Evidence map›Paper›PMID 35675629›Full record

ArticleJMIR nursing2022

Developing and Testing a Protocol for Managing Cardiopulmonary Resuscitation of Patients with Suspected or Confirmed COVID-19: In Situ Simulation Study.

Azizeh Sowan, Jenny Heins, Christopher Dayton, Elizabeth Scherer, Wing Sun Tam, Haritha Saikumar

Open access · goldAbstract read
In one paragraph

Article in JMIR nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 45% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

6 authors at 3 institutions in 1 country.

Azizeh SowanSchool of Nursing, The University of Texas Health at San Antonio, San Antonio, TX, United States.ORCID https://orcid.org/0000-0001-7719-2037
Jenny HeinsCenter for Clinical Excellence, University Health, San Antonio, TX, United States.ORCID https://orcid.org/0000-0002-7631-4490
Christopher DaytonDivision of Pulmonary and Critical Care Medicine, Department of Emergency Medicine, The University of Texas Health at San Antonio, San Antonio, TX, United States.ORCID https://orcid.org/0000-0002-3407-0213
Elizabeth SchererDivision of Trauma and Emergency Surgery, Department of Surgery, The University of Texas Health at San Antonio, San Antonio, TX, United States.ORCID https://orcid.org/0000-0002-0516-0754
Wing Sun TamEmergency Department, Audie L Murphy Veterans Affairs Medical Center, South Texas Veterans Health Care System, San Antonio, TX, United States.ORCID https://orcid.org/0000-0003-3538-7711
Haritha SaikumarPulmonary and Critical Care, The University of Texas at Austin Dell Medical School, Austin, TX, United States.ORCID https://orcid.org/0000-0003-0263-0164
The University of Texas Health Science Center at San Antonio · USMurphy Oil Corporation (United States) · USThe University of Texas at Austin · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResuscitating patients with suspected or confirmed COVID-19 imposes unique challenges to organizations and code blue teams. Studies that applied the American Heart Association (AHA) COVID-19-related Interim Resuscitation Guideline and similar European guidelines are scarce.

objectiveThis study aimed to develop and test a cardiopulmonary resuscitation protocol based on the AHA COVID-19-related Interim Resuscitation Guideline.

methodsThe study was conducted as an in situ simulation in a medical intensive care unit. The COVID-19 cardiopulmonary resuscitation protocol was created and validated by 11 health care team members and tested using 4 simulation sessions where 46 code blue team members participated. During the simulation, we observed role clarity, the effectiveness of communication, team dynamics, infection control measures, and the availability of essential supplies and equipment.

resultsThe main issues identified in each simulation session were debriefed to the code blue teams and used to further revise the protocol. These include the assignment of tasks, availability of equipment and supplies, and failure of communication between the in-room and out-of-room teams. Solutions included changes in the placement of team members and roles and responsibilities; the creation of an isolation code medication package, a respiratory therapy kit, and an isolation code blue bag; and the use of two-way radios and N-95 masks with eye goggles to enhance communication between the teams.

conclusionsThis study shed light on the challenges to implement the AHA COVID-19-related Interim Resuscitation Guideline. The in situ simulation was an effective approach for rapid training, identifying unreliable equipment and ineffective and inefficient workflow, and managing the complexity of the physical environment.

Indexed as

cardiopulmonaryCOVIDCOVID-19critical carehealth carehealth care equipmenthealth care resourceshealth care staffhealth care trainingin situ simulationnursingresuscitationtreatment

Identifiers

PMID35675629
PMCPMC9205423
OpenAlexW4229334648

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.