Why Your CPR Training Surface Might Be Costing Lives

In the high-stakes in-hospital environment, we are often training our hands for a floor that doesn't exist. There is a profound clinical irony at play: while medical professionals spend countless hours mastering life-saving protocols, the physical environment of that training, usually a firm classroom floor, is fundamentally at odds with the clinical reality of an in-hospital arrest. A "simulation gap" is not merely a logistical nuance; it is a critical variable in patient survival. By evaluating the performance of nurses and nursing support staff, researchers have uncovered how our training surfaces and the rapid decay of technical skills may be quietly undermining the quality of resuscitative care.