A Simple Allergist-Led Intervention Improves Resident Training in Anaphylaxis

Jongco, Artemio M.; Bina, Sheila M.; Sporter, Robert; Petrizzo, Marie Cavuoto; Kaplan, Blanka; Kline, Myriam; Schuval, Susan

doi:10.1155/2016/9040319

Cited by 5 publications

(3 citation statements)

References 36 publications

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“…Because anaphylaxis is a relatively rare clinical problem, updating the knowledge may not be enough to improve the management of anaphylaxis. Although it is not the subject of this study, it is possible to plan studies to develop different forms of training that will improve the diagnosis and treatment process 20,21 . It is currently considered to be the simplest measure to have a written anaphylaxis action plan including the diagnostic criteria of anaphylaxis wherever patient care is applied in order to increase the recognition and appropriate treatment of anaphylaxis.…”

Section: Discussionmentioning

confidence: 99%

Physicians' Approach to Anaphylaxis in Childhood

Tunçel¹,

Sancaklı

Bağ

et al. 2020

Pediatr Emer Care

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Objectives: Anaphylaxis is a life-threatening, severe, generalized, or systemic hypersensitivity reaction. The incidence of anaphylaxis is increasing especially in pediatric age. Our aim in this study was to investigate the knowledge and attitudes of the physicians on the diagnosis and treatment of anaphylaxis.Methods: A questionnaire form consisting of a total of 18 questions was prepared. Six questions concerned demographic data; 7 questions inquired about physician's knowledge level about treatment of anaphylaxis. In the last part, 5 different case scenarios were given, and their diagnoses and treatments were asked.Results: A total of 120 physicians participated in the study. Of the participants, 66.7% were residents. The rate of correct answer about dose of epinephrine was 57.5%. The rates of making correct diagnoses in anaphylaxis case scenarios 1, 2, and 3 were 60%, 73.3%, and 91.7%, respectively, whereas epinephrine administration rates were 54%, 67.5%, and 92.5%, respectively. When the answers of all these questions given by the residents and specialists and among physicians who updated and did not update were compared, there were no statistically significant differences except epinephrine administration rate and its route (P < 0.05). Conclusions:The results of the current study suggest that physicians' knowledge levels were inadequate in making the diagnosis of anaphylaxis, and physicians use epinephrine in conditions without hypotension or an undefined possible/known allergen contact. Information about epinephrine administration was partially correct. It is currently considered to be the simplest measure to have a written anaphylaxis action plan including diagnostic criteria for anaphylaxis.

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Section: Discussionmentioning

confidence: 99%

Physicians' Approach to Anaphylaxis in Childhood

Tunçel¹,

Sancaklı

Bağ

et al. 2020

Pediatr Emer Care

View full text Add to dashboard Cite

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“…Recognition and management of ADAM is challenging for physicians. 3 Effective interventions are needed to improve physician knowledge and competency in ADAM. 3 Knowledge gaps of medical students in Anaphylaxis resuscitation have been documented.…”

Section: Introductionmentioning

confidence: 99%

“… 3 Effective interventions are needed to improve physician knowledge and competency in ADAM. 3 Knowledge gaps of medical students in Anaphylaxis resuscitation have been documented. 4 The non-optimized diagnosis and recognition of anaphylaxis remains to be a known knowledge and skill deficit in medical education.…”

Section: Introductionmentioning

confidence: 99%

A Conceptual Framework for Instructional Design of a High Acuity and Low Occurrence Event - Simulation Based Education Training of Residents, Medical Students, and Nurses in Anaphylaxis Utilizing Curated Educational Theories

Hakemi¹,

Blamoun²,

Lundahl³

et al. 2023

AMEP

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The broad goal of this educational curriculum is utilization and optimization of Simulation-Based Education (SBE) in the training of residents, medical students, and nursing staff involved in the rapid and timely recognition of Anaphylaxis and its optimized treatment. A critical gap in Anaphylaxis Diagnosis, Management, and Treatment (ADAM) has been well established across medical disciplines. It is imperative to include all members of the healthcare team, as nurses and pharmacists play key roles in anaphylaxis recognition and care. Nurses and pharmacists are proficiently trained in the initial assessment of acute patient complaints, status, and in proper dosing/administration considerations. Anaphylaxis is a High Acuity and Low Occurrence (HALO) event. Delayed recognition and administration of epinephrine-autoinjector (EAI) is a patient safety concern. Suboptimal technique and expertise in this regard is common. Literature abounds with reports of physician trainee doubts and uncertainties in the recognition and optimized management of Anaphylaxis. Importantly, Anaphylaxis is frequently misdiagnosed in hospital emergency departments. SBE methodologies are ideal for instructing HALO experiences. The framework of the “Zone of Simulation Matrix” supports the utilization of a simulation experience in this instance. Learning will be effective, enhanced, and made durable by embedding numerous specifically curated educational theories. Given the paucity in training of residents and nursing staff in Anaphylaxis, such instruction is imperative. Of note, a special emphasis in this curricular framework is the debriefing experience. Considerations will be given to the psychological safety of the trainees and the importance of the heterogeneity of prior experiences. Precise diagnosis minimizes mortality. In the hospital setting, nurses are the first responders to critical HALO events, and there is a lack of awareness of ADAM by nursing students.

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