Association of electrocardiogram alterations of rescuers and performance during a simulated cardiac arrest: A prospective simulation study

Tramèr, Lucas; Becker, Christoph; Hochstrasser, Seraina; Marsch, Stephan; Hunziker, Sabina

doi:10.1371/journal.pone.0198661

Cited by 9 publications

(5 citation statements)

References 25 publications

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“…Overall, 3 papers [ 79 , 87 , 102 ] relied on definitions that drew from multiple approaches. It should be noted that 1 paper that explicitly defined stress did not provide any references (however took a physiological-oriented approach to defining stress) [ 88 ].…”

Section: Resultsmentioning

confidence: 99%

“…Figure 4 shows the measurements that stress articles employed. Studies using both self-reports and physiological measures were the most common (33 articles [ 37 , 65 – 67 , 72 , 73 , 87 , 90 , 91 , 94 , 96 , 98 , 101 , 106 – 125 ]; 37.5%), followed by articles solely relying on either self-reports alone (30 articles [ 56 , 60 , 63 , 64 , 68 , 70 , 71 , 84 , 92 , 95 , 99 , 102 , 103 , 126 – 142 ]; 34.1%) or physiological measures alone (19 articles [ 55 , 62 , 69 , 79 , 86 , 88 , 89 , 93 , 143 – 153 ]; 21.6%). There were two articles [ 100 , 154 ] (2.3%) that used behavioural analysis in addition to self-reports and physiological measures.…”

Section: Resultsmentioning

confidence: 99%

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A scoping review of emotions and related constructs in simulation-based education research articles

Ahn,

Maurice-Ventouris,

Bilgic

et al. 2023

Adv Simul

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Background While acknowledgement of emotions’ importance in simulation-based education is emerging, there are concerns regarding how education researchers understand the concept of emotions for them to deliberately incorporate emotionally charged scenarios into simulation-based education. This concern is highlighted especially in the context of medical education often lacking strong theoretical integration. To map out how current simulation-based education literature conceptualises emotion, we conducted a scoping review on how emotions and closely related constructs (e.g. stress, and emotional intelligence) are conceptualised in simulation-based education articles that feature medical students, residents, and fellows. Methods The scoping review was based on articles published in the last decade identified through database searches (EMBASE and Medline) and hand-searched articles. Data extraction included the constructs featured in the articles, their definitions, instruments used, and the types of emotions captured. Only empirical articles were included (e.g. no review or opinion articles). Data were charted via descriptive analyses. Results A total of 141 articles were reviewed. Stress was featured in 88 of the articles, while emotions and emotional intelligence were highlighted in 45 and 34 articles respectively. Conceptualisations of emotions lacked integration of theory. Measurements of emotions mostly relied on self-reports while stress was often measured via physiological and self-report measurements. Negative emotions such as anxiety were sometimes seen as interchangeable with the term stress. No inferences were made about specific emotions of participants from their emotional intelligence. Conclusions Our scoping review illustrates that learners in simulation-based education are most often anxious and fearful. However, this is partially due to medical education prioritising measuring negative emotions. Further theoretical integration when examining emotions and stress may help broaden the scope towards other kinds of emotions and better conceptualisations of their impact. We call for simulation education researchers to reflect on how they understand emotions, and whether their understanding may neglect any specific aspect of affective experiences their simulation participants may have.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

A scoping review of emotions and related constructs in simulation-based education research articles

Ahn,

Maurice-Ventouris,

Bilgic

et al. 2023

Adv Simul

View full text Add to dashboard Cite

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“…Heart rate measurement is also an established method of stress evaluation during resuscitation that was used in two studies included in this review. Although heart rate increase is a sign of distress or anxiety during resuscitation [26], heart rate variability has shown an inverse association with performance during simulated programs [24]. Finally, there are several established stress-evaluating questionnaire tools such as the IES, the Clinical Administered PTSD Scale (CAPS), the Post-Traumatic Stress Disorder Checklist (PCL) or the State-Trait Anxiety Inventory (STAI) [5,27].…”

Section: Discussionmentioning

confidence: 99%

Stress in healthcare personnel involved in neonatal resuscitation – A systematic review

Paliatsiou¹,

Boutsikou²,

Xanthos³

et al. 2021

J Transl Sci

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Objective: Stress in healthcare personnel involved in adult/children resuscitation has been extensively evaluated, but respective data in neonatal resuscitation (NR) is limited. This review aims at collecting available data on stress in healthcare personnel involved in NR.Study Design: This systematic review was conducted under the PRISMA guidelines. All eligible studies from Pubmed, Embase and Scopus evaluating stress/anxiety among healthcare personnel involved in NR and published up to April 2020, were investigated. The following key-words were used: 'stress', 'anxiety', 'neonatal', 'newborn' 'resuscitation'. Results:In total, 6 studies including 411 individuals were evaluated, 83% of which evaluated stress in a simulated environment. The stress assessment tools varied among studies; 2 studies measured salivary cortisol levels, 2 recorded heart rate recording, and 4 studies used questionnaires. The majority of the studies (66.6%) reported increased stress after performing NR. Two studies reported stress predictors, like: presence of more observers, negative affect experienced at time of care, negative appraisal of care given to the family and cumulative number of losses experienced. Conclusions:Stress is increased during NR, although study design and data are still limited and heterogeneous. Future studies should try to evaluate further stress predictors or mitigators to improve everyday clinical practice.Paliatsiou S (2021) Stress in healthcare personnel involved in neonatal resuscitation -A systematic review

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“…Detailed information regarding the equipment of the high-fidelity simulator center was described in our prior pilot study [21]. In short, and as for prior studies [22], a programmable high-fidelity mannequin (human patient simulator, SimMan ® , Laerdal Medical AS, Stavanger, Norway) was used to simulate a variety of physiologic and pathologic clinical conditions. The mannequin was able to talk and groan, to present palpable or missing pulses, thoracic excursions and different pulmonary sounds during breathing, blinking and different eye movements, different positions, dimensions and reactivity of the pupils, to display mouth movements, tonic-clonic movements of upper extremities, production of foamy sputum, and enuresis.…”

Section: High-fidelity Simulator Setupmentioning

confidence: 99%

First-Response ABCDE Management of Status Epilepticus: A Prospective High-Fidelity Simulation Study

Kliem

Tisljar

Baumann

et al. 2022

JCM

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Respiratory infections following status epilepticus (SE) are frequent, and associated with higher mortality, prolonged ICU stay, and higher rates of refractory SE. Lack of airway protection may contribute to respiratory infectious complications. This study investigates the order and frequency of physicians treating a simulated SE following a systematic Airways-Breathing-Circulation-Disability-Exposure (ABCDE) approach, identifies risk factors for non-adherence, and analyzes the compliance of an ABCDE guided approach to SE with current guidelines. We conducted a prospective single-blinded high-fidelity trial at a Swiss academic simulator training center. Physicians of different affiliations were confronted with a simulated SE. Physicians (n = 74) recognized SE and performed a median of four of the five ABCDE checks (interquartile range 3–4). Thereof, 5% performed a complete assessment. Airways were checked within the recommended timeframe in 46%, breathing in 66%, circulation in 92%, and disability in 96%. Head-to-toe (exposure) examination was performed in 15%. Airways were protected in a timely manner in 14%, oxygen supplied in 69%, and antiseizure drugs (ASDs) administered in 99%. Participants’ neurologic affiliation was associated with performance of fewer checks (regression coefficient −0.49; p = 0.015). We conclude that adherence to the ABCDE approach in a simulated SE was infrequent, but, if followed, resulted in adherence to treatment steps and more frequent protection of airways.

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Association of electrocardiogram alterations of rescuers and performance during a simulated cardiac arrest: A prospective simulation study

Cited by 9 publications

References 25 publications

A scoping review of emotions and related constructs in simulation-based education research articles

A scoping review of emotions and related constructs in simulation-based education research articles

Stress in healthcare personnel involved in neonatal resuscitation – A systematic review

First-Response ABCDE Management of Status Epilepticus: A Prospective High-Fidelity Simulation Study

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