High-Fidelity Simulation Training for the Diagnosis and Management of Adverse Contrast Media Reactions

Saad, Ali; Alexander, Anup Jacob; Lambrix, Marcie A.; Ramakrishna, Rishi; Yang, Chen

doi:10.2214/ajr.18.19864

Cited by 8 publications

(7 citation statements)

References 16 publications

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“…Many similar studies in the literature did not find a significant difference between their didactic and simulation-based training results [19] , [20] . However, not many programs had the opportunity to compare didactic and simulation-based training, and studies of simulation based training alone showed significant improvement, [7] , [8] , consistent with our results.…”

Section: Discussionsupporting

confidence: 87%

“…Prior studies have shown that radiologists, including attending and fellow radiologists, may be underprepared to manage such scenarios, particularly when epinephrine administration is required [2] , [4] , [5] . In recent years, as many medical schools and residency training programs have obtained simulation centers, contrast reaction simulations have been created to allow trainees to practice not only the theoretical knowledge needed to manage an adverse reaction but also the practical hands-on skills required [7] , [8] , [10] , [18] . Similarly, our program sought to improve our contrast reaction preparedness training by creating such a simulation.…”

Section: Discussionmentioning

confidence: 99%

“…The literature has shown a significant improvement in both knowledge and comfort level in responding to contrast media adverse events among radiologists when presented with high-fidelity simulation training [7] , [8] , [9] , [10] , [11] . Various strategies have been reported, with the most popular approach combining a didactic “pre-lecture” with simulation training to follow [8] , [12] , [13] .…”

Section: Introductionmentioning

confidence: 99%

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High-fidelity simulation training improves resident knowledge of contrast reaction management, especially for junior residents

Kruse

Scriver

Walsh

2022

European Journal of Radiology Open

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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High-fidelity simulation training improves resident knowledge of contrast reaction management, especially for junior residents

Kruse

Scriver

Walsh

2022

European Journal of Radiology Open

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“…In a recent study, 96 radiology trainees attended two didactic lectures followed by a simulation, which resulted in a mean score increase from 69% on the pre-simulation test to 82% on the post-simulation test. 51 In 2015, Picard and colleagues reported similar results for combined didactic and HFS training for radiology residents. There was a significant increase in knowledge retention compared to baseline scores following the combined interventions.…”

Section: Resultsmentioning

confidence: 91%

The use and effectiveness of high-fidelity simulation in health professions education: current update

et al. 2022

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Over the past 10 years, there has been an increase in the use of high-fidelity simulation (HFS) as a tool to support and enhance learning in health profession programs. In this article, we review the utilization of HFS in biomedical (basic science) courses for health professions students, and we compare its effectiveness to traditional teaching methods. Studies exploring the impact of HFS on students and residents were included in the review. The use of HFS is more prevalent in advanced clinical settings such as in training residents and nurses than in teaching students in preclinical years. When compared to traditional teaching methods, HFS is noted to be superior in delivering core biomedical concepts to students and healthcare professionals. However, a few studies showed no significant differences between HFS and traditional teaching methods when assessing clinical management skills. Overall, HFS is a valuable teaching tool which enhances knowledge retention and clinical skill acquisition in medical education.

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“…Previous studies have demonstrated the use of simulation to train radiology registrars in the management of contrast reaction anaphylaxis, massive haemorrhage and tension pneumothorax. 10,11,12,13 However, to the authors' knowledge, this is the first study simulating a broader range of medical emergencies, in a multidisciplinary setting, using quantitative data to illustrate a significant improvement in objective knowledge and perceived confidence scores. The improvement in test scores was substantial and statistically significant with 94% of delegates showing an improvement in their knowledge test score after completing the course.…”

Section: Discussionmentioning

confidence: 96%

Use of High-fidelity simulation training for radiology healthcare professionals in the management of acute medical emergencies

Powell

Pallmann

2020

The British Journal of Radiology

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Objectives: Life-threatening emergencies are relatively uncommon in the radiology department, but when encountered, require timely intervention. With an increasing number of critically unwell patients visiting the radiology department each year for both diagnostic and interventional procedures, it is vital that radiology staff are trained to provide basic resuscitation before further assistance arrives. Simulation training is a well-validated, effective method for rehearsing low frequency, high acuity events in a supportive and safe environment. The aim of our study was to investigate whether the introduction of a focussed, multidisciplinary simulation course would improve healthcare professional’s knowledge and confidence when managing common medical emergencies; including cardiac arrest, anaphylaxis and airway obstruction. Methods: A multidisciplinary group of radiology staff attended a dedicated simulation teaching course. Participants completed a pre- and post-test questionnaire which assessed a range of knowledge domains and their perceived confidence with dealing with the clinical scenarios. The delegates were then asked to repeat this questionnaire 6 months after taking part in the course to assess their retention of skills and knowledge. Results: Knowledge scores increased by a mean difference of 4 points (p < 0.001). The mean pre- and post-course perceived confidence scores were 4.4/10 and 8/10, respectively. Advances in knowledge: This study suggests that embedding simulation training into the radiology curriculum improves healthcare professional’s knowledge and perceived confidence when dealing with common medical emergencies. Although previous studies have looked at the use of simulation training for radiology trainees in the management of selected medical emergencies, to the authors’ knowledge, this is the first study to demonstrate these benefits across a range of clinical scenarios, within an interprofessional environment.

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High-Fidelity Simulation Training for the Diagnosis and Management of Adverse Contrast Media Reactions

Cited by 8 publications

References 16 publications

High-fidelity simulation training improves resident knowledge of contrast reaction management, especially for junior residents

High-fidelity simulation training improves resident knowledge of contrast reaction management, especially for junior residents

The use and effectiveness of high-fidelity simulation in health professions education: current update

Use of High-fidelity simulation training for radiology healthcare professionals in the management of acute medical emergencies

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