P20 Undergraduate medical student 'on the spot' cardiopulmonary resuscitation simulation training

Background and Purpose Average survival for in-hospital cardiopulmonary resuscitation is approximately 10%.1 Arrest calls are typically high pressured and stressful scenarios, requiring several multidisciplinary professionals to perform as a cohesive team, whilst demanding infrequently utilised knowledge and skills. The American Heart Association recommends chest compressions are commenced within one minute, and defibrillation if indicated, within three minutes of cardiac arrest recognition. Each minute of delay increases the risk of death.2,3 Therefore clinical staff should be confident in both the recognition of cardiopulmonary arrest, and its immediate management. However, many junior doctors do not feel confident in their ability to adequately perform during a cardiac arrest.4 We delivered a cardiopulmonary resuscitation simulation training course at the Swindon Academy (University of Bristol) to address this issue. Methodology 27 fifth year medical students undertook 'on the spot' cardiopulmonary resuscitation simulation in March 2017. Data was collected using pre and post session tests which explored knowledge on the key components of cardiopulmonary resuscitation (maximum score 20). This was analysed using paired t-test and descriptive statistics. Students were also asked to rate the session overall and non-technical skills confidence post scenario and the session overall using a ten point semantic differential scale. Results 100% of students felt their confidence and ability to participate in cardiac arrests improved post session, and rated the course 8.7 out of 10. Test results revealed a statistically significant improvement post scenario (p