Evidence map›Paper›PMID 33150277›Full record

ArticleAEM education and training2020

Development and Evaluation of An Abbreviated Extracorporeal Membrane Oxygenation (ECMO) Course for Nonsurgical Physicians and Nurses.

Joseph K Maddry, R Madelaine Paredes, Joni A Paciocco, Maria Castaneda, Allyson A Araña, Crystal A Perez, Lauren K Reeves, Ryan K Newberry, Vikhyat S Bebarta, Nurani Kester and 1 more

Abstract read
In one paragraph

Article in AEM education and training, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

11 authors.

Joseph K MaddryUnited States Air Force 59th Medical Wing/Science & Technology San Antonio TX.ORCID https://orcid.org/0000-0002-8341-4182
R Madelaine ParedesUnited States Air Force 59th Medical Wing/Science & Technology San Antonio TX.
Joni A PacioccoUnited States Air Force 59th Medical Wing/Science & Technology San Antonio TX.
Maria CastanedaUnited States Air Force 59th Medical Wing/Science & Technology San Antonio TX.
Allyson A ArañaUnited States Air Force 59th Medical Wing/Science & Technology San Antonio TX.
Crystal A PerezUnited States Air Force 59th Medical Wing/Science & Technology San Antonio TX.
Lauren K ReevesUnited States Air Force 59th Medical Wing/Science & Technology San Antonio TX.
Ryan K NewberryDepartment of Emergency Medicine San Antonio Military Medical Center Fort Sam Houston TX.
Vikhyat S BebartaUnited States Air Force 59th Medical Wing/Science & Technology San Antonio TX.
Nurani KesterDepartment of Emergency Medicine University of Texas Health Science Center San Antonio San Antonio TX.
Phillip E MasonDepartment of Emergency Medicine San Antonio Military Medical Center Fort Sam Houston TX.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtracorporeal membrane oxygenation (ECMO) is a modification of cardiopulmonary bypass that allows prolonged support of patients with severe respiratory or cardiac failure. ECMO indications arse rapidly evolving and there is growing interest in its use for cardiac arrest and cardiogenic shock. However, ECMO training programs are limited. Training of emergency medicine and critical care clinicians could expand the use of this lifesaving intervention. Our objective was to develop and evaluate an abbreviated ECMO course that can be taught to emergency and critical care physicians and nurses.

methodsWe developed a training model using Yorkshire swine (

resultsSeventeen teams (34 clinicians) completed the abbreviated ECMO course. None had previously completed an ECMO certification course. Immediately following the course, all teams successfully primed and prepared the ECMO circuit. Fifteen teams (88%, 95% confidence interval [CI] = 64% to 99%) successfully initiated ECMO. Participants improved their knowledge (difference 21.2, 95% CI = 16.5 to 25.8) and confidence (difference 40.3, 95% CI = 35.6 to 45.0) scores after completing the course.

conclusionsWe developed an accelerated 1-day ECMO course. Clinicians' confidence and knowledge assessments improved and 88% of teams could successfully initiate venoarterial ECMO after the course.

Identifiers

PMID33150277
PMCPMC7592829

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.