Collections Simulation in Prehospital Rese...

Simulation in Prehospital Research

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Andrea D Shields, Jacqueline Vidosh, Brook A Thomson, Charles Minard, Kristen Annis-Brayne, Laurie Kavanagh, Cheryl K Roth, Monica A Lutgendorf, Stephen J Rahm, Les R Becker, Vincent N Mosesso, Brian Schaeffer, Andrea Gresens, Sondie Epley, Richard Wagner, Matthew J Streitz, Utpal S Bhalala, Lissa M Melvin, Shad Deering, Peter E Nielsen
OBJECTIVE: To assess the knowledge, skills, and self-efficacy of health care participants completing a simulation-based blended learning training curriculum on managing maternal medical emergencies and maternal cardiac arrest (Obstetric Life Support). METHODS: A formative assessment of the Obstetric Life Support curriculum was performed with a prehospital cohort comprising emergency medical services professionals and a hospital-based cohort comprising health care professionals who work primarily in hospital or urgent care settings and respond to maternal medical emergencies...
November 1, 2023: Obstetrics and Gynecology
Willem Stassen, Craig Wylie, Wesley Craig, Ismaeel Ebrahim, Scott H Mahoney, Anthony E Pusateri, Sanjeev Rambharose, Candice van Koningsbruggen, Richard B Weiskopf, Lee A Wallis
INTRODUCTION: Globally, very few settings have undertaken prehospital randomized controlled trials. Given this lack of experience, there is a risk that such trials in these settings may result in protocol deviations, increased prehospital intervals, and increased cognitive load, leading to error. Ultimately, this may affect patient safety and mortality. The aim of this study was to assess the effect of trial-related procedures on simulated scene interval, self-reported cognitive load, medical errors, and time to action...
September 15, 2023: Prehospital Emergency Care
Sang Hoon Lee, Lauren C Riney, Brant Merkt, Shawn D McDonough, Jordan Baker, Stephanie Boyd, Yin Zhang, Gary L Geis
OBJECTIVE: Emergency medical services (EMS) clinicians are expected to provide expert care to all patients, but face obstacles in maintaining skillsets required in the care of critically ill or injured children. The objectives of this study were to describe and assess the effectiveness of a pediatric-focused, simulation-based, procedural training program for EMS clinicians, delivered on-site by a pediatric simulation education team. We also describe a novel, remote, asynchronous performance outcome measurement system using first-person-view video review...
September 26, 2023: Prehospital Emergency Care
Axel R Heller, Tobias Neidel, Patrick J Klotz, André Solarek, Barbara Kowalzik, Kathleen Juncken, Christan Kleber
BACKGROUND: In the event of a mass casualty incident (MCI), the situation-related shortage of medical resources does not end when the patients are transported from the scene of the incident. Consequently, an initial triage is required in the receiving hospitals. In the first step, the aim of this study was to create a reference patient vignette set with defined triage categories. This allowed a computer-aided evaluation of the diagnostic quality of triage algorithms for MCI situations in the second step...
December 2023: Anaesthesiologie
Matthew J Stainer, Alex J MacQuarrie, Sean O'Loughlin, Andy Bell, Nick Abussi, Steve Whitfield, Elizabeth Cardell
BACKGROUND: Limited knowledge exists regarding how paramedics acquire an understanding of the scene they encounter upon arrival, despite their need to quickly gather information for effective clinical decision-making. This study examined visual scanning behaviour during the early stages of simulated emergency calls. METHODS: Eye movements of 10 paramedicine students were recorded during simulated calls conducted in both a high-fidelity classroom setting and a full sensory immersion setting...
October 13, 2023: Australasian emergency care
Marie-Luise Ruebsam, Dorota Orsson, Bibiana Metelmann, Jakub Orsson, Klaus Hahnenkamp, Camilla Metelmann
BACKGROUND: Cross-border cooperation of emergency medical services, institutions and hospitals helps to reduce negative impact of national borders and consecutive discrimination of persons living and working in border regions. This study aims to explore the feasibility and effectiveness of a cross-border bilingual simulation training for emergency medical services within an INTERREG-VA-funded project. METHODS: Five days of simulation training for German and Polish paramedics in mixed groups were planned...
November 13, 2023: BMC Medical Education
Perla Boutros, Nour Kassem, Jessica Nieder, Catalina Jaramillo, Jakob von Petersdorff, Fiona J Walsh, Till Bärnighausen, Sandra Barteit
Introduction: The COVID-19 pandemic has considerably impacted the clinical education and training of health workers globally, causing severe disruptions to learning environments in healthcare facilities and limiting the acquisition of new clinical skills. Consequently, urgent adaptation measures, including simulation training and e-learning, have been implemented to mitigate the adverse effects of clinical education. This scoping review aims to assess the impact of COVID-19 on medical education and training, examine the implemented adaptation measures, and evaluate their effectiveness in improving health workers' education and training during the pandemic...
November 4, 2023: Healthcare (Basel, Switzerland)
Cora Koch, Simone Meier, Cornelia Fischer, Jochen Brich
Introduction Stroke detection in the preclinical setting is challenging, resulting in more than 1/3 of missed strokes by EMS personnel. Recently, prehospital identification of anterior large vessel occlusion (LVO) stroke has come into focus. Cortical signs have a high predictive value for the presence of LVO stroke but are often missed. Simulated patients (SPs) could be an excellent tool to train EMS personnel in the evaluation of stroke syndromes with cortical symptoms but it has not been studied whether they can simulate these important signs convincingly...
November 23, 2023: Cerebrovascular Diseases
Mehul D Patel, Jefferson G Williams, Michael W Bachman, Julianne M Cyr, José G Cabañas, Nathaniel S Miller, Lauren N Gorstein, M Abdul Hajjar, Henry Turcios, John-Thomas Malcolm, Jane H Brice
OBJECTIVE: Emergency medical services (EMS) clinicians are tasked with early fluid resuscitation for patients with sepsis. Traditional methods for prehospital fluid delivery are limited in speed and ease-of-use. We conducted a comparative effectiveness study of a novel rapid infusion device for prehospital fluid delivery in suspected sepsis patients. METHODS: This pre-post observational study evaluated a hand-operated, rapid infusion device in a single large EMS system from July 2021-July 2022...
November 28, 2023: Prehospital Emergency Care
Sarah Morag, Martin Kieninger, Christoph Eissnert, Simon Auer, Sebastian Dendorfer, Daniel Popp, Johannes Hoffmann, Bärbel Kieninger
BACKGROUND: Various rescue techniques are used for the prehospital transport of trauma patients. This study compares different techniques in terms of immobilization of the cervical spine and the rescue time. METHODS: A wireless motion capture system (Xsens Technologies, Enschede, The Netherlands) was used to record motion in three-dimensional space and the rescue time in a standardized environment. Immobilization was performed by applying different techniques through different teams of trained paramedics and physicians...
2023: PloS One
Satoshi Harada, Ryotaro Suga, Kensuke Suzuki, Shinnosuke Kitano, Kenji Fujimoto, Kenji Narikawa, Mayumi Nakazawa, Satoo Ogawa
BACKGROUND: Repeated triage training is necessary to maintain and improve the accuracy of simple triage and rapid treatment (START), a popular triage method. Virtual reality (VR) may be more effective than conventional training methods. This study aimed to verify the educational usefulness of START using VR originally developed for students. METHODS: A VR was initially developed with a function that allowed students to select the triage procedure and its evaluation...
December 8, 2023: Journal of Nippon Medical School
Shane Knox, Charles Brand, Catherine Sweeney
BACKGROUND: In Ireland, there are currently three educational institutions (recognised institutions- RIs) providing paramedic programmes, accredited by the regulator, the Pre-Hospital Emergency Care Council (PHECC). Each RI assesses their students in-house, and in order to acquire a licence to practice, students must also pass summative assessments provided by PHECC. These assessments comprise multiple choice questions, short answer questions and skills assessments. The objective of this study was to explore the perceptions and experiences of paramedic educators of assessments used within their institution and by the regulator to provide insights that could inform the future design of paramedic assessments...
December 12, 2023: BMC Medical Education
Carl Robert Christiansen, Jeanette Viggen Andersen, Peter Dieckmann
BACKGROUND: Simulation in healthcare attempts to create relevant representations of patient encounters. It provides experiential learning, bridging typical classroom activities and clinical practice. This study aims to investigate whether the principle of Peer-Assisted Learning can be used in simulation by letting simulation-experienced paramedic students prepare, deliver, and debrief their own simulations, with minimal faculty assistance. This could be a way to support student learning by being involved in teaching, and it might at the same time optimise the cost-effectiveness of simulation-based training...
December 14, 2023: Advances in Simulation
Ulf Andersson, Gabriella Norberg Boysen, Anders Sterner
BACKGROUND: Medicine is facing a global shortage of nurses, including those with postgraduate education. One suggested educational method for undergraduate and postgraduate education, such as specialist ambulance nurse education, is simulation-based education (SBE). The implementation of SBE is motivated, in part, by the desire to attract and retain students, but also to contribute to student learning. Consequently, the use of SBE is increasing in specialist ambulance nurse education...
December 19, 2023: BMC Nursing
Erin Donathan, Andrea LaLumia, Charles Foat, Nigel Barr, David I Page
OBJECTIVE: Simulations are an integral part of paramedic education. Technological advancements have introduced three-dimensional virtual reality patient simulations (3DVRS), offering a low-cost, accessible alternative. This study compares the impact of 3DVRS and traditional simulation on paramedic students. METHODS: Students selected from a convenience sample of 11 cohorts in 10 accredited programs distributed across the United States were allocated to 2 groups using a stratified random sampling...
February 2024: Journal of the American College of Emergency Physicians open
Paul D Schlosser, Ben Matthews, Penelope M Sanderson, Andrew Donohue, Sass Hayes
Background: Augmented reality head-worn displays (HWDs) may enable efficient remote support in the prehospital environment due to their hand-free operability, their "see-what-I-see" features, and their ability to superimpose digital content over the environment. Methods: In this simulation-based randomized controlled study, a remote mentor used either a phone or HWD to instruct 23 physicians on how to insert a Multi-Lumen Access Catheter into a mannequin. In the phone condition, information could be exchanged only verbally...
January 12, 2024: Telemedicine Journal and E-health
Richard Pilbery, Madeleine Smith, Jonathan Green, Daniel Chalk, Colin A O'Keeffe
OBJECTIVES: This feasibility study aimed to model in silico the current healthcare system for patients triaged to a primary care disposition following a call to National Health Service (NHS) 111 and determine the effect of reconfiguring the healthcare system to ensure a timely primary care service contact. DESIGN: Discrete event simulation. SETTING: Single English NHS 111 call centre in Yorkshire. PARTICIPANTS: Callers registered with a Bradford general practitioner who contacted the NHS 111 service in 2021 and were triaged to a primary care disposition...
September 6, 2023: BMJ Open
Blanca Larraga-García, Luis Castañeda López, Fernando Monforte-Escobar, Rubén Quintero Mínguez, Manuel Quintana-Díaz, Álvaro Gutiérrez
BACKGROUND:  Trauma injuries are one of the main leading causes of death in the world. Training with guidelines and protocols is adequate to provide a fast and efficient treatment to patients that suffer a trauma injury. OBJECTIVES:  This study aimed to evaluate deviations from a set protocol, a new set of metrics has been proposed and tested in a pilot study. METHODS:  The participants were final-year students from the Universidad Autónoma de Madrid and first-year medical residents from the Hospital Universitario La Paz...
August 2023: Applied Clinical Informatics
Alexandra Rabotin, Yuval Glick, Ram Gelman, Itay Ketko, Boris Taran, Noam Fink, Ariel Furer
BACKGROUND: Current casualty care training modalities present several challenges, including limited simulation facilities, instructor dependence, lack of standardization, documentation of trainees' performance and training personalization. The study presents the design, development and preliminary evaluation of a novel hybrid training platform to address these challenges. METHODS: A mixed reality platform was chosen and developed to address field operators' requirements...
July 26, 2023: Surgical Innovation
Camilla Elena Magi, Stefano Bambi, Paolo Iovino, Khadija El Aoufy, Carla Amato, Chiara Balestri, Laura Rasero, Yari Longobucco
Nurses and paramedics play a pivotal role when mass casualty incidents (MCI) occur, yet they often feel unprepared for such events. Implementation strategies for training activities, including virtual reality (VR) and augmented reality (AR) simulations, offer realistic and immersive learning experiences, enhancing skills and competencies for nursing students. The aim of this work was to investigate the adopted tools in studies on VR and AR simulations for training nursing and paramedic students in managing MCI...
July 24, 2023: Behavioral Sciences
2023-09-07 23:44:21
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