García-Huitrón JA, Coronel-Gutiérrez LG, Chaparro-Obregón MF

Language: Spanish
References: 10
Page: 67-71
PDF size: 240.43 Kb.

ABSTRACT

Introduction: coronary heart disease is the most frequent cause of death in the world and asystole is the second cause of in-hospital death. The scenario allows us to face a situation in which we must diagnose and respond to these circumstances. Material and methods: designed by an intern at a medical simulation center to be applied with undergraduate students who received classes on electrocardiogram (ECG) and advanced cardiovascular life support (ACLS). Results: it was used in 8 simulations (24 students). The initial diagnosis of STEMI was established in 100% of the simulations, 63% defined the infarction as anteroseptal, 100% performed quality compressions, 38% applied adrenaline, and 100% recognized the exit rhythm. In the debriefing, the need to correlate the electrocardiographic findings with the anatomy and to master the algorithm proposed by the American Heart Association (AHA) was specified. Conclusions: knowledge in the identification of infarction was demonstrated, as well as the inability to locate the affected anatomy and ignorance of the use of adrenaline in asystole. Medical schools are urged to support the development of instructors with the ability to apply scenarios to promote substantial learning and thus educate physicians capable of diagnosing heart attack and its complications.

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