[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-372984-105":59,"doc-detail-372984-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","emotional-stressors-in-advanced-cardiac-life-support-training","Emotional stressors in advanced cardiac life support training","","Advanced Cardiac Life Support (ACLS) skills tend to decline over time, while high-fidelity simulation (HFS) is believed to improve training. This study evaluated whether adding emotional stressors to HFS would increase learner anxiety and improve retention. Twenty-five Year 1–2 medical students were randomized to control HFS or emotional content scenarios and assessed with the State-Trait Anxiety Inventory and later ACLS knowledge and practical performance after six months.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/emotional-stressors-in-advanced-cardiac-life-support-training/372984/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/emotional-stressors-in-advanced-cardiac-life-support-training/372984.png","ImageObject",300,407,{"name":92,"@type":93},"Fahsai","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-04","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What was the main goal of the study?","Question",{"text":112,"@type":113},"To test whether emotional stressors added to high-fidelity ACLS simulation would increase anxiety and whether that would lead to improved knowledge retention after six months.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were participants assigned and assessed?",{"text":117,"@type":113},"Twenty-five Year 1–2 student volunteers were randomized to a control HFS group or an emotional content group. Heart rate was monitored and anxiety was measured using the State-Trait Anxiety Inventory.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the key findings after six months?",{"text":121,"@type":113},"Written test scores were similar between groups, but the emotional content group achieved higher practical competency (‘mega code’) scores. The emotional content group also experienced greater anxiety during training.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},372984,1790629798,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":52,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},549768702563,"https://ap-avatar.wpscdn.com/avatar/8000c4aa63b76e948b?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786536092046926083","simulation  \nAdding emotional stressors to training in simulated cardiopulmonary arrest enhances participant performance  \nSamuel DeMaria Jr,1 Ethan O Bryson,1 Timothy J Mooney,1 Jeffrey H Silverstein,1,2,3 David L Reich,1 Carol Bodian1,4 & Adam I Levine1,5,6  \n| \u003Cbr>OBJECTIVES Advanced cardiac life support (ACLS) skills tend to degrade over time. There is mounting evidence that high-fidelity simulation (HFS) is advantageous to teaching ACLS. The aspects of HFS that enhance learning are not entirely clear, but the anxiety generated by a scenario may enhance retention through\u003Cbr>well-established learning pathways. We sought to determinewhether an HFSwith added emotional stress could provoke anxiety and, if so, whether or not participants learning ACLS would demonstrate better written and applied knowledge retention 6 months after their initial course.\u003Cbr>METHODS Twenty-five student volunteers from Year 1 and 2 at Mount Sinai School of Medicine were randomly assigned to a control group or an emotional content (EC) group fora sudden cardiac death management course. All subjects were monitored for heart rate and were assessed using the State-Trait Anxiety Inventory. Control group participants experienced an HFS in which actors were not scripted to add stress, whereas EC group participants were exposed to an emotionally charged environment using the same actors.\u003Cbr>| \u003Cbr>RESULTS Participants across the two groups were well matched by resting heart rates, baseline anxiety and prior ACLS knowledge. The EC group participants experienced greater anxiety than controls (mean state anxiety score: 35.0 versus 28.2 [p \u003C 0.05]; average heart rate [HR]: 94.6 bpm versus\u003Cbr>72.9 bpm [p \u003C 0.05]; maximum HR:\u003Cbr>120.8 bpm versus 95.3 bpm [p \u003C 0.05]) . Six months later, written test scores were similar, but the EC group participants achieved higher practical competency examination (‘mega code’) scores than controls (32.5 versus 25.0; p \u003C 0.05) . Independent t-tests and Spearman rank coefficients were employed where applicable.\u003Cbr>CONCLUSIONS Simulation with added emotional stressors led to greater anxiety during ACLS instruction but correlated with enhanced performance of ACLS skills after this course. The quantitative and qualitative values of added stressors need further |  |\n| --- | --- | --- |\n|  | exploration, but these values represent important variables in simulation-based education. | |\n\nMedical Education 2010: 44: 1006–1015  \ndoi:10.1111/j.1365-2923.2010.03775.x  \n1Department of Anaesthesiology, Mount Sinai Medical Center, New York, New York, USA  \n2Department of Surgery, Mount Sinai Medical Center, New York, New York, USA  \n3Department of Geriatrics and Palliative Care, Mount Sinai Medical Center, New York, New York, USA  \n4Department of Biostatistics, Mount Sinai Medical Center, New York, New York, USA  \n5Department of Otolaryngology, Mount Sinai Medical Center, New York, New York, USA  \n6Department of Structural and Chemical Biology, Mount Sinai Medical Center, New York, New York, USA  \nCorrespondence: S DeMaria Jr, MD, Department of Anaesthesiology, Mount Sinai School of Medicine, 1 Gustave L Levy Place, Box 1010, New York, New York 10029, USA. Tel: 00 1 212 241 7475;  \nFax: 00 1 212 876 3906; E-mail: [demarisa@gmail.com](demarisa@gmail.com)  \n1006 ª Blackwell Publishing Ltd 2010 . MEDICAL EDUCATION 2010; 44: 1006–1015  \nEmotional stressors in advanced cardiac life support training  \nIINTRODUCTION  \nSudden cardiac death is a serious medical problem, which, despite a long history of research into the subject, tends to be poorly managed by hospital responders. 1,2 Knowledge of advanced cardiac life support (ACLS) is required for hospital-based doctors as a part of privileging procedures for most institutions. In general, completion of an American Heart Association (AHA)-sanctioned course with bi-yearly renewal is considered satisfactory evidence of written and practical (applied) ACLS knowledge.3 Despite this renewal schedule, studies have","cbCaigtZgY7htko6","https://ap.wps.com/l/cbCaigtZgY7htko6","pdf",268292,"English","# Objectives\n# Methods\n# Results\n# Conclusions\n# Introduction\n# Background and Rationale","[{\"question\":\"What was the main goal of the study?\",\"answer\":\"To test whether emotional stressors added to high-fidelity ACLS simulation would increase anxiety and whether that would lead to improved knowledge retention after six months.\"},{\"question\":\"How were participants assigned and assessed?\",\"answer\":\"Twenty-five Year 1–2 student volunteers were randomized to a control HFS group or an emotional content group. Heart rate was monitored and anxiety was measured using the State-Trait Anxiety Inventory.\"},{\"question\":\"What were the key findings after six months?\",\"answer\":\"Written test scores were similar between groups, but the emotional content group achieved higher practical competency (‘mega code’) scores. The emotional content group also experienced greater anxiety during training.\"}]","Emotional stressors in advanced cardiac life support training | PDF",1790196156,25]