Observational studyBMJ open2020
Use of simulation training to teach the ABCDE primary assessment: an observational study in a Dutch University Hospital with a 3-4 months follow-up.
Observational study in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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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.
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Who cites it
8 citing papers in PubMed.
- Adherence to the ABCDE approach in relation to the method of instruction: a randomized controlled simulation study.BMC emergency medicine · 2021Trial
- Article
- The use of specific coordination behaviours to manage information processing and task distribution in real and simulated trauma teamwork: an observational study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Observational
- The ABCDE approach in critically ill patients: A scoping review of assessment tools, adherence and reported outcomes.Resuscitation plus · 2024Article
- Simulation in airway management teaching and training.Indian journal of anaesthesia · 2024Article
- Under- and post-graduate training to manage the acutely unwell patient: a scoping review.BMC medical education · 2023Article
- A Literature Study of Medical Simulations for Non-Technical Skills Training in Emergency Medicine: Twenty Years of Progress, an Integrated Research Framework, and Future Research Avenues.International journal of environmental research and public health · 2023Article
- The use of Simulated Observations in Medical Simulation and its effect on perceived realism: A pilot project.MedEdPublish (2016) · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate short-term and long-term effectiveness of simulation training to acquire a structured Airway Breathing Circulation Disability Exposure (ABCDE) approach for medical emergencies; and to examine which skills were learnt and maintained best.
designAn observational study with a 3-4 months follow-up.
settingSkills center of the University Medical Center Groningen.
participantsThirty voluntary participants (21 females and 9 males; 27±2.77 years) of a simulation-based course.
interventionA 2-day ABCDE-teaching course for residents and non-residents. The course encompasses 24 simulations in which participants perform primary assessments of acute ill patients. Video recordings were taken of each participant performing a primary assessment, before (T1), directly after (T2) and 3-4 months after the intervention (T3).
main outcome measuresPhysicians' performance in the ABCDE primary assessment at T1, T2 and T3. Two observers scored the primary assessments, blinded to measurement moment, using an assessment form to evaluate the performance with regard to skills essential for a structured ABCDE approach. The Friedman and Wilcoxon signed-rank test were used to compare physicians' performances on the subsequent measurement moments.
resultsThe mean ranks on the total primary assessment at T1, T2 and T3 were 1.14, 2.62 and 2.24, respectively, and were significantly different, (p<0.001).The mean ranks on the total primary assessment directly after the course (T2 vs T1 p<0.001) and 3-4 months after the course (T3 vs T1 p<0.001) were significantly better than before the course. Certain skills deteriorated during the follow-up. Strikingly, most skills that decrease over time are Crew Resources Management (CRM) skills.
conclusionA course using simulation training is an effective educational tool to teach physicians the ABCDE primary assessment. Certain CRM skills decrease over time, so we recommend organising refresher courses, simulation team training or another kind of simulation training with a focus on CRM skills.
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