Resident training for eclampsia and magnesium toxicity management: simulation or traditional lecture?

Abstract

OBJECTIVE:

To compare eclampsia and magnesium toxicity management among residents randomly assigned to lecture or simulation-based education.

STUDY DESIGN:

Statified by year, residents (n = 38) were randomly assigned to 3 educational intervention groups: Simulation→Lecture, Simulation, and Lecture. Postintervention simulations were performed for all and scored using standardized lists. Maternal, fetal, eclampsia management, and magnesium toxcity scores were assigned. Mann-Whitney U, Wilcoxon rank sum and χ(2) tests were used for analysis.

RESULTS:

Postintervention maternal (16 and 15 vs 12; P < .05) and eclampsia (19 vs 16; P < .05) scores were significantly better in simulation based compared with lecture groups. Postintervention magnesium toxcitiy and fetal scores were not different among groups. Lecture added to simulation did not lead to incremental benefit when eclampsia scores were compared between Simulation→Lecture and Simulation (19 vs 19; P = nonsignificant).

CONCLUSION:

Simulation training is superior to traditional lecture alone for teaching crucial skills for the optimal management of both eclampsia and magnesium toxicity, 2 life-threatening obstetric emergencies.

• Authors: Nelli Fisher, Peter S Bernstein, Andrew Satin, Setul Pardanani, Hye Heo, Irwin R Merkatz, Dena Goffman
• Journal: American journal of obstetrics and gynecology (Am J Obstet Gynecol) Vol. 203 Issue 4 Pg. 379.e1-5 (Oct 2010) ISSN: 1097-6868 [Electronic] United States
• PMID: 20691408 (Publication Type: Journal Article, Randomized Controlled Trial)
• Copyright: Published by Mosby, Inc.

Chemical References

• Anticonvulsants
• Magnesium Sulfate

Topics

• Anticonvulsants (administration & dosage, adverse effects)
• Eclampsia (drug therapy)
• Female
• Humans
• Internship and Residency
• Magnesium Sulfate (administration & dosage, adverse effects)
• Medication Errors (prevention & control)
• Obstetrics (education)
• Patient Simulation
• Pregnancy
• Prospective Studies
• Seizures (prevention & control)
• Teaching (methods)