Dynamic Visual Feedback During Junctional Tourniquet Training

Xu, James; Kwan, Calvin; Sunkara, Adhira; Mohamadipanah, Hossein; Bell, Katrina M.; Tizale, Mengizem; Pugh, Carla M.

doi:10.1016/j.jss.2018.08.044

Cited by 4 publications

(3 citation statements)

References 11 publications

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“…Wound packing took place on the “Z-Medica Hemorrhage Control Training Kit With Biofeedback.” Although the company of the device uses the terminology “biofeedback” in its title, our study uses the terminology of “feedback,” consistent with other studies evaluating sensor-driven simulators and devices 10,14–17 . Participants and instructors had a tablet that demonstrated real-time pressure being delivered.…”

Section: Methodsmentioning

confidence: 99%

“…Although the company of the device uses the terminology "biofeedback" in its title, our study uses the terminology of "feedback," consistent with other studies evaluating sensor-driven simulators and devices. 10,[14][15][16][17] Participants and instructors had a tablet that demonstrated real-time pressure being delivered. Participants were able to see amount of pressure placed while instructors coached them on how to pack more effectively based on the readings.…”

Section: Interventionmentioning

confidence: 99%

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The Addition of High-Technology Into the Stop the Bleed Program Among School Personnel Improves Short-Term Skill Application, Not Long-Term Retention

et al. 2021

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Introduction:The Stop the Bleed (STB) program trains the general public on identifying and treating life-threatening bleeding. Data on efficacy and retention of skills taught through this program are limited, with the role of high-technology modalities to augment the program, such as simulation and feedback devices, untested. Methods: A convenience sample of 66 school personnel participated in an open-label observational study from January to August 2019. The control group received the standard bleeding control course, while the intervention group received the bleeding control course with addition of a simulation and a feedback device for wound packing. Assessment was performed by STB instructors using performance metrics from prior studies as well as a feedback device. Retention testing was performed 2 to 8 months after intervention. The study was approved by the hospital's institutional review board. Results: The intervention group performed better than the control group on correct tourniquet application [90.3% vs. 71.0%; odds ratio (OR) = 11.28; P = 0.015; 95% confidence interval (CI) = 1.86 to 104.67] wound packing scores (59.5% vs. 29.6%; OR = 0.33; P = 0.007; 95% CI = 9.36 to 56.00) and were more likely to assess their safety (OR = 5.49; P = 0.034; 95% CI = 1.28 to 27.66), and reported higher comfort scores on stepping into an emergency scenario (OR = 11.19; P = 0.004; 95% CI = 2.51 to 63.11), wound packing (OR = 5.16; P = 0.025; 95% CI = 1.35 to 22.46), and using a tourniquet (OR = 11.41; P = 0.003; 95% CI = 2.57 to 67.59). Thirty-one participants (46.9%) were assessed again at retention 2 to 8 months later where scores for tourniquet placement and wound packing were not significantly different in the two groups. Conclusions: Augmenting STB with simulation and feedback improved both self-reported comfort level and skill set of participants, but the retention of skills was poor in both groups.

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Section: Methodsmentioning

confidence: 99%

Section: Interventionmentioning

confidence: 99%

The Addition of High-Technology Into the Stop the Bleed Program Among School Personnel Improves Short-Term Skill Application, Not Long-Term Retention

et al. 2021

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“…• External pelvic stabilizers Currently, hemorrhage control training curricula often use mannequins, simulators, or live tissue animal models [12][13][14][15][16][17][18][19] . One benefit of a mannequin is that it can be used repeatedly.…”

Section: Boxmentioning

confidence: 99%