuscitation. 2005; 66: 27-30
        • Christenson J.
        • Nafziger S.
        • Compton S.
        • et al.
        The effect of time on CPR and automated external defibrillator skills in the Public Access Defibrillation Trial.
        Resuscitation. 2007; 74: 52-62
        • Niles D.
        • Sutton R.M.
        • Donoghue A.
        • et al.
        Rolling Refreshers: a novel approach to maintain CPR psychomotor skill competence.
        Resuscitation. 2009; 80: 909-912
        • Beckers S.K.
        • Skorning M.H.
        • Fries M.
        • et al.
        CPREzy improves performance of external chest compressions in simulated cardiac arrest.
        Resuscitation. 2007; 72: 100-107
        • Nishisaki A.
        • Nysaether J.
        • Sutton R.
        • et al.
        Effect of mattress deflection on CPR quality assessment for older children and adolescents.
        Resuscitation. 2009; 80: 540-545
        • Perkins G.D.
        • Kocierz L.
        • Smith S.C.
        • McCulloch R.A.
        • Davies R.P.
        Compression feedback devices over estimate chest compression depth when performed on a bed.
        Resuscitation. 2009; 80: 79-82
        • Kirkbright S.
        • Finn J.
        • Tohira H.
        • Bremner A.
        • Jacobs I.
        • Celenza A.
        Audiovisual feedback device use by health care professionals during CPR: a systematic review and meta-analysis of randomised and non-randomised trials.
        Resuscitation. 2014; 85: 460-471
        • Yeung J.
        • Davies R.
        • Gao F.
        • Perkins G.D.
        A randomised control trial of prompt and feedback devices and their impact on quality of chest compressions—a simulation study.
        Resuscitation. 2014; 85: 553-559
        • Zapletal B.
        • Greif R.
        • Stumpf D.
        • et al.
        Comparing three CPR feedback devices and standard BLS in a single rescuer scenario: a randomised simulation study.
        Resuscitation. 2014; 85: 560-566
        • Cheng A.
        • Brown L.L.
        • Duff J.P.
        • et al.
        Improving cardiopulmonary resuscitation with a CPR feedback device and refresher simulations (CPR CARES Study): a randomized clinical trial.
        JAMA Pediatr. 2015; 169: 137-144
        • Clark L.J.
        • Watson J.
        • Cobbe S.M.
        • Reeve W.
        • Swann I.J.
        • Macfarlane P.W.
        CPR ‘98: a practical multimedia computer-based guide to cardiopulmonary resuscitation for medical students.
        Resuscitation. 2000; 44: 109-117
        • Hudson J.N.
        Computer-aided learning in the real world of medical education: does the quality of interaction with the computer affect student learning?.
        Med Educ. 2004; 38: 887-895
        • Jang K.S.
        • Hwang S.Y.
        • Park S.J.
        • Kim Y.M.
        • Kim M.J.
        Effects of a Web-based teaching method on undergraduate nursing students’ learning of electrocardiography.
        J Nurs Educ. 2005; 44: 35-39
        • Leong S.L.
        • Baldwin C.D.
        • Adelman A.M.
        Integrating Web-based computer cases into a required clerkship: development and evaluation.
        Acad Med. 2003; 78 (Journal of the Association of American Medical Colleges): 295-301
        • Rosser J.C.
        • Herman B.
        • Risucci D.A.
        • Murayama M.
        • Rosser L.E.
        • Merrell R.C.
        Effectiveness of a CD-ROM multimedia tutorial in transferring cognitive knowledge essential for laparoscopic skill training.
        Am J Surg. 2000; 179: 320-324
        • Papadimitriou L.
        • Xanthos T.
        • Bassiakou E.
        • Stroumpoulis K.
        • Barouxis D.
        • Iacovidou N.
        Distribution of pre-course BLS/AED manuals does not influence skill acquisition and retention in lay rescuers: a randomised study.
        Resuscitation. 2010; 81: 348-352
        • Perkins G.D.
        • Fullerton J.N.
        • Davis-Gomez N.
        • et al.
        The effect of pre-course e-learning prior to advanced life support training: a randomised controlled trial.
        Resuscitation. 2010; 81: 877-881
        • Perkins G.D.
        • Kimani P.K.
        • Bullock I.
        • et al.
        Improving the efficiency of advanced life support training: a randomized.
        Controlled Trial Ann Intern Med. 2012; 157: 19-28
        • Thorne C.J.
        • Lockey A.S.
        • Bullock I.
        • et al.
        E-learning in advanced life support—an evaluation by the Resuscitation Council (UK).
        Resuscitation. 2015; 90: 79-84
        • Orde S.
        • Celenza A.
        • Pinder M.
        A randomised trial comparing a 4-stage to 2-stage teaching technique for laryngeal mask insertion.
        Resuscitation. 2010; 81: 1687-1691
        • Greif R.
        • Egger L.
        • Basciani R.M.
        • Lockey A.
        • Vogt A.
        Emergency skill training—a randomized controlled study on the effectiveness of the 4-stage approach compared to traditional clinical teaching.
        Resuscitation. 2010; 81: 1692-1697
        • Mundell W.C.
        • Kennedy C.C.
        • Szostek J.H.
        • Cook D.A.
        Simulation technology for resuscitation training: a systematic review and meta-analysis.
        Resuscitation. 2013; 84: 1174-1183
        • Cheng A.
        • Lang T.R.
        • Starr S.R.
        • Pusic M.
        • Cook D.A.
        Technology-enhanced simulation and pediatric education: a meta-analysis.
        Pediatrics. 2014; 133: e1313-e1323
        • Cheng A.
        • Lockey A.
        • Bhanji F.
        • Lin Y.
        • Hunt E.A.
        • Lang E.
        The use of high-fidelity manikins for advanced life support training-A systematic review and meta-analysis.
        Resuscitation. 2015;
        • Krogh K.B.
        • Hoyer C.B.
        • Ostergaard D.
        • Eika B.
        Time matters—realism in resuscitation training.
        Resuscitation. 2014; 85: 1093-1098
        • Hunt E.A.
        • Cruz-Eng H.
        • Bradshaw J.H.
        • et al.
        A novel approach to life support training using “action-linked phrases”.
        Resuscitation. 2015; 86: 1-5
        • Hunt E.A.
        • Duval-Arnould J.M.
        • Nelson-McMillan K.L.
        • et al.
        Pediatric resident resuscitation skills improve after “rapid cycle deliberate practice” training.
        Resuscitation. 2014; 85: 945-951
        • Hunziker S.
        • Buhlmann C.
        • Tschan F.
        • et al.
        Brief leadership instructions improve cardiopulmonary resuscitation in a high-fidelity simulation: a randomized controlled trial.
        Crit Care Med. 2010; 38: 1086-1091
        • Hunziker S.
        • Tschan F.
        • Semmer N.K.
        • et al.
        Hands-on time during cardiopulmonary resuscitation is affected by the process of teambuilding: a prospective randomised simulator-based trial.
        BMC Emerg Med. 2009; 9: 3
        • Andreatta P.
        • Saxton E.
        • Thompson M.
        • Annich G.
        Simulation-based mock codes significantly correlate with improved pediatric patient cardiopulmonary arrest survival rates.
        Pediatr Crit Care Med. 2011; 12 (A Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies): 33-38
        • Neily J.
        • Mills P.D.
        • Young-Xu Y.
        • et al.
        Association between implementation of a medical team training program and surgical mortality.
        JAMA. 2010; 304: 1693-1700
        • Boet S.
        • Bould M.D.
        • Fung L.
        • et al.
        Transfer of learning and patient outcome in simulated crisis resource management: a systematic review.
        Can J Anaesth  = J Can d’anesth. 2014; 61: 571-582
        • Rall M.
        • Gaba D.M.
        • Dieckmann R.A.
        Patient simulation.
        in: Miller R.D. Anesthesia. Elsevier, New York, NY2010: 151-192
        • Thomas E.J.
        • Taggart B.
        • Crandell S.
        • et al.
        Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial.
        J Perinatol. 2007; 27 (Official journal of the California Perinatal Association): 409-414
        • Gilfoyle E.
        • Gottesman R.
        • Razack S.
        Development of a leadership skills workshop in paediatric advanced resuscitation.
        Med Teach. 2007; 29: e276-e283
        • Edelson D.P.
        • Litzinger B.
        • Arora V.
        • et al.
        Improving in-hospital cardiac arrest process and outcomes with performance debriefing.
        Arch Intern Med. 2008; 168: 1063-1069
        • Hayes C.W.
        • Rhee A.
        • Detsky M.E.
        • Leblanc V.R.
        • Wax R.S.
        Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents.
        Crit Care Med. 2007; 35: 1668-1672
        • Marsch S.C.
        • Muller C.
        • Marquardt K.
        • Conrad G.
        • Tschan F.
        • Hunziker P.R.
        Human factors affect the quality of cardiopulmonary resuscitation in simulated cardiac arrests.
        Resuscitation. 2004; 60: 51-56
        • Salas E.
        • DiazGranados D.
        • Weaver S.J.
        • King H.
        Does team training work? Principles for health care.
        Acad Emerg Med. 2008; 15 (Official journal of the Society for Academic Emergency Medicine): 1002-1009
        • Eppich W.
        • Howard V.
        • Vozenilek J.
        • Curran I.
        Simulation-based team training in healthcare.
        Simul Healthc. 2011; 6Suppl (Journal of the Society for Simulation in Healthcare): S14-S19
        • Thomas E.J.
        • Williams A.L.
        • Reichman E.F.
        • Lasky R.E.
        • Crandell S.
        • Taggart W.R.
        Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations.
        Pediatrics. 2010; 125: 539-546
        • Garbee D.D.
        • Paige J.
        • Barrier K.
        • et al.
        Interprofessional teamwork among students in simulated codes: a quasi-experimental study.
        Nurs Educ Perspect. 2013; 34: 339-344
        • Chung S.P.
        • Cho J.
        • Park Y.S.
        • et al.
        Effects of script-based role play in cardiopulmonary resuscitation team training.
        Emerg Med J: EMJ. 2011; 28: 690-694
        • Yeung J.H.
        • Ong G.J.
        • Davies R.P.
        • Gao F.
        • Perkins G.D.
        Factors affecting team leadership skills and their relationship with quality of cardiopulmonary resuscitation.
        Crit Care Med. 2012; 40: 2617-2621
        • Blackwood J.
        • Duff J.P.
        • Nettel-Aguirre A.
        • Djogovic D.
        • Joynt C.
        Does teaching crisis resource management skills improve resuscitation performance in pediatric residents?.
        Pediatr Crit Care Med. 2014; 15 (A Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies): e168-e174
        • Weidman E.K.
        • Bell G.
        • Walsh D.
        • Small S.
        • Edelson D.P.
        Assessing the impact of immersive simulation on clinical performance during actual in-hospital cardiac arrest with CPR-sensing technology: a randomized feasibility study.
        Resuscitation. 2010; 81: 1556-1561
        • Cooper S.
        • Cant R.
        • Porter J.
        • et al.
        Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM).
        Resuscitation. 2010; 81: 446-452
        • Kim J.
        • Neilipovitz D.
        • Cardinal P.
        • Chiu M.
        A comparison of global rating scale and checklist scores in the validation of an evaluation tool to assess performance in the resuscitation of critically ill patients during simulated emergencies (abbreviated as “CRM simulator study IB”).
        Simul Healthc. 2009; 4 (Journal of the Society for Simulation in Healthcare): 6-16
        • Malec J.F.
        • Torsher L.C.
        • Dunn W.F.
        • et al.
        The mayo high performance teamwork scale: reliability and validity for evaluating key crew resource management skills.
        Simul Healthc. 2007; 2 (Journal of the Society for Simulation in Healthcare): 4-10
        • Rosen M.A.
        • Salas E.
        • Silvestri S.
        • Wu T.S.
        • Lazzara E.H.
        A measurement tool for simulation-based training in emergency medicine: the simulation module for assessment of resident targeted event responses (SMARTER) approach.
        Simul Healthc. 2008; 3 (Journal of the Society for Simulation in Healthcare): 170-179
        • Fischer H.
        • Strunk G.
        • Neuhold S.
        • et al.
        The effectiveness of ERC advanced life support (ALS) provider courses for the retention of ALS knowledge.
        Resuscitation. 2012; 83: 227-231
        • Jensen M.L.
        • Lippert F.
        • Hesselfeldt R.
        • et al.
        The significance of clinical experience on learning outcome from resuscitation training-a randomised controlled study.
        Resuscitation. 2009; 80: 238-243
        • Fischer H.
        • Bachmann K.
        • Strunk G.
        • et al.
        Translation of ERC resuscitation guidelines into clinical practice by emergency physicians.
        Scand J Trauma, Resuscitation Emerg Med. 2014; 22: 9
        • Rodgers D.L.
        • Bhanji F.
        • McKee B.R.
        Written evaluation is not a predictor for skills performance in an Advanced Cardiovascular Life Support course.
        Resuscitation. 2010; 81: 453-456
        • Napier F.
        • Davies R.P.
        • Baldock C.
        • et al.
        Validation for a scoring system of the ALS cardiac arrest simulation test (CASTest).
        Resuscitation. 2009; 80: 1034-1038
        • Kromann C.B.
        • Jensen M.L.
        • Ringsted C.
        The effect of testing on skills learning.
        Med Educ. 2009; 43: 21-27
        • Kromann C.B.
        • Bohnstedt C.
        • Jensen M.L.
        • Ringsted C.
        The testing effect on skills learning might last 6 months.
        Adv Health Sci Educ Theory Pract. 2010; 15: 395-401
        • Kurosawa H.
        • Ikeyama T.
        • Achuff P.
        • et al.
        A randomized, controlled trial of in situ pediatric advanced life support recertification (“pediatric advanced life support reconstructed”) compared with standard pediatric advanced life support recertification for ICU frontline providers*.
        Crit Care Med. 2014; 42: 610-618
        • Patocka C.
        • Khan F.
        • Dubrovsky A.S.
        • Brody D.
        • Bank I.
        • Bhanji F.
        Pediatric resuscitation training-instruction all at once or spaced over time?.
        Resuscitation. 2015; 88: 6-11
        • Stross J.K.
        Maintaining competency in advanced cardiac life support skills.
        Jama. 1983; 249: 3339-3341
        • Jensen M.L.
        • Mondrup F.
        • Lippert F.
        • Ringsted C.
        Using e-learning for maintenance of ALS competence.
        Resuscitation. 2009; 80: 903-908
        • Kaczorowski J.
        • Levitt C.
        • Hammond M.
        • et al.
        Retention of neonatal resuscitation skills and knowledge: a randomized controlled trial.
        Fam Med. 1998; 30: 705-711
        • Bender J.
        • Kennally K.
        • Shields R.
        • Overly F.
        Does simulation booster impact retention of resuscitation procedural skills and teamwork?.
        J Perinatol. 2014; 34 (Official journal of the California Perinatal Association): 664-668
        • Nelson K.L.
        • Shilkofski N.A.
        • Haggerty J.A.
        • Saliski M.
        • Hunt E.A.
        The use of cognitive AIDS during simulated pediatric cardiopulmonary arrests.
        Simul Healthc. 2008; 3 (journal of the Society for Simulation in Healthcare): 138-145
        • Mills P.D.
        • DeRosier J.M.
        • Neily J.
        • McKnight S.D.
        • Weeks W.B.
        • Bagian J.P.
        A cognitive aid for cardiac arrest: you can’t use it if you don’t know about it.
        Jt Commun J Qual Saf. 2004; 30: 488-496
        • Kelleher D.C.
        • Carter E.A.
        • Waterhouse L.J.
        • Parsons S.E.
        • Fritzeen J.L.
        • Burd R.S.
        Effect of a checklist on advanced trauma life support task performance during pediatric trauma resuscitation.
        Acad Emerg Med. 2014; 21 (Official journal of the Society for Academic Emergency Medicine): 1129-1134
        • Mpotos N.
        • Lemoyne S.
        • Calle P.A.
        • Deschepper E.
        • Valcke M.
        • Monsieurs K.G.
        Combining video instruction followed by voice feedback in a self-learning station for acquisition of Basic Life Support skills: a randomised non-inferiority trial.
        Resuscitation. 2011; 82: 896-901
        • Mpotos N.
        • Yde L.
        • Calle P.
        • et al.
        Retraining basic life support skills using video, voice feedback or both: a randomised controlled trial.
        Resuscitation. 2013; 84: 72-77
        • Skorning M.
        • Derwall M.
        • Brokmann J.C.
        • et al.
        External chest compressions using a mechanical feedback device: cross-over simulation study.
        Der Anaesthesist. 2011; 60: 717-722
        • Handley A.J.
        • Handley S.A.
        Improving CPR performance using an audible feedback system suitable for incorporation into an automated external defibrillator.
        Resuscitation. 2003; 57: 57-62
        • Woollard M.
        • Poposki J.
        • McWhinnie B.
        • Rawlins L.
        • Munro G.
        • O’Meara P.
        Achy breaky makey wakey heart?. A randomised crossover trial of musical prompts.
        Emerg Med J: EMJ. 2012; 29: 290-294
        • Oh J.H.
        • Lee S.J.
        • Kim S.E.
        • Lee K.J.
        • Choe J.W.
        • Kim C.W.
        Effects of audio tone guidance on performance of CPR in simulated cardiac arrest with an advanced airway.
        Resuscitation. 2008; 79: 273-277
        • Rawlins L.
        • Woollard M.
        • Williams J.
        • Hallam P.
        Effect of listening to Nellie the Elephant during CPR training on performance of chest compressions by lay people: randomised crossover trial.
        BMJ. 2009; 339: b4707
        • Couper K.
        • Smyth M.
        • Perkins G.D.
        Mechanical devices for chest compression: to use or not to use?.
        Curr Opin Crit Care. 2015; 21: 188-194
        • Allan C.K.
        • Thiagarajan R.R.
        • Beke D.
        • et al.
        Simulation-based training delivered directly to the pediatric cardiac intensive care unit engenders preparedness, comfort, and decreased anxiety among multidisciplinary resuscitation teams.
        J Thorac Cardiovasc Surg. 2010; 140: 646-652
        • Lighthall G.K.
        • Poon T.
        • Harrison T.K.
        Using in situ simulation to improve in-hospital cardiopulmonary resuscitation.
        Jt Commun J Qual Patient Saf. 2010; 36: 209-216
        • Mikrogianakis A.
        • Osmond M.H.
        • Nuth J.E.
        • Shephard A.
        • Gaboury I.
        • Jabbour M.
        Evaluation of a multidisciplinary pediatric mock trauma code educational initiative: a pilot study.
        J Trauma. 2008; 64: 761-767
        • Farah R.
        • Stiner E.
        • Zohar Z.
        • Zveibil F.
        • Eisenman A.
        Cardiopulmonary resuscitation surprise drills for assessing, improving and maintaining cardiopulmonary resuscitation skills of hospital personnel.
        Eur. J. Emerg. Med. 2007; 14 (Official journal of the European Society for Emergency Medicine): 332-336
        • Villamaria F.J.
        • Pliego J.F.
        • Wehbe-Janek H.
        • et al.
        Using simulation to orient code blue teams to a new hospital facility.
        Simul Healthc. 2008; 3 (Journal of the Society for Simulation in Healthcare): 209-216
        • Hunt E.A.
        • Hohenhaus S.M.
        • Luo X.
        • Frush K.S.
        Simulation of pediatric trauma stabilization in 35 North Carolina emergency departments: identification of targets for performance improvement.
        Pediatrics. 2006; 117: 641-648
        • Hunt E.A.
        • Walker A.R.
        • Shaffner D.H.
        • Miller M.R.
        • Pronovost P.J.
        Simulation of in-hospital pediatric medical emergencies and cardiopulmonary arrests: highlighting the importance of the first 5 min.
        Pediatrics. 2008; 121: e34-e43
        • Raemer D.
        • Anderson M.
        • Cheng A.
        • Fanning R.
        • Nadkarni V.
        • Savoldelli G.
        Research regarding debriefing as part of the learning process.
        Simul Healthc. 2011; 6Suppl (Journal of the Society for Simulation in Healthcare): S52-S57
        • Byrne A.J.
        • Sellen A.J.
        • Jones J.G.
        • et al.
        Effect of videotape feedback on anaesthetists’ performance while managing simulated anaesthetic crises: a multicentre study.
        Anaesthesia. 2002; 57: 176-179
        • Savoldelli G.L.
        • Naik V.N.
        • Park J.
        • Joo H.S.
        • Chow R.
        • Hamstra S.J.
        Value of debriefing during simulated crisis management: oral versus video-assisted oral feedback.
        Anesthesiology. 2006; 105: 279-285
        • Olasveengen T.M.
        • Vik E.
        • Kuzovlev A.
        • Sunde K.
        Effect of implementation of new resuscitation guidelines on quality of cardiopulmonary resuscitation and survival.
        Resuscitation. 2009; 80: 407-411
        • Aufderheide T.P.
        • Yannopoulos D.
        • Lick C.J.
        • et al.
        Implementing the 2005 American Heart Association Guidelines improves outcomes after out-of-hospital cardiac arrest.
        Heart Rhythm. 2010; 7: 1357-1362
        • Rea T.D.
        • Helbock M.
        • Perry S.
        • et al.
        Increasing use of cardiopulmonary resuscitation during out-of-hospital ventricular fibrillation arrest: survival implications of guideline changes.
        Circulation. 2006; 114: 2760-2765
        • Garza A.G.
        • Gratton M.C.
        • Salomone J.A.
        • Lindholm D.
        • McElroy J.
        • Archer R.
        Improved patient survival using a modified resuscitation protocol for out-of-hospital cardiac arrest.
        Circulation. 2009; 119: 2597-2605
        • Deasy C.
        • Bray J.E.
        • Smith K.
        • et al.
        Cardiac arrest outcomes before and after the 2005 resuscitation guidelines implementation: evidence of improvement?.
        Resuscitation. 2011; 82: 984-988
        • Bigham B.L.
        • Koprowicz K.
        • Rea T.
        • et al.
        Cardiac arrest survival did not increase in the Resuscitation Outcomes Consortium after implementation of the 2005 AHA CPR and ECC guidelines.
        Resuscitation. 2011; 82: 979-983
        • Lund-Kordahl I.
        • Olasveengen T.M.
        • Lorem T.
        • Samdal M.
        • Wik L.
        • Sunde K.
        Improving outcome after out-of-hospital cardiac arrest by strengthening weak links of the local Chain of Survival; quality of advanced life support and post-resuscitation care.
        Resuscitation. 2010; 81: 422-426
        • Engdahl J.
        • Abrahamsson P.
        • Bang A.
        • Lindqvist J.
        • Karlsson T.
        • Herlitz J.
        Is hospital care of major importance for outcome after out-of-hospital cardiac arrest? Experience acquired from patients with out-of-hospital cardiac arrest resuscitated by the same Emergency Medical Service and admitted to one of two hospitals over a 16-year period in the municipality of Goteborg.
        Resuscitation. 2000; 43: 201-211
        • Callaway C.W.
        • Schmicker R.
        • Kampmeyer M.
        • et al.
        Receiving hospital characteristics associated with survival after out-of-hospital cardiac arrest.
        Resuscitation. 2010; 81: 524-529
        • Carr B.G.
        • Goyal M.
        • Band R.A.
        • et al.
        A national analysis of the relationship between hospital factors and post-cardiac arrest mortality.
        Intensive Care Med. 2009; 35: 505-511
        • Carr B.G.
        • Kahn J.M.
        • Merchant R.M.
        • Kramer A.A.
        • Neumar R.W.
        Inter-hospital variability in post-cardiac arrest mortality.
        Resuscitation. 2009; 80: 30-34
        • Davis D.P.
        • Fisher R.
        • Aguilar S.
        • et al.
        The feasibility of a regional cardiac arrest receiving system.
        Resuscitation. 2007; 74: 44-51
        • Fothergill R.T.
        • Watson L.R.
        • Virdi G.K.
        • Moore F.P.
        • Whitbread M.
        Survival of resuscitated cardiac arrest patients with ST-elevation myocardial infarction (STEMI) conveyed directly to a Heart Attack Centre by ambulance clinicians.
        Resuscitation. 2014; 85: 96-98
        • Stub D.
        • Smith K.
        • Bray J.E.
        • Bernard S.
        • Duffy S.J.
        • Kaye D.M.
        Hospital characteristics are associated with patient outcomes following out-of-hospital cardiac arrest.
        Heart. 2011; 97: 1489-1494
        • Bosson N.
        • Kaji A.H.
        • Niemann J.T.
        • et al.
        Survival and neurologic outcome after out-of-hospital cardiac arrest: results one year after regionalization of post-cardiac arrest care in a large metropolitan area.
        Prehospital Emerg Care. 2014; 18 (Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors): 217-223
        • Callaway C.W.
        • Schmicker R.H.
        • Brown S.P.
        • et al.
        Early coronary angiography and induced hypothermia are associated with survival and functional recovery after out-of-hospital cardiac arrest.
        Resuscitation. 2014; 85: 657-663
        • Cudnik M.T.
        • Sasson C.
        • Rea T.D.
        • et al.
        Increasing hospital volume is not associated with improved survival in out of hospital cardiac arrest of cardiac etiology.
        Resuscitation. 2012; 83: 862-868
        • Heffner A.C.
        • Pearson D.A.
        • Nussbaum M.L.
        • Jones A.E.
        Regionalization of post-cardiac arrest care: implementation of a cardiac resuscitation center.
        Am Heart J. 2012; 164 (e2): 493-501
        • Lee S.J.
        • Jeung K.W.
        • Lee B.K.
        • et al.
        Impact of case volume on outcome and performance of targeted temperature management in out-of-hospital cardiac arrest survivors.
        Am J Emerg Med. 2015; 33: 31-36
        • Kang M.J.
        • Lee T.R.
        • Shin T.G.
        • et al.
        Survival and neurologic outcomes of out-of-hospital cardiac arrest patients who were transferred after return of spontaneous circulation for integrated post-cardiac arrest syndrome care: the another feasibility of the cardiac arrest center.
        J Korean Med Sci. 2014; 29: 1301-1307
        • Spiro J.R.
        • White S.
        • Quinn N.
        • et al.
        Automated cardiopulmonary resuscitation using a load-distributing band external cardiac support device for in-hospital cardiac arrest: a single centre experience of AutoPulse-CPR.
        Int J Cardiol. 2015; 180: 7-14
        • Wagner H.
        • Rundgren M.
        • Hardig B.M.
        • et al.
        A structured approach for treatment of prolonged cardiac arrest cases in the coronary catheterization laboratory using mechanical chest compressions.
        Int J Cardiovasc Res. 2013; 2: 4
        • Chan T.K.
        Hong Kong J Emerg Med. 2012; 19: 305-311
        • Zijlstra J.A.
        • Stieglis R.
        • Riedijk F.
        • Smeekes M.
        • van der Worp W.E.
        • Koster R.W.
        Local lay rescuers with AEDs, alerted by text messages, contribute to early defibrillation in a Dutch out-of-hospital cardiac arrest dispatch system.
        Resuscitation. 2014; 85: 1444-1449
        • Ringh M.
        • Fredman D.
        • Nordberg P.
        • Stark T.
        • Hollenberg J.
        Mobile phone technology identifies and recruits trained citizens to perform CPR on out-of-hospital cardiac arrest victims prior to ambulance arrival.
        Resuscitation. 2011; 82: 1514-1518
        • Jiang C.
        • Zhao Y.
        • Chen Z.
        • Chen S.
        • Yang X.
        Improving cardiopulmonary resuscitation in the emergency department by real-time video recording and regular feedback learning.
        Resuscitation. 2010; 81: 1664-1669
        • Stiell I.G.
        • Wells G.A.
        • Field B.J.
        • et al.
        Improved out-of-hospital cardiac arrest survival through the inexpensive optimization of an existing defibrillation program: OPALS study phase II. Ontario prehospital advanced life support.
        JAMA. 1999; 281: 1175-1181
        • Olasveengen T.M.
        • Tomlinson A.E.
        • Wik L.
        • et al.
        A failed attempt to improve quality of out-of-hospital CPR through performance evaluation.
        Prehospital Emerg Care. 2007; 11: 427-433
        • Clarke S.
        • Lyon R.
        • Milligan D.
        • Clegg G.
        Resuscitation feedback and targeted education improves quality of pre-hospital resuscitation in Scotland.
        Emerg Med J. 2011; 28: A6
        • Fletcher D.
        • Galloway R.
        • Chamberlain D.
        • Pateman J.
        • Bryant G.
        • Newcombe R.G.
        Basics in advanced life support: a role for download audit and metronomes.
        Resuscitation. 2008; 78: 127-134
        • Rittenberger J.C.
        • Guyette F.X.
        • Tisherman S.A.
        • DeVita M.A.
        • Alvarez R.J.
        • Callaway C.W.
        Outcomes of a hospital-wide plan to improve care of comatose survivors of cardiac arrest.
        Resuscitation. 2008; 79: 198-204
        • Wolfe H.
        • Zebuhr C.
        • Topjian A.A.
        • et al.
        Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes*.
        Crit Care Med. 2014; 42: 1688-1695
        • Hillman K.
        • Chen J.
        • Cretikos M.
        • et al.
        Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial.
        Lancet. 2005; 365: 2091-2097
        • Buist M.D.
        • Moore G.E.
        • Bernard S.A.
        • Waxman B.P.
        • Anderson J.N.
        • Nguyen T.V.
        Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac arrests in hospital: preliminary study.
        BMJ. 2002; 324: 387-390
        • Beitler J.R.
        • Link N.
        • Bails D.B.
        • Hurdle K.
        • Chong D.H.
        Reduction in hospital-wide mortality after implementation of a rapid response team: a long-term cohort study.
        Crit Care. 2011; 15: R269
        • Chan P.S.
        • Khalid A.
        • Longmore L.S.
        • Berg R.A.
        • Kosiborod M.
        • Spertus J.A.
        Hospital-wide code rates and mortality before and after implementation of a rapid response team.
        JAMA. 2008; 300: 2506-2513
        • Konrad D.
        • Jaderling G.
        • Bell M.
        • Granath F.
        • Ekbom A.
        • Martling C.R.
        Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team.
        Intensive Care Med. 2010; 36: 100-106
        • Lighthall G.K.
        • Parast L.M.
        • Rapoport L.
        • Wagner T.H.
        Introduction of a rapid response system at a United States veterans affairs hospital reduced cardiac arrests.
        Anesth Analg. 2010; 111: 679-686
        • Santamaria J.
        • Tobin A.
        • Holmes J.
        Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review.
        Crit Care Med. 2010; 38: 445-450
        • Priestley G.
        • Watson W.
        • Rashidian A.
        • et al.
        Introducing critical care outreach: a ward-randomised trial of phased introduction in a general hospital.
        Intensive Care Med. 2004; 30: 1398-1404
        • Delasobera B.E.
        • Goodwin T.L.
        • Strehlow M.
        • et al.
        Evaluating the efficacy of simulators and multimedia for refreshing ACLS skills in India.
        Resuscitation. 2010; 81: 217-223
        • Meaney P.A.
        • Sutton R.M.
        • Tsima B.
        • et al.
        Training hospital providers in basic CPR skills in Botswana: acquisition, retention and impact of novel training techniques.
        Resuscitation. 2012; 83: 1484-1490
        • Jain A.
        • Agarwal R.
        • Chawla D.
        • Paul V.
        • Deorari A.
        Tele-education vs classroom training of neonatal resuscitation: a randomized trial.
        J Perinatol. 2010; 30 (Official Journal of the California Perinatal Association): 773-779
        • Jenko M.
        • Frangez M.
        • Manohin A.
        Four-stage teaching technique and chest compression performance of medical students compared to conventional technique.
        Croat Med J. 2012; 53: 486-495
        • Li Q.
        • Ma E.L.
        • Liu J.
        • Fang L.Q.
        • Xia T.
        Pre-training evaluation and feedback improve medical students’ skills in basic life support.
        Med Teach. 2011; 33: e549-e555
        • Nilsson C.
        • Sorensen B.L.
        • Sorensen J.L.
        Comparing hands-on and video training for postpartum hemorrhage management.
        Acta Obstet Gynecol Scand. 2014; 93: 517-520
        • Shavit I.
        • Peled S.
        • Steiner I.P.
        • et al.
        Comparison of outcomes of two skills-teaching methods on lay-rescuers’ acquisition of infant basic life support skills.
        Acad Emerg Med. 2010; 17 (Official Journal of the Society for Academic Emergency Medicine): 979-986
        • Bossaert L.
        • Perkins G.D.
        • Askitopoulou H.
        • et al.
        European resuscitation council guidelines for resuscitation 2015 section 11 the ethics of resuscitation and end-of-life decisions.
        Resuscitation. 2015;
        • Zideman D.A.
        • De Buck E.D.J.
        • Singletary E.M.
        • et al.
        European resuscitation council guidelines for resuscitation 2015 section 9 first aid.
        Resuscitation. 2015;
        • Soar J.
        • Nolan J.P.
        • Bottiger B.W.
        • et al.
        European resuscitation council guidelines for resuscitation 2015 section 3 adult advanced life support.
        Resuscitation. 2015;
      1. ILCOR Scientific Evidence Evaluation and Review System. Available at: https://volunteer.heart.org/apps/pico/Pages/default.aspx [accessed 10.05.15].

        • Sandroni C.
        • Fenici P.
        • Cavallaro F.
        • Bocci M.G.
        • Scapigliati A.
        • Antonelli M.
        Haemodynamic effects of mental stress during cardiac arrest simulation testing on advanced life support courses.
        Resuscitation. 2005; 66: 39-44
        • Perkins G.D.
        • Barrett H.
        • Bullock I.
        • et al.
        The Acute Care Undergraduate TEaching (ACUTE) Initiative: consensus development of core competencies in acute care for undergraduates in the United Kingdom.
        Intensive Care Med. 2005; 31: 1627-1633
        • DeVita M.A.
        • Smith G.B.
        • Adam S.K.
        • et al.
        Identifying the hospitalised patient in crisis—a consensus conference on the afferent limb of rapid response systems.
        Resuscitation. 2010; 81: 375-382
        • Smith G.B.
        • Osgood V.M.
        • Crane S.
        ALERT—a multiprofessional training course in the care of the acutely ill adult patient.
        Resuscitation. 2002; 52: 281-286
        • Ringsted C.
        • Lippert F.
        • Hesselfeldt R.
        • et al.
        Assessment of Advanced Life Support competence when combining different test methods—reliability and validity.
        Resuscitation. 2007; 75: 153-160
        • Perkins G.D.
        • Davies R.P.
        • Stallard N.
        • Bullock I.
        • Stevens H.
        • Lockey A.
        Advanced life support cardiac arrest scenario test evaluation.
        Resuscitation. 2007; 75: 484-490
        • Soar J.
        • Perkins G.D.
        • Harris S.
        • et al.
        The immediate life support course.
        Resuscitation. 2003; 57: 21-26
        • Soar J.
        • McKay U.
        A revised role for the hospital cardiac arrest team?.
        Resuscitation. 1998; 38: 145-149
        • Spearpoint K.G.
        • Gruber P.C.
        • Brett S.J.
        Impact of the Immediate Life Support course on the incidence and outcome of in-hospital cardiac arrest calls: an observational study over 6 years.
        Resuscitation. 2009; 80: 638-643
        • Nolan J.
        Advanced life support training.
        Resuscitation. 2001; 50: 9-11
        • Perkins G.
        • Lockey A.
        The advanced life support provider course.
        BMJ. 2002; 325: S81
        • Tinsey V.
        A personal reflection and account on the newborn life support course.
        MIDIRS Midwifery Digest. 2003; 13: 235-237
        • Singh J.
        • Santosh S.
        • Wyllie J.P.
        • Mellon A.
        Effects of a course in neonatal resuscitation—evaluation of an educational intervention on the standard of neonatal resuscitation.
        Resuscitation. 2006; 68: 385-389
        • Carapiet D.
        • Fraser J.
        • Wade A.
        • Buss P.W.
        • Bingham R.
        Changes in paediatric resuscitation knowledge among doctors.
        Arch Dis Child. 2001; 84: 412-414
        • Schebesta K.
        • Rossler B.
        • Kimberger O.
        • Hupfl M.
        Impact of the European Paediatric Life Support course on knowledge of resuscitation guidelines among Austrian emergency care providers.
        Minerva Anestesiol. 2012; 78: 434-441
        • Cheron G.
        • Jais J.P.
        • Cojocaru B.
        • Parez N.
        • Biarent D.
        The European Paediatric Life Support course improves assessment and care of dehydrated children in the emergency department.
        Eur J Pediatr. 2011; 170: 1151-1157
        • Charalampopoulos D.
        • Karlis G.
        • Barouxis D.
        • et al.
        Theoretical knowledge and skill retention 4 months after a European Paediatric Life Support course.
        Eur J Emerg Med. 2014; (Official Journal of the European Society for Emergency Medicine)
        • Kirkpatrick D.
        • Kirkpatrick J.
        Implementing the four levels: a practical guide for the evaluation of training programs.
        Berrett-Koehler, San Francisco2007
        • Ringsted C.
        • Hodges B.
        • Scherpbier A.
        ’The research compass’: an introduction to research in medical education: AMEE Guide no. 56.
        Med Teach. 2011; 33: 695-709