How Clean Are You Really? A Simulation Study of Droplet Splash Using an Acrylic Box During Cardiopulmonary Resuscitation

Lumlertgul, Suthaporn; Inboriboon, Pholaphat Charles

doi:10.1097/sih.0000000000000569

Cited by 4 publications

(4 citation statements)

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“…The study characteristics are presented in the Table 1. Most of the studies on simulation-based training were developed in response to SARS-CoV-2 (n = 117, 79.1%) 6–8,16–128 . Eighteen were motivated by Ebola outbreaks (12.2%), 129–146 7 by influenza (4.7%), 147–153 3 by MERS (2%), 154–156 and 3 by pandemics in general (2%) 157–159 …”

Section: Resultsmentioning

confidence: 99%

Health Care Simulation as a Training Tool for Epidemic Management

et al. 2023

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Summary StatementThe objective of this research was to identify and review studies that have evaluated the impact of simulation-based training on health care professionals during epidemics.All studies in health care simulation-based training published during the last 5 epidemics with a global impact (SARS-CoV, H1N1, MERS, Ebola, SARS-CoV-2; through July 2021) were selected from a systematic search of PUBMED, EMBASE, and key journals.The search strategy identified 274 studies; 148 met the inclusion criteria and were included. Most of the studies were developed in response to SARS-CoV-2 infection (n = 117, 79.1%), used a descriptive approach (n = 54, 36.5%), and were used to train technical skills (n = 82, 55.4%).This review demonstrates a growing interest in publications related to health care simulation and epidemics. Most of the literature is marked by limited study designs and outcome measurements, although there is a trend toward the use of more refined methodologies in the most recent publications. Further research should seek the best evidence-based instructional strategies to design training programs in preparation for future outbreaks.

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Section: Resultsmentioning

confidence: 99%

Health Care Simulation as a Training Tool for Epidemic Management

et al. 2023

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“…The premise of the patient barrier device was not only to contain aerosolization at the source but also to enable team-based CPR, including chest compressions and defibrillation as needed. Current acrylic boxes made for anesthesiologists and airway management are not necessarily conducive to the team dynamics of a cardiopulmonary arrest resuscitation team 7,8 . Our intervention and study idea were conceived in the US in March 2020, during which the lack of resources and supplies became apparent during the initial spread in Italy and Iran.…”

Section: Methodsmentioning

confidence: 99%

“…Current acrylic boxes made for anesthesiologists and airway management are not necessarily conducive to the team dynamics of a cardiopulmonary arrest resuscitation team. 7,8 Our intervention and study idea were conceived in the US in March 2020, during which the lack of resources and supplies became apparent during the initial spread in Italy and Iran. Therefore, we opted to develop a very low-cost, rapidly deployable device in times of severe resource constraints.…”

Section: Intervention Of Interest -Plastic Barrier Drapementioning

confidence: 99%

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The Effect of a Plastic Barrier Drape on Resuscitation Performance and Provider Contamination

Young¹,

Lau²,

Buan³

et al. 2022

Sim Healthcare

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Background: Patient barriers to protect health care workers from COVID-19 exposure have been studied for airway management. Few are tested for cardiopulmonary resuscitation (CPR). We sought to determine whether a plastic drape barrier affects resuscitation performance and contamination risks for a simulated cardiopulmonary arrest scenario. Methods: This pilot trial randomized in-hospital resuscitation teams of 4 to 6 participants to a plastic drape or without a drape in an in situ cardiopulmonary arrest simulation. The mannequin's airway emanated simulated virus particles (GloGerm, Moab, UT), detectable through UV light. Primary outcomes included airway management and CPR quality measures. Secondary outcomes included visible contamination on personal protective equipment (PPE). We used the Non-Technical Skills (NO-TECHS) instrument to measure perceived team performance and the NASA Task Load Index (NASA-TLX) to measure individual workload. Outcome variables were analyzed using an analysis of covariance (ANCOVA) with participant number as a covariate. Results: Seven teams were allocated to the intervention (plastic drape) group and 7 to the control. Intubation and ventilation performance (η 2 = 0.09, P > 0.3) and chest compression quality (η 2 = 0.03-0.19, P > 0.14) were not affected by the plastic drape. However, mean contaminated PPE per person decreased with the drape (2.8 ± 0.3 vs. 3.7 ± 0.3, partial η 2 = 0.29, P = 0.05). No differences in perceived workload nor team performance were noted ( P > 0.09). Conclusions: In this pilot study, the use of a plastic drape barrier seems not to affect resuscitation performance on simulated cardiopulmonary arrest but decreases health care worker contamination risk. Further implementation trials could characterize the true risk reduction and any effect on resuscitation outcomes.

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