Evidence map›Paper›PMID 27330658›Full record

ArticleThe western journal of emergency medicine2016

Academic Emergency Medicine Physicians' Knowledge of Mechanical Ventilation.

Susan R Wilcox, Tania D Strout, Jeffrey I Schneider, Patricia M Mitchell, Jessica Smith, Lucienne Lutfy-Clayton, Evie G Marcolini, Ani Aydin, Todd A Seigel, Jeremy B Richards

Abstract read
In one paragraph

Article in The western journal of emergency medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Trial
  2. Article
  3. Management of Mechanical Ventilation in Emergency Medicine: A Scoping Review.Journal of the American College of Emergency Physicians open · 2026
    Review
  4. Article
  5. Review
  6. Review
  7. Observational
  8. Article
  9. Observational
  10. Review
  11. Article
  12. Article
  13. Invasive Mechanical Ventilation.Southern medical journal · 2018
    Review
  14. Duration of Mechanical Ventilation in the Emergency Department.The western journal of emergency medicine · 2017
    Observational
  15. Impact of a respiratory ICU rotation on resident knowledge and confidence in managing mechanical ventilation.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Susan R WilcoxMedical University of South Carolina, Divisions of Emergency Medicine and Pulmonary, Critical Care and Sleep Medicine, Charleston, South Carolina.
Tania D StroutMaine Medical Center, Department of Emergency Medicine, Portland, Maine.
Jeffrey I SchneiderBoston Medical Center, Department of Emergency Medicine, Boston, Massachusetts.
Patricia M MitchellBoston Medical Center, Department of Emergency Medicine, Boston, Massachusetts.
Jessica SmithAlpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island.
Lucienne Lutfy-ClaytonBaystate Medical Center, Department of Emergency Medicine, Springfield, Massachusetts.
Evie G MarcoliniYale University School of Medicine, Departments of Emergency Medicine and Neurology, Divisions of Neurocritical Care and Emergency Neurology and Surgical Critical Care, New Haven, Connecticut.
Ani AydinYale University School of Medicine, Department of Emergency Medicine, New Haven, Connecticut.
Todd A SeigelDepartment of Emergency Medicine and Critical Care, Kaiser Permanente East Bay, Oakland and Richmond Medical Centers, California.
Jeremy B RichardsMedical University of South Carolina, Division of Pulmonary, Critical Care and Sleep Medicine, Charleston, South Carolina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough emergency physicians frequently intubate patients, management of mechanical ventilation has not been emphasized in emergency medicine (EM) education or clinical practice. The objective of this study was to quantify EM attendings' education, experience, and knowledge regarding mechanical ventilation in the emergency department.

methodsWe developed a survey of academic EM attendings' educational experiences with ventilators and a knowledge assessment tool with nine clinical questions. EM attendings at key teaching hospitals for seven EM residency training programs in the northeastern United States were invited to participate in this survey study. We performed correlation and regression analyses to evaluate the relationship between attendings' scores on the assessment instrument and their training, education, and comfort with ventilation.

resultsOf 394 EM attendings surveyed, 211 responded (53.6%). Of respondents, 74.5% reported receiving three or fewer hours of ventilation-related education from EM sources over the past year and 98 (46%) reported receiving between 0-1 hour of education. The overall correct response rate for the assessment tool was 73.4%, with a standard deviation of 19.9. The factors associated with a higher score were completion of an EM residency, prior emphasis on mechanical ventilation during one's own residency, working in a setting where an emergency physician bears primary responsibility for ventilator management, and level of comfort with managing ventilated patients. Physicians' comfort was associated with the frequency of ventilator changes and EM management of ventilation, as well as hours of education.

conclusionEM attendings report caring for mechanically ventilated patients frequently, but most receive fewer than three educational hours a year on mechanical ventilation, and nearly half receive 0-1 hour. Physicians' performance on an assessment tool for mechanical ventilation is most strongly correlated with their self-reported comfort with mechanical ventilation.

Indexed as

Guideline AdherenceRespiration, ArtificialClinical CompetenceEducational MeasurementEmergency MedicineHumansInternship and ResidencyPhysiciansPractice Patterns, Physicians'United States

Identifiers

PMID27330658
PMCPMC4899057

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.