Evidence map›Paper›PMID 36482985›Full record

ArticleAEM education and training2022

Efficacy of a single-day task trainer-based extracorporeal membrane oxygenation training course.

Joseph K Maddry, R Madelaine Paredes, Timur Abdurashidov, William T Davis, Joni A Paciocco, Maria Castaneda, Allyson A Araña, Crystal A Perez, Darren S Baldwin, Dylan C Rodriguez and 2 more

Abstract read
In one paragraph

Article in AEM education and training, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

12 authors.

Joseph K MaddryDepartment of Emergency Medicine Brooke Army Military Medical Center Ft Sam Houston Texas USA.ORCID https://orcid.org/0000-0002-8341-4182
R Madelaine ParedesUnited States Air Force 59th Medical Wing, Clinical Resuscitation, Emergency Sciences, Triage and Toxicology (CRESTT) Lackland AFB Texas USA.ORCID https://orcid.org/0000-0003-1236-4322
Timur AbdurashidovDepartment of Emergency Medicine Brooke Army Military Medical Center Ft Sam Houston Texas USA.
William T DavisDepartment of Emergency Medicine Brooke Army Military Medical Center Ft Sam Houston Texas USA.ORCID https://orcid.org/0000-0003-4141-0738
Joni A PacioccoUnited States Air Force 59th Medical Wing, En route Care Research Center Lackland AFB Texas USA.
Maria CastanedaUnited States Air Force 59th Medical Wing, Clinical Resuscitation, Emergency Sciences, Triage and Toxicology (CRESTT) Lackland AFB Texas USA.
Allyson A ArañaFort Hood, United States Army.
Crystal A PerezUnited States Air Force 59th Medical Wing, En route Care Research Center Lackland AFB Texas USA.
Darren S BaldwinUnited States Air Force 59th Medical Wing, En route Care Research Center Lackland AFB Texas USA.
Dylan C RodriguezUnited States Air Force 59th Medical Wing, Clinical Resuscitation, Emergency Sciences, Triage and Toxicology (CRESTT) Lackland AFB Texas USA.
Kimberly L MedellinFort Hood, United States Army.
Patrick NgDepartment of Emergency Medicine Brooke Army Military Medical Center Ft Sam Houston Texas USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Extracorporeal membrane oxygenation (ECMO) is an advanced medical technology used to treat respiratory and heart failure. The coronavirus pandemic has resulted in significantly more ECMO patients worldwide. However, the number of hospitals with ECMO capabilities and ECMO-trained staff are limited. Training of personnel in ECMO could supplement this demand. Objective: To evaluate our previously developed ECMO course using a task trainer-based training, as opposed to an existing live tissue-training model, and determine if such a program was adequate and could be expanded to other facilities. Methods: Seventeen teams, each consisting of a physician and nurse, underwent a 5 hour accelerated ECMO course in which they watched prerecorded ECMO training lectures, primed circuit, cannulated, initiated ECMO, and corrected common complications. Training success was evaluated via knowledge and confidence assessments and observation of each team attempting to initiate ECMO while troubleshooting complications on a Yorkshire swine. Results: Seventeen teams successfully completed the course. Sixteen teams (94%, 95% CI = 71%-100%) successfully placed the swine on veno-arterial ECMO. Of those 16 teams, 15 successfully transitioned to veno-arterial-venous ECMO. The knowledge assessments and confidence levels of physicians and nurses increased by 24.3% from pretest (mean of 65.3%, SD 14.4%) to posttest (mean of 89.6%, SD 10.3%), Conclusions: An abbreviated one day lecture and hands-on task trainer-based ECMO course resulted in a high rate of successful skill demonstration and improvement of physicians' and nurses' knowledge assessments and confidence levels, similar to our previous live tissue training program.

Identifiers

PMID36482985
PMCPMC9720576

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.