Education, Emergency Medical Services
Conditions
Brief summary
The purpose of this study is to study and compare the efficacy and feasibility of a remotely supported simulation-based procedural curriculum for Emergency Medical Services (EMS) clinicians.
Detailed description
This study transitioned a previously reported, traditional, simulation-based training curriculum delivered by on-site pediatric simulation experts, into a program delivered by agency Pediatric Emergency Care Coordinators (PECCs) supported by remote pediatric experts. The PECCs delivered the curriculum on site, and submitted first-person-view videos captured using a head-mounted camera of three procedures (bag-valve mask \[BVM\] ventilation, supraglottic device \[SGD\] insertion, and intraosseous \[IO\] catheterization) to pediatric education experts who provided scoring and feedback to the participants. The team tracked scores for all three procedures during the study period, compared scores to the previous study's, and solicited feedback from the PECCs and participants regarding these educational methods.
Interventions
BEHAVIORALeducation
pediatric emergency care coordinator provided education on each procedure performed
Sponsors
National Center for Advancing Translational Sciences (NCATS)
Children's Hospital Medical Center, Cincinnati
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
all participants received the same educational intervention
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* all full-time or part-time EMS clinicians at the recruited agencies with BVM ventilation, SGD placement, and/or IO catheterization within their scope of practice
Exclusion criteria
* no procedures of interest within scope of practice
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| intraosseous (IO) catheterization procedural outcome score | participants submitted 1-2 procedural videos based on training date during the 1-year study period | The IO assessment tool was adapted from a previously validated simulation assessment tool. The score ranged from 0-12, with higher score demonstrating better performance. Participants submitted videos for review, which were scored by trained video reviewers using the assessment tool based on a corresponding data dictionary. Scores were then aggregated for analysis. |
| bag valve mask (BVM) ventilation procedural outcome score | participants submitted 1-2 procedural videos based on training date during the 1-year study period | The BVM assessment tool was adapted from a previously validated simulation assessment tool. The score ranged from 0-12, with higher score demonstrating better performance. Participants submitted videos for review, which were scored by trained video reviewers using the assessment tool based on a corresponding data dictionary. Scores were then aggregated for analysis. |
| supraglottic device (SGD) placement procedural outcome score | participants submitted 1-2 procedural videos based on training date during the 1-year study period | The SGD assessment tool was modified from a prior psychomotor examination checklist used by the National Registry of Emergency Medical Technicians. The score ranged from 0-14, with higher score demonstrating better performance. Participants submitted videos for review, which were scored by trained video reviewers using the assessment tool based on a corresponding data dictionary. Scores were then aggregated for analysis. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| qualitative feedback regarding the curriculum | 1 year study period | Feedback regarding the curriculum and educational experience was solicited via e-mail from participants at time of score reporting. Similar feedback was solicited via e-mail from educators throughout the study period during scheduling or troubleshooting correspondences. Comments were tabulated and summarized. |
Countries
United States
Outcome results
None listed