High fidelity medical simulation in the difficult environment of a helicopter: feasibility, self-efficacy and cost

Wright, Seth W.; Lindsell, Christopher J.; Hinckley, William R.; Williams, Annette; Holland, Carolyn K.; Lewis, Clark H.; Heimburger, Gail

doi:10.1186/1472-6920-6-49

Cited by 39 publications

(15 citation statements)

References 27 publications

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“…[32][33][34] The optimal measurement tool for assessment of participant experience in simulation has not yet been identified. 35 The VAS appears to be a reasonable measure of the subjective components of simulation training at the present time.…”

Section: Limitationsmentioning

confidence: 99%

Hybrid Simulation Combining a High Fidelity Scenario with a Pelvic Ultrasound Task Trainer Enhances the Training and Evaluation of Endovaginal Ultrasound Skills

Girzadas¹,

Antonis²,

Zerth³

et al. 2009

Academic Emergency Medicine

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Objectives: In this study, an endovaginal ultrasound (US) task trainer was combined with a high-fidelity US mannequin to create a hybrid simulation model. In a scenario depicting a patient with ectopic pregnancy and hemorrhagic shock, this model was compared with a standard high-fidelity simulation during training sessions with emergency medicine (EM) residents. The authors hypothesized that use of the hybrid model would increase both the residents' self-reported educational experience and the faculty's self-reported ability to evaluate the residents' skills.Methods: A total of 45 EM residents at two institutions were randomized into two groups. Each group was assigned to one of two formats involving an ectopic pregnancy scenario. One format incorporated the new hybrid model, in which residents had to manipulate an endovaginal US probe in a task trainer; the other used the standard high-fidelity simulation mannequin together with static photo images. After finishing the scenario, residents self-rated their overall learning experience and how well the scenario evaluated their ability to interpret endovaginal US images. Faculty members reviewed video recordings of the other institution's residents and rated their own ability to evaluate residents' skills in interpreting endovaginal US images and diagnosing and managing the case scenario. Visual analog scales (VAS) were used for the self-ratings.Results: Compared to the residents assigned to the standard simulation scenario, residents assigned to the hybrid model reported an increase in their overall educational experience (D VAS = 10, 95% confidence interval [CI] = 4 to 18) and felt the hybrid model was a better measure of their ability to interpret endovaginal US images (D VAS = 17, 95% CI = 7 to 28). Faculty members found the hybrid model to be better than the standard simulation for evaluating residents' skills in interpreting endovaginal US images (D VAS = 13, 95% CI = 6 to 20) and diagnosing and managing the case (D VAS = 10, 95% CI = 2 to 18). Time to reach a diagnosis was similar in both groups (p = 0.053).Conclusions: Use of a hybrid simulation model combining a high-fidelity simulation with an endovaginal US task trainer improved residents' educational experience and improved faculty's ability to evaluate residents' endovaginal US and clinical skills. This novel hybrid tool should be considered for future education and evaluation of EM residents. The use of endovaginal US by emergency physicians (EPs) has demonstrated potential to decrease emergency department (ED) length of stay and to facilitate rapid assessment of patients with ruptured ectopic pregnancy.2,3 During the past 10 years, acquiring and interpreting US images has become an accepted part of the training of emergency medicine (EM) residents. The

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Section: Limitationsmentioning

confidence: 99%

Hybrid Simulation Combining a High Fidelity Scenario with a Pelvic Ultrasound Task Trainer Enhances the Training and Evaluation of Endovaginal Ultrasound Skills

Girzadas¹,

Antonis²,

Zerth³

et al. 2009

Academic Emergency Medicine

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“…They are being used to teach cognitive strategies, crisis resource management, professionalism and teamwork for undergraduates and high student satisfaction has been reported by its users [7]. Its effectiveness as a teaching tool is well established by various studies [8].…”

Section: Introductionmentioning

confidence: 99%

Role of SimMan in teaching clinical skills to preclinical medical students

et al. 2013

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BackgroundSimulation training has potential in developing clinical skills in pre-clinical medical students, but there is little evidence on its effectiveness.MethodsTwenty four first year graduate entry preclinical medical students participated in this crossover study. They were divided into two groups, one performed chest examination on each other and the other used SimMan. The groups then crossed over. A pretest, midtest and post-test was conducted in which the students answered the same questionnaire with ten questions on knowledge, and confidence levels rated using a 5 point Likert scale. They were assessed formatively using the OSCE marking scheme. At the end of the session, 23 students completed a feedback questionnaire. Data was analyzed using one-way ANOVA and independent t-test.ResultsWhen the two groups were compared, there was no significant difference in the pretest and the post-test scores on knowledge questions whereas the midtest scores increased significantly (P< 0.001) with the group using SimMan initially scoring higher. A significant increase in the test scores was seen between the pre-test and the mid-test for this group (P=0.009). There was a similar albeit non significant trend between the midtest and the post-test for the group using peer examination initially.Mean confidence ratings increased from the pretest to midtest and then further in the post-test for both groups. Their confidence ratings increased significantly in differentiating between normal and abnormal signs [Group starting with SimMan, between pretest and midtest (P= 0.01) and group starting with peer examination, between midtest and post-test (P=0.02)]. When the students’ ability to perform examination on each other for both groups was compared, there was a significant increase in the scores of the group starting with SimMan (P=0.007).ConclusionsThis pilot study demonstrated a significant improvement in the students’ knowledge and competence to perform chest examination after simulation with an increase in the student’s perceived levels of confidence. Feedback from the students was extremely positive. SimMan acts as a useful adjunct to teach clinical skills to preclinical medical students by providing a simulated safe environment and thus aids in bridging the gap between the preclinical and clinical years in medical undergraduate education.

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“…São essenciais cursos específi-cos, treinamento permanente e avaliações médicas adequadas em intervalos indicados. Estudos norte-americanos demonstram que tem sido realizados treinamentos com equipes aeromédicas, através de simuladores que funcionam a partir de baterias e compressores de ar dentro de helicópteros, capazes de reproduzir uma situação real de emergência comandados por monitores e laptops (7) . Dentre os quatro estudos indexados na base de dados Lilacs, observou-se que 50,0% (n=2) se referia à área de educação e pesquisa, abordando o perfil, a formação e os aspectos legais do enfermeiro de bordo (1999) e a fisiologia do vôo (2000).…”

Section: Introductionunclassified

Transporte aéreo de pacientes: análise do conhecimento científico

2011

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ReSUmOPesquisa bibliográfica, cujo objetivo foi caracterizar a produção científica acerca do transporte aéreo de pacientes, em bases de dados indexadas. Encontrou-se 83 referências, 76 na Medline, entre 1997 a 2009, e quatro na Lilacs, de 1999 a 2007. Verificouse maior publicação em 2001, sendo a pesquisa qualitativa mais prevalente. A tendência temática mais evidenciada na Lilacs foi educação e pesquisa. Na Medline foi cuidado de enfermagem no transporte aéreo. Destaca-se escassa regulamentação no que se refere as atribuições do enfermeiro de bordo e a importância da inclusão do conteúdo de enfermagem aeroespacial nos cursos de graduação e pós-graduação. Existem ainda muitas lacunas na produção de conhecimento sobre o tema. Pesquisas que analisem esta interface, qualificam o cuidado de enfermagem aeroespacial. descritores: Enfermagem militar; Enfermagem em emergência; Resgate aéreo; Transporte de pacientes; Medicina aeroespacial. aBStRaCt This bibliographic research aimed to characterize scientific production on air patient transport in indexed databases. Eightythree references were found, 76 in Medline, between 1997and 2009, and four in Lilacs, between 1999and 2007. More publications were found in 2001 and qualitative studies were the most prevalent. The most evident thematic tendency in Lilacs was education and research, against air transport nursing in Medline. The lack of regulation on nurse's tasks on board is highlighted, as well as the importance of including contents on aerospace nursing in undergraduate and graduate courses. Many gaps remain in knowledge production about the theme. Research analyzing this interface qualifies aerospace nursing care.

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High fidelity medical simulation in the difficult environment of a helicopter: feasibility, self-efficacy and cost

Cited by 39 publications

References 27 publications

Hybrid Simulation Combining a High Fidelity Scenario with a Pelvic Ultrasound Task Trainer Enhances the Training and Evaluation of Endovaginal Ultrasound Skills

Hybrid Simulation Combining a High Fidelity Scenario with a Pelvic Ultrasound Task Trainer Enhances the Training and Evaluation of Endovaginal Ultrasound Skills

Role of SimMan in teaching clinical skills to preclinical medical students

Transporte aéreo de pacientes: análise do conhecimento científico

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