Simulation-based Randomized Comparative Assessment of Out-of-Hospital Cardiac Arrest Resuscitation Bundle Completion by Emergency Medical Service Teams Using Standard Life Support or an Experimental Automation-assisted Approach
| Autor: | Gregory D. Jay, Selim Suner, Kenneth A. Williams, Catherine C. Pettit, Derek Merck, Bryan Y. Choi, Jason T. Machan, Leo Kobayashi, Nicholas Asselin, Lisa H. Merck, Max Dannecker |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Emergency Medical Services medicine.medical_specialty Resuscitation Epidemiology Defibrillation medicine.medical_treatment Medicine (miscellaneous) 030204 cardiovascular system & hematology Education law.invention Automation Young Adult 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Emergency medical services Humans Medicine Cardiopulmonary resuscitation Simulation Training Protocol (science) business.industry Basic life support 030208 emergency & critical care medicine medicine.disease Cardiopulmonary Resuscitation Emergency Medical Technicians Modeling and Simulation Life support Emergency medicine Female Medical emergency business Out-of-Hospital Cardiac Arrest |
| Zdroj: | Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare. 11:365-375 |
| ISSN: | 1559-713X 1559-2332 |
| DOI: | 10.1097/sih.0000000000000178 |
| Popis: | INTRODUCTION Effective resuscitation of out-of-hospital cardiac arrest (OHCA) patients is challenging. Alternative resuscitative approaches using electromechanical adjuncts may improve provider performance. Investigators applied simulation to study the effect of an experimental automation-assisted, goal-directed OHCA management protocol on EMS providers' resuscitation performance relative to standard protocols and equipment. METHODS Two-provider (emergency medical technicians (EMT)-B and EMT-I/C/P) teams were randomized to control or experimental group. Each team engaged in 3 simulations: baseline simulation (standard roles); repeat simulation (standard roles); and abbreviated repeat simulation (reversed roles, i.e., basic life support provider performing ALS tasks). Control teams used standard OHCA protocols and equipment (with high-performance cardiopulmonary resuscitation training intervention); for second and third simulations, experimental teams performed chest compression, defibrillation, airway, pulmonary ventilation, vascular access, medication, and transport tasks with goal-directed protocol and resuscitation-automating devices. Videorecorders and simulator logs collected resuscitation data. RESULTS Ten control and 10 experimental teams comprised 20 EMT-B's; 1 EMT-I, 8 EMT-C's, and 11 EMT-P's; study groups were not fully matched. Both groups suboptimally performed chest compressions and ventilations at baseline. For their second simulations, control teams performed similarly except for reduced on-scene time, and experimental teams improved their chest compressions (P=0.03), pulmonary ventilations (P |
| Databáze: | OpenAIRE |
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