scholarly journals Development of a Mannequin for Simulation-Based Trials Involving Respiratory Viral Spread During Respiratory Arrest and Cardiopulmonary Arrest Scenarios

Cureus ◽  
2021 ◽  
Author(s):  
Cindy Luu ◽  
Margaux Chan ◽  
Leo Langga ◽  
Elizabeth Bragg ◽  
Alyssa Rake ◽  
...  
Keyword(s):  
Cardiopulmonary Arrest ◽  
Respiratory Arrest ◽  
Viral Spread ◽  
Simulation Based

scholarly journals A Framework for Determining the Return on Investment of Simulation-Based Training in Health Care

2017 ◽  
Vol 54 ◽  
pp. 004695801668717
Author(s):  
Hatim Bukhari ◽  
Pamela Andreatta ◽  
Brian Goldiez ◽  
Luis Rabelo
Keyword(s):  
Health Care ◽  
Return On Investment ◽  
Cardiopulmonary Arrest ◽  
Medical Center ◽  
Academic Medical Center ◽  
Tertiary Care ◽  
Survival Rates ◽  
Wide Range ◽  
Simulation Based

This article describes a framework that has been developed to monetize the real value of simulation-based training in health care. A significant consideration has been given to the incorporation of the intangible and qualitative benefits, not only the tangible and quantitative benefits of simulation-based training in health care. The framework builds from three works: the value measurement methodology (VMM) used by several departments of the US Government, a methodology documented in several books by Dr Jack Phillips to monetize various training approaches, and a traditional return on investment methodology put forth by Frost and Sullivan, and Immersion Medical. All 3 source materials were adapted to create an integrated methodology that can be readily implemented. This article presents details on each of these methods and how they can be integrated and presents a framework that integrates the previous methods. In addition to that, it describes the concept and the application of the developed framework. As a test of the applicability of the framework, a real case study has been used to demonstrate the application of the framework. This case study provides real data related to the correlation between the pediatric patient cardiopulmonary arrest (CPA) survival rates and a simulation-based mock codes at the University of Michigan tertiary care academic medical center. It is important to point out that the proposed framework offers the capability to consider a wide range of benefits and values, but on the other hand, there are several limitations that has been discussed and need to be taken in consideration.

scholarly journals Using Simulation Education With Deliberate Practice to Teach Leadership and Resource Management Skills to Senior Resident Code Leaders

2014 ◽  
Vol 6 (3) ◽  
pp. 463-469 ◽  
Author(s):  
Amanda R. Burden ◽  
Erin W. Pukenas ◽  
Edward R. Deal ◽  
Douglas B. Coursin ◽  
Gregory M. Dodson ◽  
...  
Keyword(s):  
Resource Management ◽  
Skill Acquisition ◽  
Cardiopulmonary Arrest ◽  
Deliberate Practice ◽  
Senior Resident ◽  
Initial Assessment ◽  
Management Skills ◽  
High Stakes ◽  
Simulation Based ◽  
Improved Performance

Abstract Background Cardiopulmonary arrests are rare, high-stakes events that benefit from using crisis resource management (CRM). Simulation-based education with deliberate practice can promote skill acquisition. Objective We assessed whether using simulation-based education to teach CRM would lead to improved performance, compared to a lecture format. Methods We tested third-year internal medicine residents in simulated code scenarios. Participants were randomly assigned to simulation-based education with deliberate practice (SIM) group or lecture (LEC) group. We created a checklist of CRM critical actions (which includes announcing the diagnosis, asking for help/suggestions, and assigning tasks), and reviewed videotaped performances, using a checklist of skills and communications patterns to identify CRM skills and communication efforts. Subjects were tested in simulated code scenarios 6 months after the initial assessment. Results At baseline, all 52 subjects recognized distress, and 92% (48 of 52) called for help. Seventy-eight percent (41 of 52) did not succeed in resuscitating the simulated patient or demonstrate the CRM skills. After intervention, both groups (n  =  26 per group) improved. All SIM subjects announced the diagnosis compared to 65% LEC subjects (17 of 26, P  =  .01); 77% (20 of 26) SIM and 19% (5 of 26) LEC subjects asked for suggestions (P < .001); and 100% (26 of 26) SIM and 27% (7 of 26) LEC subjects assigned tasks (P < .001). Conclusions The SIM intervention resulted in significantly improved team communication and cardiopulmonary arrest management. During debriefing, participants acknowledged the benefit of the SIM sessions.

scholarly journals The effect of simulation-based education on nursing students’ knowledge and performance of adult basic cardiopulmonary resuscitation: A randomized clinical trial

2020 ◽  
Author(s):  
Tahereh Habibli ◽  
Tahereh Najafi Ghezeljeh ◽  
Shima Haghani
Keyword(s):  
Nursing Students ◽  
Cardiopulmonary Resuscitation ◽  
Life Support ◽  
Cardiopulmonary Arrest ◽  
Intervention Group ◽  
Control Group ◽  
Random Allocation ◽  
Simulation Based ◽  
And Performance ◽  
And Control

Background & Aim: Cardiopulmonary arrest as a life-threatening condition needs urgent interventions to protect individuals’ life and prevent irreversible damages to vital organs. This study aimed to investigate the effect of simulation-based education on the knowledge and performance of nursing students of adult essential life support cardiopulmonary resuscitation (BLS-CPR). Methods & Materials: This study used a pretest-posttest study with a control group. It was conducted at Iran University of medical sciences, Tehran, Iran, in 2017. In this study, 49 nursing students at the sixth education semester were assigned using the simple random allocation into two groups of intervention (n=28) and control (n=21). Initially, the conventional BLS education was provided to the two groups of intervention and control using the conventional method. Next, the intervention group received a simulation-based education. The knowledge and performance of the students before, immediately after, and three months after the intervention was assessed using a modified knowledge assessment questionnaire and a modified performance evaluation checklist about BLS in adults. Results: The students’ knowledge in the intervention group immediately after (p<0.001) and three months after the intervention (p<0.05) were significantly higher than the control group. The mean scores of performance immediately after (p<0.001) and three months after the intervention (p<0.001) were significantly higher than the control group. Conclusions: Simulation-based education increased the knowledge and performance of nursing students in the field of BLS-CPR. According to the results, integrating conventional training with simulation-based education can be effective in learning BLS among nursing students.

scholarly journals Evaluating the use of high-fidelity simulators during mock neonatal resuscitation scenarios in trying to improve confidence in residents

2018 ◽  
Vol 6 ◽  
pp. 205031211878195 ◽  
Author(s):  
Deena Hossino ◽  
Christina Hensley ◽  
Karen Lewis ◽  
Marie Frazier ◽  
Renee Domanico ◽  
...  
Keyword(s):  
Neonatal Intensive Care ◽  
Neonatal Resuscitation ◽  
Venous Catheter ◽  
Respiratory Arrest ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Post Intervention ◽  
Self Confidence ◽  
Simulation Based ◽  
Multiple Scenarios

Objective: The purpose of this study was to investigate the effect of the use of high-fidelity simulators with multidisciplinary teaching on self-reported confidence in residents. Methods: A total of 26 residents participated in a session led by a pediatric faculty member and a Neonatal Intensive Care Unit transport nurse using a high-fidelity pediatric simulator. Multiple scenarios were presented and each resident took turns in various roles. Pre-intervention surveys based on a 5-point Likert-type scale were given before the scenarios and were compared to the results of identical post-intervention surveys. Results: Statistically significant (p < 0.05) pre to post gains for self-confidence were observed. Improvements in confidence were analyzed using the mean difference. The largest improvement in confidence was seen in the ability to treat neonatal respiratory arrest. This was followed by the ability to supervise/run a code, and the ability to place an umbilical venous catheter. Conclusion: These results revealed that high-fidelity simulation-based training has significant positive gains in residents’ self-reported confidence.

scholarly journals Giant fetal lymphangioma with non-immune hydrops fetalis

2020 ◽  
Vol 7 (10) ◽  
pp. 2080
Author(s):  
Jerin Monisha Paul ◽  
Prabhukumar Sakthigirisamy ◽  
Ilangumaran Lakshmanan ◽  
Sucindar Mullainathan ◽  
Saravanan Sambandam
Keyword(s):  
Medical Literature ◽  
Antenatal Diagnosis ◽  
Cardiopulmonary Arrest ◽  
Prognostic Indicator ◽  
Respiratory Arrest ◽  
Cystic Mass ◽  
Emergency Caesarean Section ◽  
Hydrops Fetalis ◽  
Massive Ascites ◽  
Systemic Examination

Fetal lymphangioma is one of the rarest congenital malformation occuring in the newborn. We are reporting a giant fetal lymphangioma which may be the largest one so far reported in medical literature and its association with non immune hydrops fetalis. A late preterm 35+3 weeks gestation female neonate with birth weight of 3.8 kg was delivered via emergency caesarean section, for prevention of birth injuries in view of large for gestation. Baby had weak cry at birth. On examination a giant cystic mass extending from right hemithorax to right anterolateral abdominal wall measuring 25×12.5×9 cm was present. Systemic examination revealed respiratory distress and ascites. Neonate was admitted in NICU and started on supportive measures, despite which went into cardio respiratory arrest at second hour of life and revived with Cardiopulmonary resuscitation. Baby had second cardiopulmonary arrest at 9 hours of life and couldn’t be revived. Antenatal ultrasound showed massive ascites, bilateral pleural effusion with cardiomegaly and multiseptated cystic swelling over right chest wall. Based on clinical and antenatal findings we made a diagnosis of Giant fetal lymphangioma with non-immune hydrops fetalis. Giant fetal lymphangioma is an antenatal diagnosis. Its association with non-immune hydrops fetalis is a bad prognostic indicator with high mortality.

scholarly journals Respiratory Failure Due to a Large Mediastinal Mass in a 4-year-old Female with Blast Cell Crisis: A Case Report

2020 ◽  
Vol 4 (3) ◽  
pp. 400-403
Author(s):  
Christian Wade ◽  
Cody Couperus-Mashewske ◽  
Mia Geurts ◽  
Nicholas Derfler ◽  
John Ngo ◽  
...  
Keyword(s):  
Case Report ◽  
Mediastinal Mass ◽  
Cardiopulmonary Arrest ◽  
Lymphoblastic Leukemia ◽  
Blast Crisis ◽  
Respiratory Arrest ◽  
Pediatric Emergency ◽  
Tube Placement ◽  
Pulmonary Capillary ◽  
Cell Acute Lymphoblastic Leukemia

Introduction: Symptomatic leukostasis is an exceptionally atypical presentation of blast crisis; and when coupled with an enlarged neoplastic mediastinal mass in a four-year-old female, an extremely rare and challenging pediatric emergency arises. Case Report: We present a unique case of a four-year-old female who arrived via emergency medical services in cardiopulmonary arrest with clinical and radiographic evidence suggestive of bilateral pneumothoraces, prompting bilateral chest tube placement. Further evaluation revealed a large mediastinal mass and a concurrent white blood cell count of 428,400 per milliliter (/mL) (4,400-12,900/mL), with a 96% blast differential, consistent with complications of T-cell acute lymphoblastic leukemia. Conclusion: This case highlights how pulmonary capillary hypoperfusion secondary to leukostasis, coupled with a ventilation/perfusion mismatch due to compression atelectasis by an enlarged thymus, resulted in this patient’s respiratory arrest. Furthermore, the case highlights how mediastinal masses in pediatric patients present potential diagnostic challenges for which ultrasound may prove beneficial.

Development of a “First Five Minutes” Program to Improve Staff Response to Pediatric Codes

2020 ◽  
Vol 29 (3) ◽  
pp. 233-236
Author(s):  
Kandi M. Wise ◽  
J. Lynn Zinkan ◽  
Chrystal Rutledge ◽  
Stacy Gaither ◽  
Carrie Norwood ◽  
...  
Keyword(s):  
Cardiopulmonary Arrest ◽  
Chest Compressions ◽  
Timely Initiation ◽  
Acute Care Nurses ◽  
Staff Members ◽  
Code Performance ◽  
Simulation Based ◽  
Rigorous Study ◽  
Improve Instruction ◽  
Get With The Guidelines

Background Delayed or inadequate cardiopulmonary resuscitation during cardiopulmonary arrest is associated with adverse resuscitation outcomes in pediatric patients. Therefore, a “First Five Minutes” program was developed to train all inpatient acute care nurses in resuscitation skills. The program focused on steps to take during the first 5 minutes. Objective To improve response of bedside personnel in the first few minutes of a cardiopulmonary emergency. Methods A simulation-based in situ educational program was developed that focused on the components of the American Heart Association’s “Get With the Guidelines” recommendations. The program was implemented in several phases to improve instruction and focus on necessary skills. Results The program garnered positive feedback from participants and was deemed helpful in preparing nurses and other staff members to respond to a patient in cardiopulmonary arrest. Time to chest compressions improved after training, and postintervention responses to questions regarding future code performance indicated participant recognition of the priority of the interventions addressed, such as backboard use, timely initiation of chest compressions, and timely administration of medications. Preliminary data show staff improvements in mock code performance. Conclusions The First Five Minutes program has proved to be a successful educational initiative and is expected to be continued indefinitely, with additional phases incorporated as needed. A rigorous study on best teaching methods for the program is planned.

scholarly journals Effect of Using a Cardiac Catheterization Table-Stabilizing Stick on the Quality of Cardiopulmonary Resuscitation in the Cardiac Catheterization Laboratory: A Simulation-Based Study

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Tsuyoshi Yamada ◽  
Morihiro Ito ◽  
Hisako Urai ◽  
Yumiko Ueda ◽  
Hiroaki Maki ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Cardiac Catheterization ◽  
Cardiopulmonary Arrest ◽  
Neutral Position ◽  
X Ray ◽  
Cardiac Catheterization Laboratory ◽  
Cantilever Structure ◽  
Simulation Based ◽  
Cpr Quality

Rapid defibrillation and high-quality cardiopulmonary resuscitation (CPR) are necessary for patients with cardiopulmonary arrest, one of the most serious and frequently encountered complications in cardiac catheterization laboratories. However, when the catheterization table is withdrawn from its neutral position for fluoroscopy, it is unstable and unsuitable for resuscitation because of its cantilever structure. To stabilize the table in its withdrawn position, the use of a table-stabilizing stick might improve CPR quality. To investigate the effect of using a cardiac catheterization table-stabilizing stick on CPR quality, a CPR simulation mannequin was placed on a cardiac catheterization table that was withdrawn from the C-arm of the X-ray machine. CPR quality was assessed with or without the use of a table-stabilizing stick under the table. The CPR quality assessment (Q-CPR) scores were 79.6 ± 11.4% using the table-stabilizing stick and 47.7 ± 30.3% without the use of the stick device (p = 0.02). In this simulation-based study, the use of a table-stabilizing stick in a cardiac catheterization table withdrawn from the C-arm of the X-ray machine improved the quality of CPR.

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