Evidence map›Paper›PMID 35354006›Full record

Trial reportThe western journal of emergency medicine2021

The FAST VIP (First Aid for Severe Trauma "Virtual" in-Person) Educational Study.

Craig A Goolsby, Keke Schuler, Raphaelle Rodzik, Nathan Charlton, Vidya Lala, Kevin Anderson, Jeffrey L Pellegrino

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The western journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. 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

7 authors at 4 institutions in 1 country.

Craig A GoolsbyUniformed Services University of the Health Sciences, Department of Military & Emergency Medicine, Bethesda, Maryland.
Keke SchulerUniformed Services University of the Health Science, National Center for Disaster Medicine and Public Health Medicine, Bethesda, Maryland.
Raphaelle RodzikUniformed Services University of the Health Science, National Center for Disaster Medicine and Public Health Medicine, Bethesda, Maryland.
Nathan CharltonUniversity of Virginia School of Medicine, Department of Emergency Medicine, Charlottesville, Virginia.
Vidya LalaUniformed Services University of the Health Sciences, School of Medicine, Bethesda, Maryland.
Kevin AndersonUniformed Services University of the Health Sciences, School of Medicine, Bethesda, Maryland.
Jeffrey L PellegrinoUniversity of Akron, Department of Disaster Sciences and Emergency Services, Akron, Ohio.
Henry M. Jackson Foundation · USUniformed Services University of the Health Sciences · USUniversity of Virginia · USUniversity of Akron · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTrauma is the leading cause of death for young Americans. Increased school violence, combined with an emphasis on early hemorrhage control, has boosted demand to treat injuries in schools. Meanwhile, coronavirus disease 2019 (COVID-19) has made educating the public about trauma more difficult. A federally funded high school education program in development, called First Aid for Severe Trauma™ (FAST™), will teach students to aid the severely injured. The program will be offered in instructor-led, web-based, and blended formats. We created a program to prepare high school teachers to become FAST instructors via "virtual" in-person (VIP) instruction. We used a webinar followed by VIP skills practice, using supplies shipped to participants' homes. To our knowledge, no prior studies have evaluated this type of mass, widely distributed, VIP education.

methodsThis study is a prospective, single-arm, educational cohort study. We enrolled a convenience sample of all high school teachers attending FAST sessions at the Health Occupations Students of America-Future Health Professionals International Leadership Conference. Half of the participants were randomized to complete the Stop the Bleed Education Assessment Tool (SBEAT) prior to the webinar, and the other completed it afterward; SBEAT is a validated tool to measure learning of bleeding competencies. We then performed 76 VIP video-training sessions from June-August 2020. The FAST instructors assessed each participant's ability to apply a tourniquet and direct pressure individually, then provided interactive group skills training, and finally re-evaluated each participant's performance post-training.

resultsA total of 190 (96%) participants successfully applied a tourniquet after VIP training, compared to 136 (68%) prior to training (P < 0.001). Participants significantly improved their ability to apply direct pressure: 116 (56%) pre-assessment vs 204 (100%) post-assessment (P < 0.001). The mean score for the SBEAT increased significantly from pre-training to post-training: 2.09 with a standard deviation (SD) of 0.97 to 2.55 post-training with a SD of 0.72 (P < 0.001).

conclusionThis study suggests that a webinar combined with VIP training is effective for teaching tourniquet and direct-pressure application skills, as well as life-threatening bleeding knowledge. VIP education may be useful for creating resuscitative medicine instructors from distributed locations, and to reach learners who cannot attend classroom-based instruction.

Indexed as

COVID-19First AidCohort StudiesHemorrhageHumansProspective StudiesUnited States

Identifiers

PMID35354006
PMCPMC8328158
OpenAlexW3183731065

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.