The Association Between Emergency Medical Services Field Performance Assessed by High-fidelity Simulation and the Cognitive Knowledge of Practicing Paramedics

Studnek, Jonathan R.; Fernández, Antonio R. Martínez; Shimberg, Brian; Garifo, Melissa; Correll, Michelle

doi:10.1111/j.1553-2712.2011.01208.x

Cited by 29 publications

(18 citation statements)

References 17 publications

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“…These articles highlighted that simulation provided a positive and helpful opportunity to train under stress [92-95] and was an effective way to train for biological, chemical, nuclear and terror attack scenarios [96-100]. …”

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

View full text Add to dashboard Cite

show abstract

“…This is especially concerning given that there is an association between paramedics’ field performance and their performance on cognitive examinations when assessed by a simulated EMS response [11]. Given the generally lower proportion of pediatric patients seen by the EMS providers and the unique characteristics of children as patients, EMS systems need to take special care to ensure competence and maintenance of skills in their providers.…”

Section: Discussionmentioning

confidence: 99%

Pediatric emergency medical care in Yerevan, Armenia: a knowledge and attitudes survey of out-of-hospital emergency physicians

et al. 2014

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BackgroundOut-of-hospital emergency care is at an early stage of development in Armenia, with the current emergency medical services (EMS) system having emergency physicians (EPs) work on ambulances along with nurses. While efforts are underway by the Ministry of Health and other organizations to reform the EMS system, little data exists on the status of pediatric emergency care (PEC) in the country. We designed this study to evaluate the knowledge and attitudes of out-of-hospital emergency physicians in pediatric rapid assessment and resuscitation, and identify areas for PEC improvement.MethodsWe distributed an anonymous, self-administered Knowledge and Attitudes survey to a convenience sample of out-of-hospital EPs in the capital, Yerevan, from August to September 2012.ResultsWith a response rate of 80%, the majority (89.7%) of respondents failed a 10-question knowledge test (with a pre-defined passing score of ≥7) with a mean score of 4.17 ± 1.99 SD. Answers regarding the relationship between pediatric cardiac arrest and respiratory issues, compression-to-ventilation ratio in neonates, definition of hypotension, and recognition of shock were most frequently incorrect. None of the participants had attended pediatric-specific continuing medical education (CME) activities within the preceding 5 years. χ2 analysis demonstrated no statistically significant association between physician age, length of EMS experience, type of ambulance (general vs. resuscitation/critical care), or CME attendance and pass/fail status. The majority of participants agreed that PEC education in Armenia needs improvement (98%), that there is a need for pediatric-specific CME (98%), and that national out-of-hospital PEC guidelines would increase PEC safety, efficiency, and effectiveness (96%).ConclusionsOut-of-hospital emergency physicians in Yerevan, Armenia are deficient in pediatric-specific emergency assessment and resuscitation knowledge and training, but express a clear desire for improvement. There is a need to support additional PEC training and CME within the EMS system in Armenia.

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“…Also, there were less negative responses regarding activities related to practical skills than to theoretical skills. A study with Irish APs reinforced the concept of practical-type learning as a preferred methodology and as an effective way of maintaining competence [6], indeed scenario-based simulations have been used since 2007 as part of routine continuing education programmes by some American emergency medical services [9]. Interactive methods, for the purposes of CPD, such as team-based learning and case-based learning, as compared to lectures, impart sustainable knowledge and lead to high satisfaction among participants [18].…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have assessed emergency medical technician, paramedic and advanced paramedic (AP) training and continuing education in Ireland [5,6] and internationally [7-9]. However, in this study we wished to determine, for the first time, the attitudes of Irish paramedics and APs towards CPC, their preferred activities, delivery format and relevance to their roles.…”

Section: Introductionmentioning

confidence: 99%

Continuous Professional Competence (CPC) for Irish paramedics and advanced paramedics: a national study

2014

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BackgroundInternationally, continuing professional competence (CPC) is an increasingly important issue for all health professionals. With the imminent introduction of a CPC framework for paramedics and advanced paramedics (APs) in Ireland, this paper aims to identify factors that will inform the implementation of this CPC framework by seeking stakeholder input into the development of a CPC model for use by the regulatory body. Our secondary objective is to determine the attitudes of registrants towards CPC and what they consider as optimal educational outcomes and activities, for the purposes of CPC.MethodsAll paramedics and APs registered in Ireland (n = 1816) were invited by email to complete an anonymous on-line survey. The study instrument was designed based on CPD questionnaires used by other healthcare professions. Quantitative and qualitative analyses were performed.ResultsThe overall response rate was 43% (n = 789), with 82% of APs and 38% of paramedics participating. Eighty-nine per cent agreed that registration was of personal importance; 74% agreed that evidence of CPC should be maintained and 39% believed that persistent failure to meet CPC requirements should mandate denial of registration. From a pre-determined list of activities, respondents indicated practical training scenarios (94%), cardiac re-certification (92%), e-learning supplemented by related practice (90%) and training with simulation manikins (88%) were most relevant, while e-learning alone (36%), project work (27%) and reading journal articles (24%) were least relevant.ConclusionsIrish Paramedics and APs are supportive of CPC linked with their professional development and registration. Blended learning, involving evidence of patient contact, team-based learning and practical skills are preferred CPC activities.

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The Association Between Emergency Medical Services Field Performance Assessed by High-fidelity Simulation and the Cognitive Knowledge of Practicing Paramedics

Cited by 29 publications

References 17 publications

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

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

Pediatric emergency medical care in Yerevan, Armenia: a knowledge and attitudes survey of out-of-hospital emergency physicians

Continuous Professional Competence (CPC) for Irish paramedics and advanced paramedics: a national study

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