Comprehensive Emergency Airway Response Team (EART) Training and Education

Tsai, Angela C.; Krisciunas, Gintas P.; Brook, Chris; Basa, Krystyne; Gonzalez, Mauricio; Crimlisk, Janet T.; Silva, Julie A.; Grillone, Gregory A.

doi:10.1177/0003489415619178

Cited by 18 publications

(23 citation statements)

References 10 publications

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“…There was a higher prevalence of evidence-based studies 6 (17), followed by level 2 (05), level 3 (04), level 7 (02) and level 1 (01). There is a growing number of scientific production related to the topic, with 16 articles published in the last three years (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33) , making up 55% of the searches found in the selected period.…”

Section: Resultsmentioning

confidence: 99%

“…It can be observed in Chart 2 that 34.5% of the studies are referenced to the use of simulation in education on care techniques of nursing activities, such as mechanical ventilation and invasive airway acquisition, cardiopulmonary resuscitation, oral hygiene and airway aspiration, hand hygiene and delirium identification in ICU patients (21)(22)(23)(24)(25)(26)(29)(30)(31)36) .…”

Section: Resultsmentioning

confidence: 99%

“…About training, 76% of the articles (18,(21)(22)(23)(24)(25)(26)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(43)(44)(45)(46) discuss the use of simulation in continuing education of nursing professionals, while the other studies describe the use of simulation for the education of nursing students (19)(20)25,27,(40)(41)(42) .…”

Section: Resultsmentioning

confidence: 99%

“…On the development of technical skills, such as knowledge, self-confidence and application of the technique itself, can be evaluated and improved through clinical simulation. Studies were performed considering the assistance of nurses in cardiac surgery resuscitation (21) , application of a tool to assess delirium in ICU (22) , knowledge and application of oral care (23) , endotracheal suctioning skills (24) , hands hygiene (26) , prevention of complications associated with endotracheal intubation and mechanical ventilation (29) and assessment of teamwork in emergency response of the airways (30) . The simulation tool was observed as effective for the development of such technical skills and improvement of the professional's self-confidence (21)(22)30,36) as it promotes to the nurses the application of the technique in a safe environment and as close as possible to the real work environment, allowing the feedback to improve the skill to be used in care.…”

Section: Discussionmentioning

confidence: 99%

“…Tsai AC, Krisciunas GP, Brook C, Gonzalez M, Crimlisk J, Silva J, Grillone GA (30) Comprehensive emergency airway response team (EART) training and education: impact on team effectiveness, personnel confidence, and protocol knowledge. Alfes CM, Steiner SL, Manacci CF (31) Critical care transport training: new strides in simulating the austere environment.…”

Section: American Journal Of Infection Controlmentioning

confidence: 99%

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Clinical simulation in nursing education in intensive therapy: an integrative review

Linn¹,

Caregnato²,

Souza³

2019

Rev. Bras. Enferm.

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Objective: to analyze the publications on clinical simulation practices for education in Nursing in Intensive Care. Method: an integrative review carried out through LILACS, PubMed, Cochrane Library, CINAHL and SciELO databases, of articles published from 2008 to 2017. Results: 29 articles were selected, of which 76% discuss the use of simulation in continuing education of nursing professionals, while the others describe their use for student education. There is a higher prevalence of studies with a level of evidence 6 (17), with 28 international publications. There was an increase in scientific production, with 16 articles published in the last three years. Conclusion: variables after simulation use, such as confidence, communication skills, efficiency in the identification of clinical worsening of patients, development of technical skills, teamwork and clinical decision-making, presented a significant improvement, demonstrating that this tool is effective in qualifying care for critical patients.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: American Journal Of Infection Controlmentioning

confidence: 99%

See 3 more Smart Citations

Clinical simulation in nursing education in intensive therapy: an integrative review

Linn¹,

Caregnato²,

Souza³

2019

Rev. Bras. Enferm.

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Pediatric Tracheostomy Emergency Readiness Assessment Tool: International Consensus Recommendations

et al. 2023

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ObjectiveTo achieve consensus on critical steps and create an assessment tool for actual and simulated pediatric tracheostomy emergencies that incorporates human and systems factors along with tracheostomy‐specific steps.MethodsA modified Delphi method was used. Using REDCap software, an instrument comprising 29 potential items was circulated to 171 tracheostomy and simulation experts. Consensus criteria were determined a priori with a goal of consolidating and ordering 15 to 25 final items. In the first round, items were rated as “keep” or “remove”. In the second and third rounds, experts were asked to rate the importance of each item on a 9‐point Likert scale. Items were refined in subsequent iterations based on analysis of results and respondents' comments.ResultsThe response rates were 125/171 (73.1%) for the first round, 111/125 (88.8%) for the second round, and 109/125 (87.2%) for the third round. 133 comments were incorporated. Consensus (>60% participants scoring ≥8, or mean score >7.5) was reached on 22 items distributed across three domains. There were 12, 4, and 6 items in the domains of tracheostomy‐specific steps, team and personnel factors, and equipment respectively.ConclusionsThe resultant assessment tool can be used to assess both tracheostomy‐specific steps as well as systems factors affecting hospital team response to simulated and clinical pediatric tracheostomy emergencies. The tool can also be used to guide debriefing discussions of both simulated and clinical emergencies, and to spur quality improvement initiatives.Level of EvidenceLevel 5 Laryngoscope, 2023

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Bedside intubation of a child with a difficult airway—The otolaryngologist perspective

Hazkani,

Rowland,

Serino

et al. 2024

World j. otorhinolaryngol.-head neck surg.

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ObjectivesChildren with a difficult airway are prone to severe complications in unplanned intubation events. The otolaryngologist is often required to secure the airway using advanced techniques once the traditional methods have failed to establish safe tracheal intubation. The goal of our study was to describe the otolaryngologist's experience in the management of bedside difficult pediatric airway events.MethodsA case series with chart review of children intubated by the difficult airway response (RaDAR) team in an academic tertiary‐care children's hospital. The electronic medical charts of patients intubated by the RaDAR team between Jan 2020 and Dec 2021 were reviewed. The steps taken to recognize and signal patients with a difficult airway are described.ResultsOf the 78 airway code events managed by the RaDAR team, 28 (37.2%) were intubated by an otolaryngologist. Of these, 20 (71.4%) were recognized and signaled as a “difficult airway” before emergent intubation. The methods to secure the airway were direct laryngoscopy (n = 7), flexible bronchoscopy with/without a laryngeal mask (n = 10), rigid bronchoscopy (n = 8), and video laryngoscopy (n = 1). On average, there were 1.93 attempts to secure the airway following RaDAR activation. The airway was secured by an otolaryngology trainee in 24/28 patients. None of the patients required bedside tracheostomy.ConclusionsOtolaryngologists have unique skills and instruments that may assist with the management of a child with a difficult airway. Close collaboration with anesthesia colleagues, proper training, and proactive recognition and signaling of patients at risk for difficult airway are key factors for safe airway securement.

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Comprehensive Emergency Airway Response Team (EART) Training and Education

Cited by 18 publications

References 10 publications

Clinical simulation in nursing education in intensive therapy: an integrative review

Clinical simulation in nursing education in intensive therapy: an integrative review

Pediatric Tracheostomy Emergency Readiness Assessment Tool: International Consensus Recommendations

Bedside intubation of a child with a difficult airway—The otolaryngologist perspective

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