Emergency reflex action drill for traumatic cardiac arrest in a simulated pre-hospital setting; a one-group pre-post intervention study

反射 医学 干预(咨询) 演习 紧急医疗服务 急诊科 医疗急救 麻醉 精神科 工程类 机械工程
作者
Irene Bijl,Niek J. Vianen,Esther M.M. Van Lieshout,Christian Beekers,Nancy W.P.L. van der Waarden,Begüm Pekbay,Iscander M. Maissan,M.H.J. Verhofstad,Mark G. van Vledder
出处
期刊:Intensive and Critical Care Nursing [Elsevier BV]
卷期号:84: 103731-103731
标识
DOI:10.1016/j.iccn.2024.103731
摘要

Emergency Reflex Action Drills (ERADs) are meant to decrease stress-associated cognitive demand in high urgency situations. The aim of this study was to develop and test an ERAD for witnessed traumatic cardiac arrest (TCA), an event in which potentially reversible causes need to be systematically addressed and treated in a short period of time. We hypothesize that this ERAD (the TCA-Drill) helps ground Emergency Medical Services (EMS) nurses in overcoming performance decline during this specific high-pressure situation. This was a prospective, experimental one-group pre-post intervention study. Ground EMS nurses participated in a session of four simulated scenarios, with an in-between educational session to teach the TCA-Drill. Scenarios were video recorded, after which adherence and time differences were analyzed. Self-confidence on clinical practice was measured before and after the scenarios. Twelve ground EMS nurses participated in this study. Overall median time to address reversible causes of TCA decreased significantly using the TCA-Drill (132 vs. 110 s; p = 0.030) compared with the conventional ALS strategy. More specifically, participants adhering to the TCA-Drill showed a significantly lower time needed for hemorrhage control (58 vs. 37 s; p = 0.012). Eight of 12 (67 %) ground EMS nurses performed the ERAD without protocol deviations. Reported self-confidence significantly increased on 11 of the 13 surveyed items. The use of an ERAD for TCA (the TCA-Drill) significantly reduces the time to address reversible causes for TCA without delaying chest compressions in a simulated environment and can be easily taught to ground EMS nurses and increases self-confidence. The use of an ERAD for TCA (the TCA-Drill can significantly reduce the time to address reversible causes for TCA without delaying chest compression. This drill can be easily taught to ground EMS nurses and increases their self-confidence in addressing TCA-patients.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
2秒前
共享精神应助讨厌科研采纳,获得10
3秒前
余南发布了新的文献求助10
3秒前
4秒前
李子发布了新的文献求助10
4秒前
5秒前
量子星尘发布了新的文献求助10
7秒前
7秒前
7秒前
双楠应助SAVP采纳,获得10
8秒前
oui发布了新的文献求助10
9秒前
朴实桐应助花痴的语堂采纳,获得10
9秒前
9秒前
科目三应助东晓采纳,获得10
10秒前
loski发布了新的文献求助10
10秒前
清爽如雪完成签到 ,获得积分10
10秒前
Orange应助hanleiharry1采纳,获得10
13秒前
王海海发布了新的文献求助10
13秒前
14秒前
Xin发布了新的文献求助10
14秒前
mrx完成签到,获得积分20
15秒前
16秒前
孙燕应助光热效应采纳,获得30
19秒前
朴实桐应助花痴的语堂采纳,获得10
20秒前
香香完成签到,获得积分10
21秒前
大脑袋媛媛完成签到,获得积分10
22秒前
夏日发布了新的文献求助10
24秒前
24秒前
hanleiharry1发布了新的文献求助10
25秒前
26秒前
张雯思发布了新的文献求助10
26秒前
27秒前
晚意意意意意完成签到 ,获得积分10
28秒前
31秒前
柯幼萱发布了新的文献求助10
31秒前
31秒前
nightmare发布了新的文献求助10
32秒前
wsj完成签到,获得积分10
33秒前
阳尧完成签到,获得积分10
33秒前
hanleiharry1发布了新的文献求助10
36秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3989390
求助须知:如何正确求助?哪些是违规求助? 3531487
关于积分的说明 11254109
捐赠科研通 3270153
什么是DOI,文献DOI怎么找? 1804887
邀请新用户注册赠送积分活动 882087
科研通“疑难数据库(出版商)”最低求助积分说明 809174