Evidence map›Paper›PMID 30779606›Full record

ArticleHealth security

Simulation of a Spontaneous Vaginal Delivery and Neonatal Resuscitation in a Biocontainment Unit.

Benjamin K Kogutt, Jeanne S Sheffield, Dianne Whyne, Lisa L Maragakis, Jennifer Andonian, Jade Flinn, Chris Sulmonte, Adam Dodson, Mark Romig, Lauren Sauer and 5 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Health security. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% of its field
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Guideline
  2. Review
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

15 authors at 3 institutions in 1 country.

Benjamin K KoguttBenjamin K. Kogutt, MD, is a Clinical Fellow, Department of Gynecology and Obstetrics, Division of Maternal-Fetal Medicine, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, MD.
Jeanne S SheffieldJeanne S. Sheffield, MD, is Division Director, Department of Gynecology and Obstetrics, Division of Maternal-Fetal Medicine, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, MD.
Dianne WhyneDianne Whyne, RN, MS, is Director of Operations, Office of Critical Event Preparedness and Response, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, MD.
Lisa L MaragakisLisa L. Maragakis, MD, MPH, is Associate Professor of Medicine, Department of Medicine, Division of Infectious Diseases, Johns Hopkins University School of Medicine, and Senior Director of Infection Prevention, Johns Hopkins Health System, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, MD.
Jennifer AndonianJennifer Andonian, MPH, is Program Manager, Johns Hopkins Biocontainment Unit, Department of Medicine, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, MD.
Jade FlinnJade Flinn, RN, is a Nurse Educator, Johns Hopkins Biocontainment Unit, Office of Critical Event Preparedness and Response, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, MD.
Chris SulmonteChris Sulmonte, MHA, is Administrative Manager, Johns Hopkins Biocontainment Unit, Department of Medicine, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, MD.
Adam DodsonAdam Dodson, NRP, NCEE, is Lead Simulation Specialist, Johns Hopkins Simulation Center, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, MD.
Mark RomigMark Romig, MD, is Assistant Professor, Division of Pulmonary and Critical Care Medicine, and Johns Hopkins Armstrong Institute for Patient Safety and Quality, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, MD.
Lauren SauerLauren Sauer, MS, is Research Director, Johns Hopkins Biocontainment Unit, Department of Medicine, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, MD.
Robert MaloneyRobert Maloney, MS, is Senior Director, Office of Emergency Management for Johns Hopkins Health System, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, MD.
Janis FerrellJanis Ferrell, CT, is Perinatal/Perioperative Clinical Operations Supervisor, Department of Gynecology and Obstetrics, Division of Maternal-Fetal Medicine, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, MD.
Arthur J VaughtArthur J. Vaught, MD, is Assistant Professor, Department of Gynecology and Obstetrics, Division of Maternal-Fetal Medicine, and Department of Surgery, Division of Surgical Critical Care, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, MD.
W Christopher GoldenW. Christopher Golden, MD, is Medical Director, Johns Hopkins Hospital Newborn Nursery, Department of Pediatrics, Division of Neonatology, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, MD.
Brian T GaribaldiBrian T. Garibaldi, MD, is Director, Johns Hopkins Biocontainment Unit, Department of Medicine, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, MD.
Johns Hopkins University · USJohns Hopkins Hospital · USJohns Hopkins Medicine · US

Funding

The Johns Hopkins Clinical Research Scholars in Women's Health (BIRCWH)K12HD085845 · NICHD · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2015 to 2023
$4.5M
NICHD NIH HHS K12 HD085845
6 · The paper itself

Abstract

This article describes a large-scale scenario designed to test the capabilities of a US biocontainment unit to manage a pregnant woman infected with a high-consequence pathogen, and to care for a newborn following labor and spontaneous vaginal delivery. We created and executed a multidisciplinary functional exercise with simulation to test the ability of the Johns Hopkins Hospital biocontainment unit (BCU) to manage a pregnant patient in labor with an unknown respiratory illness and to deliver and stabilize her neonate. The BCU Exercise and Drill Committee established drill objectives and executed the exercise in partnership with the Johns Hopkins Simulation Center in accordance with Homeland Security and Exercise Program guidelines. Exercise objectives were assessed by after-action reporting and objective measurements to detect contamination, using a fluorescent marker to simulate biohazardous fluids that would be encountered in a typical labor scenario. The immediate objectives of the drill were accomplished, with stabilization of the mother and successful delivery and resuscitation of her newborn. There was no evidence of contamination when drill participants were inspected under ultraviolet light at the end of the exercise. Simulation optimizes teamwork, communication, and safety, which are integral to the multidisciplinary care of the maternal-fetal unit infected, or at risk of infection, with a high-consequence pathogen. Lessons learned from this drill regarding patient transportation, safety, and obstetric and neonatal considerations will inform future exercises and protocols and will assist other centers in preparing to care for pregnant patients under containment conditions.

Indexed as

Cardiopulmonary ResuscitationDelivery, ObstetricPregnancy Complications, CardiovascularContainment of BiohazardsFemaleHospitalsHumansInfant, NewbornInfectious Disease Transmission, Patient-to-ProfessionalPregnancyPregnancy OutcomeSimulation TrainingBiocontainment unitNeonatal resuscitationSimulationSpontaneous vaginal delivery

Identifiers

PMID30779606
PMCPMC8024363
OpenAlexW2917278823

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.