Analysis of eye-tracking behaviours in a pediatric trauma simulation

Damji, Omar; Borkenhagen, David; Cheng, Adam

doi:10.1017/cem.2018.450

Cited by 12 publications

(7 citation statements)

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“…In addition, it is an evaluation tool that complements the information reported by experts and thus the effectiveness of the training. Recent publications show its effectiveness in assessing or evaluating in simulating scenarios related to anaphylaxis or paediatric trauma [12,25]. In fact, the accuracy of this tool also resulted in it being used in real situations [26].…”

Section: Discussionmentioning

confidence: 99%

ABCDE approach to victims by lifeguards: How do they manage a critical patient? A cross sectional simulation study

et al. 2019

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Introduction Decision-making in emergencies is a multifactorial process based on the rescuer, patient, setting and resources. The eye-tracking system is a proven method for assessing decision-making processes that have been used in different fields of science. Our aim was to evaluate the lifeguards’ capacity to perform the ABCDE (Airway-Breathing-Circulation-Disability-Exposure) approach when facing a simulated critically ill-drowned victim. Methods A cross-sectional simulation study was designed to assess the skills and sequence of the ABCDE approach by 20 professional lifeguards. They had to assess a victim and act according to his/her clinical status by following the ABCDE primary assessment approach. The two kinds of variables were recorder: those related to the quality of each step of the ABCDE approach and the visual behaviour using a portable eye-movement system. The eye-tracking system was the Mobile Eye system (Bedford, USA). Results None of the study participants were able to complete correctly the ABCDE approach. Lifeguards spent more time in the Circulation step: Airway (15.5±11.1 s), Breathing (25.1±21.1 s), Circulation (44.6±29.5 s), Disability (38.5±0.7 s). Participants spent more time in viewpoints considered as important (65.5±17.4 s) compared with secondary ones (34.6±17.4 s, p = 0.008). This was also represented in the percentage of visual fixations (fixations in important viewpoints: 63.36±15.06; fixation in secondary viewpoints: 36.64±15.06; p = 0.008). Conclusion Professional lifeguards failed to fully perform the ABCDE sequence. Evaluation by experts with the help of eye-tracking technology detected the lifeguards’ limitations in the assessment and treatment of an eventual critically ill victim. Such deficits should be considered in the design and implementation of lifeguards’ training programmes.

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Section: Discussionmentioning

confidence: 99%

ABCDE approach to victims by lifeguards: How do they manage a critical patient? A cross sectional simulation study

et al. 2019

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“… 14 In another study concerning eye-tracking in a paediatric trauma simulation, participants declared tolerating the glasses after a few minutes without being subjectively affected. 13 …”

Section: Discussionmentioning

confidence: 99%

Video-based reflection on neonatal interventions during COVID-19 using eye-tracking glasses: an observational study

Wagner

Boer

Jansen

et al. 2021

Arch Dis Child Fetal Neonatal Ed

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ObjectiveThe aim of this study was to determine the experience with, and the feasibility of, point-of-view video recordings using eye-tracking glasses for training and reviewing neonatal interventions during the COVID-19 pandemic.DesignObservational prospective single-centre study.SettingNeonatal intensive care unit at the Leiden University Medical Center.ParticipantsAll local neonatal healthcare providers.InterventionThere were two groups of participants: proceduralists, who wore eye-tracking glasses during procedures, and observers who later watched the procedures as part of a video-based reflection.Main outcome measuresThe primary outcome was the feasibility of, and the proceduralists and observers’ experience with, the point-of-view eye-tracking videos as an additional tool for bedside teaching and video-based reflection.ResultsWe conducted 12 point-of-view recordings on 10 different patients (median gestational age of 30.9±3.5 weeks and weight of 1764 g) undergoing neonatal intubation (n=5), minimally invasive surfactant therapy (n=5) and umbilical line insertion (n=2). We conducted nine video-based observations with a total of 88 observers. The use of point-of-view recordings was perceived as feasible. Observers further reported the point-of-view recordings to be an educational benefit for them and a potentially instructional tool during COVID-19.ConclusionWe proved the practicability of eye-tracking glasses for point-of-view recordings of neonatal procedures and videos for observation, educational sessions and logistics considerations, especially with the COVID-19 pandemic distancing measures reducing bedside teaching opportunities.

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“…Eye-tracking technology was reported as effective instrument in order to complement the simulation training and the subjects performance assessment [20,21]. Recent publications show its effectiveness assessing or evaluating in simulating scenarios related to anaphylaxis or paediatric trauma [12,22]. In fact, the accuracy of this tool also resulted in its using in real situations [23].…”

Section: Discussionmentioning

confidence: 99%

ABCDE approach to victims by lifeguards: how do they manage a critical patient? A cross sectional simulation study

Fernández-Méndez

Otero-Agra

Abelairas‐Gómez

et al. 2019

Preprint

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6Introduction: Decision-making in emergencies is a multifactorial process based on the 7 rescuer, patient, setting and resources. The eye-tracking system is a proven method for 8 assessing decision-making process that has been used in different fields of science. Our 9 aim was to evaluate the lifeguards' capacity to perform the ABCDE (Airway-Breathing-10 Circulation-Dissability-Exposure) approach when facing a simulated critically ill-11 drowned victim. 12 Methods:A cross sectional simulation study was designed to assess the skills and 13 sequence of the ABCDE approach by 20 professional lifeguards. They had to assess a 14 victim and act according to his/her clinical status following the ABCDE primary 15 assessment approach. Two kind of variables were recorder: those related to quality of 16 each step of the ABCDE approach; visual behaviour using a portable eye-movement 17 system. The eye-tracking system was the Mobile Eye system (Bedford, USA). 18Results: None of the study participants was able to complete correctly the ABCDE 19 approach. Lifeguards spent more time in the Circulation step: Airway (15.5±11.1 s), 20 Breathing (25.1±21.1 s), Circulation (44.6±29.5 s), Disability (38.5±0.7 s). Participants 21 spent more time in viewpoints considered as important (65.5±17.4 s) compared with 22 secondary ones (34.6±17.4 s, p = 0.008). This also was represented in the percentage of 3 23 visual fixations (fixations in important viewpoints: 63.36±15.06; fixation in secondary 24 viewpoints: 36.64±15.06). 25 Conclusion: Professional lifeguards failed to fully perform the ABCDE sequence. 26 Evaluation by experts with the help of eye-tracking technology detected lifeguards' 27 limitations in the assessment and treatment of an eventual critically ill victim. Such 28 deficits should be considered in the design and implementation of lifeguards' training 29 programmes.30

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Analysis of eye-tracking behaviours in a pediatric trauma simulation

Cited by 12 publications

References 10 publications

ABCDE approach to victims by lifeguards: How do they manage a critical patient? A cross sectional simulation study

ABCDE approach to victims by lifeguards: How do they manage a critical patient? A cross sectional simulation study

Video-based reflection on neonatal interventions during COVID-19 using eye-tracking glasses: an observational study

ABCDE approach to victims by lifeguards: how do they manage a critical patient? A cross sectional simulation study

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