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To the Editor.—
During a recent advanced cardiac life support (ACLS) class we experienced an unusually high failure ratio in one of the work-shops. Part of the American Heart Association's (AHA) criteria for an ACLS instructor's class is for each participant to complete successfully eight workshops (performance stations) covering various skill areas of resuscitation. On the first day of the two-day class 15 students went through the static dysrhythmia work-shop. The workshop is followed with an examination on 13 dysrhythmias. For students to complete this section they must score 100%. The examination can be given by showing ECGs on an overhead projector, slide projector, or ECG recording paper. Twelve (80%) of 15 failed the examination when it was given via an overhead projector. Of the 15 students, eight were physicians, three were registered nurses, three were registered respiratory therapists, and one was a registered cardiopulmonary technologist. As a prerequisite to
Rumble L, Smith LK. Methods of Examination. JAMA. 1982;247(14):1935-1936. doi:10.1001/jama.1982.03320390019012