Work performance of prehospital personnel Other
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18 years or older 2. Paramedics with 3 years of work experience or prehospital physicians with at least 1 year of field experience
Exclusion criteria
Exclusion criteria: 1. Daily cortisone medication that cannot be withheld for 2 weeks prior to the study intervention 2. Alcohol consumption 24 hours prior to the study intervention 3. Pregnant women 4. Have had previous Finnish Sisu Training or iPREP-based training
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Situational awareness measured using observer form. In the observer form there are five statements each worth 1 point, receiving a maximum of 5 points. Timepoints: From the start of each simulation scenario (team arriving on scene) until the simulation scenario ends. 2. Decision-making skills measured using observer form. In the observer form there are five statements each worth 1 point, receiving a maximum of 5 points. Timepoints: From the start of each simulation scenario (team arriving on scene) until the simulation scenario ends. 1. & 2. Primary outcomes studied in combination receiving a maximum of 10 points. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Self-evaluation using a Likert scale self-evaluation form. Timepoints: Before the actual simulation scenario starts and immediately after the simulation scenario has finished, but before the defusing session starts. 2. Recovery after each simulation scenario measured using the Firstbeat Life device, which recorded the participant's physiological parameters via two electrodes detached into the study participant’s torso: For recovery only heart rate variability (HRV) was compared. The physiological measurements are sent via Bluetooth connection into the participants' phone app and to the lead researcher's computer’s specified Firstbeat life webpage.Timepoint: Each defusing session starting after a simulation scenario has ended and self-evaluation and respiratory rate counting has been done by the observer. 3. Maximum heart rate during each simulation scenario measured using the Firstbeat Life device and the lead researcher’s computer.Timepoints: From the start of each simulation scenario (team arriving on scene) until the simulation scenario ends. 4. Respiratory rate measured using manual counting by the observer before and after each simulation scenario. Timepoints: Before the actual simulation scenario starts and immediately after the simulation scenario has finished, but before the defusing session starts. 5. Heart rate variability (HRV) measured during each simulation scenario using the Firstbeat Life device and the lead researcher’s computer. Timepoints: From the start of each simulation scenario (team arriving on scene) until the defusing session ends. Timepoints of when the simulation scenario started and ended with each study team as well as when defusing sessions started and ended were recorded and compared with Firstbeat life timeline results. Primary and secondary outcomes were measured in all three simulation scenarios separately and compared with study groups Simulation 1 comparison of intervention group vs control group outcome results Simulation 2 | — |
Countries
Finland