Australasian Emergency Care最新文献_第7页

Mental Health First Aid training for paramedic students: An evaluation study 护理学生的心理健康急救训练:一项评价研究

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-06-01 DOI: 10.1016/j.auec.2022.09.003

Daniel P. Wadsworth , Matthew Warren-James , David Duncan , Lisa Clegg

{"title":"Mental Health First Aid training for paramedic students: An evaluation study","authors":"Daniel P. Wadsworth , Matthew Warren-James , David Duncan , Lisa Clegg","doi":"10.1016/j.auec.2022.09.003","DOIUrl":"10.1016/j.auec.2022.09.003","url":null,"abstract":"<div><h3>Background</h3><p>The combination of first-year placements, an increasing proportion of mental health callouts, and the high incidence of mental illness in health-professional tertiary students means standard curricula may not adequately prepare early-year paramedic students for mental health challenges.</p></div><div><h3>Methods</h3><p>A retrospective online survey was used to explore the experiences of paramedic students who have completed Mental Health First Aid (MHFA) training within their undergraduate studies. The content-validated survey explored the relevance, appropriateness, and novelty of MHFA training, and invited participants to reflect on the course strengths and weaknesses.</p></div><div><h3>Results</h3><p>The majority of 102 respondents, predominantly female first- and second-year paramedic students aged 18–24 years, agreed the content was relevant (86%) and appropriate (88%), with 73% agreeing they would recommend to other university students. Thematic analysis identified strengths of the course as perceived increases in mental health literacy and empowerment to act on mental health concerns. A weakness was students perceived the course did not prepare them adequately for clinical practice.</p></div><div><h3>Conclusion</h3><p>The inclusion of MHFA early in paramedic curricula is appropriate and relevant, increasing mental health literacy and empowering students to recognise and act upon mental health concerns. Application of practical scenarios may further enhance student learning experiences.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9575549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Paramedic training, experience, and confidence with out-of-hospital childbirth (OOHB) in Australia 澳大利亚院外分娩(OOHB)的护理人员培训、经验和信心

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-06-01 DOI: 10.1016/j.auec.2022.08.008

Michella G. Hill , Belinda Flanagan , Brennen Mills , Sara Hansen , Luke Hopper

{"title":"Paramedic training, experience, and confidence with out-of-hospital childbirth (OOHB) in Australia","authors":"Michella G. Hill , Belinda Flanagan , Brennen Mills , Sara Hansen , Luke Hopper","doi":"10.1016/j.auec.2022.08.008","DOIUrl":"10.1016/j.auec.2022.08.008","url":null,"abstract":"<div><h3>Background</h3><p><span>Out-of-hospital births<span> (OOHBs) are rare representing ∼0.05% of prehospital callouts. OOHBs are at increased risk of complications including life-threatening conditions such as postpartum haemorrhage and neonate resuscitation. This research investigated Australian </span></span>paramedics perceptions of’ training, experience, and confidence with OOHBs.</p></div><div><h3>Methods</h3><p>Semi-structured qualitative interviews were undertaken in late 2021 via online conference or face-to-face. Sessions were audio-recorded and transcribed. Data was analysed and coded into over-arching themes using thematic analysis.</p></div><div><h3>Results</h3><p>Fourteen participants were interviewed from military, industrial, and jurisdictional ambulance services. Nine participants were female, and experience ranged from 1.5 to 20 years. Six Australian states were represented, incorporating rural and metropolitan regions. Participants reported sporadic or infrequent training. No participant had exposure to OOHBs during their undergraduate degree, with the most experienced paramedic only attending six births. Participants with little/no experience reported low confidence, and even more experienced participants reported anxiety when attending OOHBs, particularly if there were long distances to definitive care or potential complications.</p></div><div><h3>Conclusion</h3><p>Many paramedics expressed low confidence and high anxiety regarding OOHBs, especially regarding complications. Many felt insufficient time was dedicated to OOHBs during education and training. This has the capacity to impact on patient care and outcomes.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9573361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A conceptual framework for the exploration of the relationship between systems of paramedicine and system performance 探索医疗辅助系统与系统绩效之间关系的概念框架

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-06-01 DOI: 10.1016/j.auec.2022.09.004

Timothy Makrides , Linda Ross , Cameron Gosling , Peter O’Meara

{"title":"A conceptual framework for the exploration of the relationship between systems of paramedicine and system performance","authors":"Timothy Makrides , Linda Ross , Cameron Gosling , Peter O’Meara","doi":"10.1016/j.auec.2022.09.004","DOIUrl":"10.1016/j.auec.2022.09.004","url":null,"abstract":"<div><h3>Background</h3><p>Over the past 60 years since its inception, the Anglo-American Paramedic System has continued to grow and evolve. While brief and fragmented accounts of the differences between systems have been noted in the literature, until recently there has been a paucity of research that explores and identifies sub-models of paramedicine within the Anglo-American Paramedic System.</p></div><div><h3>Objectives</h3><p>This article describes a conceptual framework that sets a roadmap for defining and comparing two newly identified sub-models of the Anglo-American Paramedic System.</p></div><div><h3>Methods</h3><p>A conceptual framework for the exploration of these novel sub-models was developed on the basis of the work completed by Donabedian as well as Turncock and Handler. These two sub-models worked to develop a model for quality assessment and performance measurement in the public health system.</p></div><div><h3>Results</h3><p>The conceptual framework consists of six components that are strongly related to each other: system design, macro context, mission and purpose, structure, service delivery models and quality outcome measures. While this framework relates specifically to two novel paramedic systems known as the Professionally Autonomous an Directive paramedic systems, it can be used to measure any integrated health model.</p></div><div><h3>Conclusion</h3><p>The conceptual framework described in this paper provides a stepwise roadmap for the definition and comparison of the newly identified paramedic systems to better inform future research that defines and compares paramedic system design and performance.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9573371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Meeting the wellness needs of emergency department clinicians: A scoping review of interventions 满足急诊科临床医生的健康需求:干预措施的范围审查

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-06-01 DOI: 10.1016/j.auec.2022.10.004

Karen M. Gerrard , Julie Shepherd , Rajesh Sehdev , Vinay Gangathimmaiah , Cate Nagle

{"title":"Meeting the wellness needs of emergency department clinicians: A scoping review of interventions","authors":"Karen M. Gerrard , Julie Shepherd , Rajesh Sehdev , Vinay Gangathimmaiah , Cate Nagle","doi":"10.1016/j.auec.2022.10.004","DOIUrl":"10.1016/j.auec.2022.10.004","url":null,"abstract":"<div><h3>Background</h3><p><span>Emergency Departments are stressful </span>work environments that can adversely affect clinicians’ wellbeing. The purpose of this scoping review was to report wellness interventions evaluated in Emergency Departments and clinicians’ experience of these interventions.</p></div><div><h3>Methods</h3><p>Five data bases were searched using a modification of Arksey and O’Malley’s framework. PRISMA guidelines for scoping reviews were employed to report the findings. The review included only peer-reviewed articles and had no date or language restrictions applied.</p></div><div><h3>Results</h3><p>Nine studies met inclusion criteria. Interventions included tactile massage, hypnosis, mindfulness, happiness practice, resiliency, meditation, and video-based debriefing. Three key themes emerged following data extraction and analysis: The value of mindfulness; One size doesn’t fit all; and Enablers and Barriers.</p></div><div><h3>Conclusions</h3><p>Successful wellness programs<span> must be relevant to Emergency Departments and staff need to be involved in the development and application of these programs to achieve maximum benefit. For long term benefits and sustainability, the strategies must be supported by senior hospital management.</span></p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9936605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Public health messaging during disasters: Practice and attitudes of Australian emergency nurses 灾害期间的公共卫生信息:澳大利亚急救护士的做法和态度

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-06-01 DOI: 10.1016/j.auec.2022.11.001

Nicole M. Coombs, Joanne E. Porter, Michael Barbagallo, Virginia Plummer

{"title":"Public health messaging during disasters: Practice and attitudes of Australian emergency nurses","authors":"Nicole M. Coombs, Joanne E. Porter, Michael Barbagallo, Virginia Plummer","doi":"10.1016/j.auec.2022.11.001","DOIUrl":"10.1016/j.auec.2022.11.001","url":null,"abstract":"<div><h3>Background</h3><p><span>The growing frequency of disasters increases health system<span> demands, increasing the need for emergency departments to provide </span></span>public health messaging to prevent illness and reduce risk. This study aims to explore emergency nurse practice and attitudes in providing public health messages from the emergency department during disasters in Australia.</p></div><div><h3>Methods</h3><p>Quantitative phase of a mixed methods study, using an explanatory sequential design. Australian emergency nurses were surveyed using a validated online questionnaire. Data was analysed using descriptive and inferential statistics, an enumerative content analysis, participant profiling and a factor analysis.</p></div><div><h3>Results</h3><p>Disaster experience varied in 143 nurse participants. The perception of the emergency nurse’s role in providing public health messages is influencing practice. Embracing teachable moments and health promotion responsibilities, attributes to positive attitudes and practice. In contrast, negative attitudes, lack of confidence, time, policy, and training, are barriers to public health messages being provided in the emergency setting.</p></div><div><h3>Conclusions</h3><p>These barriers suggest that Australian emergency nurses may not have the capability, the opportunity, nor the motivation, to provide preventative messages to their patients during disasters. Intrinsic and extrinsic factors need to be addressed, ensuring nurses are confident and supported in their public health messaging practice during disasters.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9573382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The psychometric properties of the Chinese version of the stressor scale for emergency nurses 中文版急症护士压力源量表的心理测量特征

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-06-01 DOI: 10.1016/j.auec.2022.10.005

Yuxin Wang , Qi Zhang , Saiwen Li , Yi Jin

{"title":"The psychometric properties of the Chinese version of the stressor scale for emergency nurses","authors":"Yuxin Wang , Qi Zhang , Saiwen Li , Yi Jin","doi":"10.1016/j.auec.2022.10.005","DOIUrl":"10.1016/j.auec.2022.10.005","url":null,"abstract":"<div><h3>Background</h3><p>Emergency nurses are experienced specific stress factors. To evaluate stressors of emergency nurses effectively is useful to improve quality of nursing care.</p><p>This study aimed to translate the stressor scale for emergency nurses into Chinese (C-SSEN) and carry out the reliability and validity test among Chinese emergency nurses.</p></div><div><h3>Methods</h3><p>A total of 358 emergency nurses from four hospitals in Tianjin, Henan, and Shandong province of China are recruited through a convenience sampling. The C-SSEN was translated into Chinese applying a classic ‘forward-backward’ translation method. Reliability (internal consistency, test-retest reliability) and validity (content validity, construct validity) were assessed.</p></div><div><h3>Results</h3><p>The final version of C-SSEN was rated by the expert panel, indicating good content validity (I-CVI ≥ 0.83, S-CVI = 0.96). The scale had satisfactory content validity, internal consistency (Cronbach’s α coefficient = 0.958), and test-retest reliability (intra-class correlation coefficient = 0.824).</p></div><div><h3>Conclusion</h3><p>The C-SSEN is a useful and reliable scale to evaluate stressors among emergency nurses.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9578584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Use of point of care ultrasound (POCUS) by intensive care paramedics to achieve peripheral intravenous access in patients predicted to be difficult: An out-of-hospital pilot study 重症监护护理人员使用护理点超声(POCUS)来实现预计困难患者的外周静脉注射:一项院外试点研究

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-06-01 DOI: 10.1016/j.auec.2022.10.003

Samuel O. Burton , Jake K. Donovan , Samuel L. Jones , Luke M. Phillips , David J. Anderson , Benjamin N. Meadley

{"title":"Use of point of care ultrasound (POCUS) by intensive care paramedics to achieve peripheral intravenous access in patients predicted to be difficult: An out-of-hospital pilot study","authors":"Samuel O. Burton , Jake K. Donovan , Samuel L. Jones , Luke M. Phillips , David J. Anderson , Benjamin N. Meadley","doi":"10.1016/j.auec.2022.10.003","DOIUrl":"10.1016/j.auec.2022.10.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Intravenous cannulation<span> is a common procedure for paramedics. Difficulty is often encountered and may result in escalation of care to an intensive care paramedic (ICP). Ultrasound-guided peripheral intravenous access (USGPIVA) is used in-hospital as an alternative approach. Historically limited to physicians, it is increasingly embraced by non-physicians, with point of care ultrasound (POCUS) devices more affordable, portable, and suited to the out of hospital environment.</span></p></div><div><h3>Objective</h3><p>To explore the utility of ICP-performed USGPIVA for patients who are predicted to be difficult according to a difficult intravenous access scoring tool.</p></div><div><h3>Methods</h3><p>This was a prospective observational pilot study of ICPs who used the adult difficult intravenous access (A-DIVA) scale to predict difficulty and perform USGPIVA using a contemporary POCUS device.</p></div><div><h3>Results</h3><p>For the 32 patients enroled, the overall success rate was 50% of which 87% were successful on the first attempt. Mean A-DIVA score was 4.1/5, and paradoxically, success improved with A-DIVA-predicted difficulty.</p></div><div><h3>Conclusion</h3><p>ICPs can perform USGPIVA with moderate success. The A-DIVA score could be useful for paramedics to predict difficult cannulation. Future research should focus on increasing exposure, training time and enhancing feedback to paramedics performing USGPIVA.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9628446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Pre-hospital predictors of long-term survival from out-of-hospital cardiac arrest 院前预测院外心脏骤停长期生存率

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-06-01 DOI: 10.1016/j.auec.2022.10.006

Katherine Pemberton , Richard C. Franklin , Emma Bosley , Kerrianne Watt

{"title":"Pre-hospital predictors of long-term survival from out-of-hospital cardiac arrest","authors":"Katherine Pemberton , Richard C. Franklin , Emma Bosley , Kerrianne Watt","doi":"10.1016/j.auec.2022.10.006","DOIUrl":"10.1016/j.auec.2022.10.006","url":null,"abstract":"<div><h3>Objective</h3><p>To identify predictors of longer-term outcomes from adult out-of-hospital cardiac arrest of presumed cardiac aetiology.</p></div><div><h3>Methods</h3><p>In this retrospective cohort study, three large routinely collected databases were linked: 1)QAS Out-of-Hospital Cardiac (OHCA) Registry; 2)Queensland Hospital Admitted Patient Data Collection; and 3)Queensland Registrar General Death Registry. Participants were adult (18years+) residents of Queensland, who suffered an OHCA of presumed cardiac aetiology and had resuscitation attempted by QAS paramedics between 2002 and 2014. Four mutually exclusive outcomes were analysed: 1) No pre-hospital return of spontaneous circulation (ROSC) sustained to the Emergency Department (ED) or ROSC in ED; 2) Survival< 30 days (Pre-hospital ROSC sustained to ED or ROSC in ED but death within 30 days; 3) survival between 30 and 364 days; and 4) survival to 365 + days. Multinomial logistic regression was used to calculate odds ratios and 95 % confidence intervals.</p></div><div><h3>Results</h3><p>Variables significantly predictive of survival to 365 + days after adjusting for all measured confounders are: an initial shockable rhythm; bystander witnessed events with bystander CPR; paramedic witnessed events; intubation placement; time of day (midday-2.59 pm); and attendance by Critical Care Paramedic (CCP).</p></div><div><h3>Conclusion</h3><p>From a service provision perspective, attendance of a CCP at an OHCA may be an important factor to achieve preferred long-term outcomes. Enhanced experience, exposure and expertise, together with extended clinical practice, may explain this finding.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9566494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Paramedic interactions with significant others during and after resuscitation and death of a patient 在病人复苏和死亡期间和之后，护理人员与重要他人的互动

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-06-01 DOI: 10.1016/j.auec.2022.08.007

Harrison Risson, Bronwyn Beovich, Kelly-Ann Bowles

{"title":"Paramedic interactions with significant others during and after resuscitation and death of a patient","authors":"Harrison Risson, Bronwyn Beovich, Kelly-Ann Bowles","doi":"10.1016/j.auec.2022.08.007","DOIUrl":"10.1016/j.auec.2022.08.007","url":null,"abstract":"<div><h3>Background</h3><p>Out-of-hospital cardiac arrest often occurs at home, requiring paramedics to interact with family members and bystanders during resuscitation and inform them should the patient die. This study explores how paramedics navigate interactions and the changing needs of the patient and the bereaved.</p></div><div><h3>Methods</h3><p>Phenomenological methodology inspired individual, semi-structured interviews. Data was then coded using reflexive thematic analysis.</p></div><div><h3>Results</h3><p>Ten individual interviews with working paramedics with an average of 7.2 years of experience were analysed and resulted in four overarching themes. These themes encompassed communication goals and factors affecting their implementation. Four themes emerged: maximising patient outcome, minimising psychological trauma for significant others, paramedic engagement and communicating across cultures. Communication goals shift from maximising patient outcome to minimising psychological trauma for significant others during the resuscitation. Implementation of those goals is affected by paramedic engagement and communicating across cultures.</p></div><div><h3>Conclusions</h3><p>Paramedics used communication techniques based on personal and professional experiences, attempting to navigate limited resources, factors affecting paramedic engagement and a perceived lack of education and support in matters of grief and death.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9573358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Effect of a specific training intervention with task interruptions on the quality of simulated advance life support: A randomized multi centered controlled simulation study 具有任务中断的特定训练干预对模拟提前生命支持质量的影响:一项随机多中心控制模拟研究

IF 1.8 4区医学

Australasian Emergency Care Pub Date : 2023-06-01 DOI: 10.1016/j.auec.2022.10.001

Jennifer Truchot , Daphné Michelet , Anne Laure Philippon , David Drummond , Yonathan Freund , Patrick Plaisance

{"title":"Effect of a specific training intervention with task interruptions on the quality of simulated advance life support: A randomized multi centered controlled simulation study","authors":"Jennifer Truchot , Daphné Michelet , Anne Laure Philippon , David Drummond , Yonathan Freund , Patrick Plaisance","doi":"10.1016/j.auec.2022.10.001","DOIUrl":"10.1016/j.auec.2022.10.001","url":null,"abstract":"<div><h3>Purpose</h3><p>Task interruptions (TI) are frequent disturbances for emergency professionals performing advanced life support (ALS). The aim of our study was to evaluate a specific training intervention with TI on the quality of simulated ALS.</p></div><div><h3>Methods</h3><p>During this multi centered randomized controlled trial, each team included one resident, one nurse and one emergency physician. The teams were randomized for the nature of their training session: control (without interruption) or intervention (with TI). The primary outcome was non-technical skills assessed with the TEAM score. We also measured the no flow time, the Cardiff score and chest compression depth and rate.</p></div><div><h3>Results</h3><p>On a total of 21 included teams, 11 were randomized to a control training session and 10 to the specific TI training. During training, teams’ characteristics and skills were similar between the two groups. During the evaluation session, the TEAM score was not different between groups: median score for control group 33,5 vs 31,5 for intervention group. We also report similar no flow time and Cardiff score.</p></div><div><h3>Conclusion</h3><p>In this simulated ALS study, a specific training intervention with TI did not improve technical and non-technical skills. Further research is required to limit the impact of TI in emergency settings.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9578580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1