Effectiveness of Realistic Simulation in Training Emergency Responders for Cardiopulmonary Resuscitation in In Hospital and Pre-Hospital Environments

Realistic simulation has been established as an essential pedagogical tool for qualifying healthcare professionals and rescuers, allowing the reproduction of critical scenarios in a controlled and safe environment, without risks to real patients. This article analyzes the effectiveness of this educational technology in training military firefighters, nurses, and other healthcare professionals, focusing on the management of cardiopulmonary arrest (CPA) in pre-hospital and in-hospital contexts. The methodology adopted involves a systematic literature review, including quasi-experimental studies, randomized clinicaltrials, and reviews comparing Basic Life Support (BLS) and Advanced Life Support (ALS) protocols. The effectiveness assessment is based on validated checklists and performance analysis before and after simulated training. The work also examines factorsthat influence learning, such as environmental realism, technologies employed, immediate feedback (debriefing), and multiprofessional integration. Evidence demonstrates that realistic simulation significantly increases the acquisition andretention of psychomotor skills, improves communication and teamwork in crisis situations, and reduces time for critical interventions. It is concluded that simulation is a superior strategy to traditional training, contributing to qualifying professionals and expanding care safety in CPA management.