Simulation scenario
ROSC, cardiac arrest
VENTRICULAR FIBRILLATION, CARDIAC ARREST
The scenario took place inside a standard ambulance vehicle (Typ C) mock-up at HSC. Participants were asked to perform cardiopulmonary resuscitation on an adult high-fidelity patient simulator (SimMan 3G, Laerdal Medical AS; Stavanger, Norway). It was reported that he suffered from witnessed cardiac arrest with ventricular fibrillation (see scenario script in supplements). At the time of the study, the 2010 ERC guidelines were well established (01/13 to 06/14). ROSC established following the third defibrillation. After ROSC occurred the prehospital emergency physician arrived on scene with a third paramedic.Before the start of the scenario, an HSC instructor provided a standardized introduction to the patient simulator, simulation environment, and equipment. Teams used an automated external defibrillator in the semi-automatic mode (LIFEPAK 15 defibrillator, Physio-Control; Redmond, WA, USA). The device was adjusted to cprMAX mode, a technology intended to minimize hands-off times while charging. The team indicated that they used this configuration in daily routines.