BACKGROUND: Effective and timely delivery of cardiac arrest interventions during a resuscitation for in-hospital cardiac arrest (IHCA) is associated with a higher likelihood of survival. House staff play a pivotal role in leading resuscitations during IHCA. Whether a mobile application (App) that provides real-time reminders and dosing recommendations for defibrillation and vasoactive medications improves adherence to ACLS guidelines remains unknown. METHODS: As part of a quality improvement initiative, internal medicine residents at Saint Luke’s Mid America Heart Institute underwent two different cardiac arrest simulations and were randomized to do one simulation with the App and one without. All simulations included 4 rhythm cycles and were video recorded to ensure accuracy in endpo

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