2018
DOI: 10.1016/j.carj.2018.05.003
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Management of Acute Contrast Reactions—Understanding Radiologists' Preparedness and the Efficacy of Simulation-Based Training in Canada

Abstract: Purpose Acute radiologic emergencies, primarily severe contrast reactions, are rare but life-threatening events. Given a generalized paucity of formalized or mandated training, studies have shown that radiologists and trainees perform poorly when acutely managing such events. Moreover, skill base, knowledge, and comfort levels precipitously decline over time given the infrequent occurrence of these events during one's daily practice. The primary aim of this study was to assess radiologists' preparedness for ma… Show more

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Cited by 8 publications
(8 citation statements)
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References 23 publications
(42 reference statements)
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“…Many similar studies in the literature did not find a significant difference between their didactic and simulation-based training results [19] , [20] . However, not many programs had the opportunity to compare didactic and simulation-based training, and studies of simulation based training alone showed significant improvement, [7] , [8] , consistent with our results.…”
Section: Discussionsupporting
confidence: 87%
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“…Many similar studies in the literature did not find a significant difference between their didactic and simulation-based training results [19] , [20] . However, not many programs had the opportunity to compare didactic and simulation-based training, and studies of simulation based training alone showed significant improvement, [7] , [8] , consistent with our results.…”
Section: Discussionsupporting
confidence: 87%
“…Prior studies have shown that radiologists, including attending and fellow radiologists, may be underprepared to manage such scenarios, particularly when epinephrine administration is required [2] , [4] , [5] . In recent years, as many medical schools and residency training programs have obtained simulation centers, contrast reaction simulations have been created to allow trainees to practice not only the theoretical knowledge needed to manage an adverse reaction but also the practical hands-on skills required [7] , [8] , [10] , [18] . Similarly, our program sought to improve our contrast reaction preparedness training by creating such a simulation.…”
Section: Discussionmentioning
confidence: 99%
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“…Previous studies have demonstrated the use of simulation to train radiology registrars in the management of contrast reaction anaphylaxis, massive haemorrhage and tension pneumothorax. 10,11,12,13 However, to the authors' knowledge, this is the first study simulating a broader range of medical emergencies, in a multidisciplinary setting, using quantitative data to illustrate a significant improvement in objective knowledge and perceived confidence scores. The improvement in test scores was substantial and statistically significant with 94% of delegates showing an improvement in their knowledge test score after completing the course.…”
Section: Discussionmentioning
confidence: 96%