Evidence map›Paper›PMID 35701058›Full record

ArticleBMJ open2022

Evaluation of change in emergency care knowledge and skills among front-line healthcare providers in Ukraine with the Basic Emergency Care course: a pretest/post-test study.

Sean M Kivlehan, Amy Allen, Olha Viun, Dmitry A Makarov, Daniel Schnorr, Sonny Patel, Sergii A Ryzhenko, Phuong Pham, Timothy B Erickson

Abstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Implementing the WHO/ICRC Basic Emergency Care course training for health workers in conflict-affected regions in Somalia.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026
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  3. Improving emergency care capacity with the WHO-ICRC Basic Emergency Care (BEC) course.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2025
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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

9 authors.

Sean M KivlehanDepartment of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA smkivlehan@bwh.harvard.edu.ORCID 0000-0002-4857-4316
Amy AllenEmergency Medicine, Denver Health Medical Center, Denver, Colorado, USA.
Olha ViunOles Honchar Dnipro National University, Dnipro, Ukraine.
Dmitry A MakarovDepartment of Anesthesiology and Intensive Care for Patients with Polytrauma, City Hospital No 17, Kiev, Ukraine.
Daniel SchnorrDepartment of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-2471-6383
Sonny PatelHarvard Humanitarian Initiative, Cambridge, Massachusetts, USA.ORCID 0000-0002-9810-0055
Sergii A RyzhenkoMechnikov Hospital, Dnipro, Ukraine.
Phuong PhamDepartment of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Timothy B EricksonHarvard Humanitarian Initiative, Cambridge, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEvaluate the change in participant emergency care knowledge and skill confidence after implementation of the WHO-International Committee of the Red Cross (ICRC) Basic Emergency Care (BEC) course.

designPretest/post-test quasi-experimental study.

settingMechnikov Hospital in Dnipro, Ukraine.

participantsSeventy-nine participants engaged in the course, of whom 50 (63.3%) completed all assessment tools. The course was open to healthcare providers of any level who assess and treat emergency conditions as part of their practice. The most common participant profession was resident physician (24%), followed by health educator (18%) and prehospital provider (14%).

interventionsThe 5-day WHO-ICRC BEC course. PRIMARY AND SECONDARY OUTCOME MEASURES: Change in pre-course and post-course knowledge and skill confidence assessments. Open-ended written feedback was collected upon course completion and analysed for common themes.

resultsParticipant knowledge assessment scores improved from 19 (IQR 15-20) to 22 (IQR 19-23) on a 25-point scale (p<0.001). Participant skill confidence self-assessment scores improved from 2.5 (IQR 2.1-2.8) to 2.9 (IQR 2.5-3.3) on a 4-point scale (p<0.001). The most common positive feedback themes were high-quality teaching and useful skill sessions. The most common constructive feedback themes were translation challenges and request for additional skill session time.

conclusionsThis first implementation of the WHO-ICRC BEC course for front-line healthcare providers in Ukraine was successful and well received by participants. This is also the first report of a BEC implementation outside of Africa and suggests that the course is also effective in the European context, particularly in humanitarian crisis and conflict settings. Future research should evaluate long-term knowledge retention and the impact on patient outcomes. Further iterations should emphasise local language translation and consider expanding clinical skills sessions.

Indexed as

Emergency Medical ServicesHealth PersonnelClinical CompetenceEmergency TreatmentHumansUkraineaccident & emergency medicinemedical education & trainingpaediatric A&E and ambulatory caretrauma management

Identifiers

PMID35701058
PMCPMC9198692

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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.