ABCDE cognitive aid tool in patient assessment – development and validation in a multicenter pilot simulation study

Autor: David Peran, Jiri Kodet, Jaroslav Pekara, Lucie Mala, Anatolij Truhlar, Patrik Christian Cmorej, Kasper Glerup Lauridsen, Ferenc Sari, Roman Sykora
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: BMC Emergency Medicine, Vol 20, Iss 1, Pp 1-8 (2020)
Druh dokumentu: article
ISSN: 1471-227X
DOI: 10.1186/s12873-020-00390-3
Popis: Abstract Background The so called ABCDE approach (Airway-Breathing-Circulation-Disability-Exposure) is a golden standard of patient assessment. The efficacy of using cognitive aids (CA) in resuscitation and peri-arrest situations remains an important knowledge gap. This work aims to develop an ABCDE CA tool (CAT) and study its potential benefits in patient condition assessment. Methods The development of the ABCDE CAT was done by 3 rounds of modified Delphi method performed by the members of the Advanced Life Support Science and Education Committee of the European Resuscitation Council. A pilot multicentre study on 48 paramedic students performing patient assessment in pre-post cohorts (without and with the ABCDA CAT) was made in order to validate and evaluate the impact of the tool in simulated clinical scenarios. The cumulative number and proper order of steps in clinical assessment in simulated scenarios were recorded and the time of the assessment was measured. Results The Delphi method resulted in the ABCDE CAT. The use of ABCDE CAT was associated with more performed assessment steps (804: 868; OR = 1.17, 95% CI: 1.02 to 1.35, p = 0.023) which were significantly more frequently performed in proper order (220: 338; OR = 1.68, 95% CI: 1.40 to 2.02, p
Databáze: Directory of Open Access Journals
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