Improved Auscultation Skills in Paramedic Students Using a Modified Stethoscope

Simon, Erin L.; Lecat, Paul; Haller, Nairmeen; Williams, Carolyn J.; Martin, Scott; Carney, J. Aidan; Pakiela, John A.

doi:10.1016/j.jemermed.2012.01.048

Cited by 10 publications

(3 citation statements)

References 18 publications

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“…Staff auscultation skills on intubated patients could be improved by training with simulated heart and lung sounds [168]. However, the only quick way of discovering a dislocated tube was to use capnography [169].…”

Section: Resultsmentioning

confidence: 99%

Mapping the use of simulation in prehospital care – a literature review

Abelsson

Rystedt

Suserud

et al. 2014

Scand J Trauma Resusc Emerg Med

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BackgroundHigh energy trauma is rare and, as a result, training of prehospital care providers often takes place during the real situation, with the patient as the object for the learning process. Such training could instead be carried out in the context of simulation, out of danger for both patients and personnel. The aim of this study was to provide an overview of the development and foci of research on simulation in prehospital care practice.MethodsAn integrative literature review were used. Articles based on quantitative as well as qualitative research methods were included, resulting in a comprehensive overview of existing published research. For published articles to be included in the review, the focus of the article had to be prehospital care providers, in prehospital settings. Furthermore, included articles must target interventions that were carried out in a simulation context.ResultsThe volume of published research is distributed between 1984- 2012 and across the regions North America, Europe, Oceania, Asia and Middle East. The simulation methods used were manikins, films, images or paper, live actors, animals and virtual reality. The staff categories focused upon were paramedics, emergency medical technicians (EMTs), medical doctors (MDs), nurse and fire fighters. The main topics of published research on simulation with prehospital care providers included: Intubation, Trauma care, Cardiac Pulmonary Resuscitation (CPR), Ventilation and Triage.ConclusionSimulation were described as a positive training and education method for prehospital medical staff. It provides opportunities to train assessment, treatment and implementation of procedures and devices under realistic conditions. It is crucial that the staff are familiar with and trained on the identified topics, i.e., intubation, trauma care, CPR, ventilation and triage, which all, to a very large degree, constitute prehospital care. Simulation plays an integral role in this. The current state of prehospital care, which this review reveals, includes inadequate skills of prehospital staff regarding ventilation and CPR, on both children and adults, the lack of skills in paediatric resuscitation and the lack of knowledge in assessing and managing burns victims. These circumstances suggest critical areas for further training and research, at both local and global levels.

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Section: Resultsmentioning

confidence: 99%

Mapping the use of simulation in prehospital care – a literature review

Abelsson

Rystedt

Suserud

et al. 2014

Scand J Trauma Resusc Emerg Med

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“…2 Evidence from several healthcare disciplines has shown that simulation can improve knowledge and skill performance. 3–6 One study found paramedic student error rates were reduced when simulation was used to instruct specific program components. 7 The advantages of simulation-based education can likely be attributed to the reality that traditional clinical learning experiences often rely on chance encounters.…”

Section: Introductionmentioning

confidence: 99%

Simulation Use in Paramedic Education Research (SUPER): A Descriptive Study

McKenna¹,

Carhart²,

Bercher³

et al. 2015

Prehospital Emergency Care

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Objectives. The purpose of this research was to characterize the use of simulation in initial paramedic education programs in order assist stakeholders’ efforts to target educational initiatives and resources. This group sought to provide a snapshot of what simulation resources programs have or have access to and how they are used; faculty perceptions about simulation; whether program characteristics, resources, or faculty training influence simulation use; and if simulation resources are uniform for patients of all ages. Methods. This was a cross-sectional census survey of paramedic programs that were accredited or had a Letter of Review from the Committee on Accreditation of Educational Programs for the EMS Professions at the time of the study. The data were analyzed using descriptive statistics and chi-square analyses. Results. Of the 638 surveys sent, 389 valid responses (61%) were analyzed. Paramedic programs reported they have or have access to a wide range of simulation resources (task trainers [100%], simple manikins [100%], intermediate manikins [99%], advanced/fully programmable manikins [91%], live simulated patients [83%], computer-based [71%], and virtual reality [19%]); however, they do not consistently use them, particularly advanced (71%), live simulated patients (66%), computer-based (games, scenarios) (31%), and virtual reality (4%). Simulation equipment (of any type) reportedly sits idle and unused in (31%) of programs. Lack of training was cited as the most common reason. Personnel support specific to simulation was available in 44% of programs. Programs reported using simulation to replace skills more frequently than to replace field or clinical hours. Simulation goals included assessment, critical thinking, and problem-solving most frequently, and patient and crew safety least often. Programs using advanced manikins report manufacturers as their primary means of training (87%) and that 19% of faculty had no training specific to those manikins. Many (78%) respondents felt they should use more simulation. Conclusions. Paramedic programs have and have access to diverse simulation resources; however, faculty training and other program resources appear to influence their use.

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“…Existen varias opciones disponibles para mejorar la competencia en auscultación cardiaca, basado en libros de texto y documentos educativos 18 , reproductores de MP3 20 y estetoscopios electrónicos modificados 21 . La experiencia y estudios realizados nos permiten señalar que en cuanto a las habilidades de auscultación cardiaca, lo que resulta efectivo es el entrenamiento basado en simulación 22 .…”

Section: Mejorar El Futuro De La Auscultación Cardiacaunclassified