Evidence map›Paper›PMID 34618829›Full record

ArticlePloS one2021

Comprehensive assessment of a nationwide simulation-based course for artificial life support.

Mateusz Puslecki, Marek Dabrowski, Marcin Ligowski, Bishoy Zakhary, Ahmed S Said, Kollengode Ramanathan, Elaine Cooley, Lukasz Puslecki, Sebastian Stefaniak, Piotr Ziemak and 14 more

Erratum issuedAbstract read
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In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors.

Mateusz PusleckiDepartment of Medical Rescue, Chair of Emergency Medicine, Poznan University of Medical Sciences, Poznan, Poland.ORCID 0000-0003-0015-2808
Marek DabrowskiPolish Society of Medical Simulation, Slupca, Poland.
Marcin LigowskiDepartment of Cardiac Surgery and Transplantology, Chair of Cardiac and Thoracic Surgery, Poznan University of Medical Sciences, Poznan, Poland.
Bishoy ZakharyDivision of Pulmonary and Critical Care Medicine, Oregon Health and Science University, Portland, OR, United States of America.
Ahmed S SaidDivision of Pediatric Critical Care Medicine, Washington University School of Medicine in St Louis and St Louis Children's Hospital, St. Louis, Missouri, United States of America.
Kollengode RamanathanCardiothoracic Intensive Care Unit, National University Hospital, National University of Singapore, Singapore, Singapore.
Elaine CooleyExtracorporeal Life Support Organization, Ann Arbor, Michigan, United States of America.
Lukasz PusleckiDepartment of International Management, Poznan University of Economics and Business, Poznan, Poland.
Sebastian StefaniakDepartment of Cardiac Surgery and Transplantology, Chair of Cardiac and Thoracic Surgery, Poznan University of Medical Sciences, Poznan, Poland.
Piotr ZiemakCenter of Medical Simulation, Poznan University of Medical Sciences, Poznan, Poland.
Ilona Kiel-PusleckaCenter of Medical Simulation, Poznan University of Medical Sciences, Poznan, Poland.
Agata DabrowskaDepartment of Medical Rescue, Chair of Emergency Medicine, Poznan University of Medical Sciences, Poznan, Poland.
Tomasz KlosiewiczDepartment of Medical Rescue, Chair of Emergency Medicine, Poznan University of Medical Sciences, Poznan, Poland.
Maciej SipDepartment of Medical Rescue, Chair of Emergency Medicine, Poznan University of Medical Sciences, Poznan, Poland.
Radoslaw ZalewskiDepartment of Medical Rescue, Chair of Emergency Medicine, Poznan University of Medical Sciences, Poznan, Poland.
Malgorzata LadzinskaDepartment of Cardiac Surgery and Transplantology, Chair of Cardiac and Thoracic Surgery, Poznan University of Medical Sciences, Poznan, Poland.
Wojciech MrowczynskiDepartment of Pediatric Cardiac Surgery, Poznan University of Medical Sciences, Poznan, Poland.
Piotr LadzinskiDepartment of Pediatric Cardiac Surgery, Poznan University of Medical Sciences, Poznan, Poland.
Lidia SzlangaPolish Society of Medical Simulation, Slupca, Poland.
Konrad BaumgartDepartment of Cardiac Surgery and Transplantology, Chair of Cardiac and Thoracic Surgery, Poznan University of Medical Sciences, Poznan, Poland.
Piotr KupidlowskiPolish Society of Medical Simulation, Slupca, Poland.
Lukasz SzarpakPolish Society of Medical Simulation, Slupca, Poland.
Marek JemielityDepartment of Cardiac Surgery and Transplantology, Chair of Cardiac and Thoracic Surgery, Poznan University of Medical Sciences, Poznan, Poland.
Bartlomiej PerekDepartment of Cardiac Surgery and Transplantology, Chair of Cardiac and Thoracic Surgery, Poznan University of Medical Sciences, Poznan, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSuccessful implementation of medical technologies applied in life-threatening conditions, including extracorporeal membrane oxygenation (ECMO) requires appropriate preparation and training of medical personnel. The pandemic has accelerated the creation of new ECMO centers and has highlighted continuous training in adapting to new pandemic standards. To reach high standards of patients' care, we created the first of its kind, National Education Centre for Artificial Life Support (NEC-ALS) in 40 million inhabitants' country in the Central and Eastern Europe (CEE). The role of the Center is to test and promote the novel or commonly used procedures as well as to develop staff skills on management of patients needing ECMO.

methodIn 2020, nine approved and endorsed by ELSO courses of "Artificial Life Support with ECMO" were organized. Physicians participated in the three-day high-fidelity simulation-based training that was adapted to abide by the social distancing norms of the COVID-19 pandemic. Knowledge as well as crucial cognitive, behavioral and technical aspects (on a 5-point Likert scale) of management on ECMO were assessed before and after course completion. Moreover, the results of training in mechanical chest compression were also evaluated.

resultsThere were 115 participants (60% men) predominantly in the age of 30-40 years. Majority of them (63%) were anesthesiologists or intensivists with more than 5-year clinical experience, but 54% had no previous ECMO experience. There was significant improvement after the course in all cognitive, behavioral, and technical self-assessments. Among aspects of management with ECMO that all increased significantly following the course, the most pronounced was related to the technical one (from approximately 1.0 to more 4.0 points). Knowledge scores significantly increased post-course from 11.4 ± SD to 13 ± SD (out of 15 points). The quality of manual chest compression relatively poor before course improved significantly after training.

conclusionsOur course confirmed that simulation as an educational approach is invaluable not only in training and testing of novel or commonly used procedures, skills upgrading, but also in practicing very rare cases. The implementation of the education program during COVID-19 pandemic may be helpful in founding specialized Advanced Life Support centers and teams including mobile ones. The dedicated R&D Innovation Ecosystem established in the "ECMO for Greater Poland" program, with developed National Education Center can play a crucial role in the knowledge and know-how transfer but future research is needed.

Indexed as

COVID-19Education, DistanceEducation, Medical, ContinuingPandemicsSARS-CoV-2Simulation TrainingAdultFemaleHumansMale

Identifiers

PMID34618829
PMCPMC8496826

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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.