Evidence map›Paper›PMID 38738183›Full record

ArticleAEM education and training2024

Effectiveness of a virtual reality trainer for retention of tourniquet application skills for hemorrhage control among emergency medicine residents.

Vinay Saggar, Philip O'Donnell, Hillary Moss, Andrew Yoon, Carlo Lutz, Andrew Restivo, Oark Ahmed, Debayan Guha, Farrukh Jafri, Maninder Singh

Abstract read
In one paragraph

Article in AEM education and training, 2024. 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. Review
  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

10 authors.

Vinay SaggarColumbia Vagelos College of Physicians and Surgeons New York New York USA.ORCID https://orcid.org/0009-0004-3470-5946
Philip O'DonnellDepartment of Emergency Medicine NewYork-Presbyterian Brookyln Methodist Hospital Brooklyn New York USA.
Hillary MossAlbert Einstein College of Medicine Bronx New York USA.
Andrew YoonAlbert Einstein College of Medicine Bronx New York USA.
Carlo LutzAlbert Einstein College of Medicine Bronx New York USA.
Andrew RestivoAlbert Einstein College of Medicine Bronx New York USA.
Oark AhmedAlbert Einstein College of Medicine Bronx New York USA.
Debayan GuhaAlbert Einstein College of Medicine Bronx New York USA.
Farrukh JafriDepartment of Emergency Medicine White Plains Hospital White Plains New York USA.
Maninder SinghAlbert Einstein College of Medicine Bronx New York USA.ORCID https://orcid.org/0000-0001-7784-0751

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: With a rise in mass casualty incidents, training in hemorrhage control using tourniquets has been championed as a basic-and lifesaving-procedure for bystanders and medical professionals alike. The current standard for training is in-person (IP) courses, which can be limited based on instructor availability. Virtual reality (VR) has demonstrated the potential to improve the accuracy of certain medical tasks but has not yet been developed for hemorrhage control. The objective of this study was to evaluate the efficacy of a VR hemorrhage trainer in learner retention of tourniquet application when compared to traditional IP instructor teaching among a cohort of emergency medicine residents practicing in a Level I trauma center. Methods: This was a prospective, observational study of 53 emergency medicine residents at an inner-city program. Participants were randomly assigned to either the control or the VR group. On Day 0, all residents underwent a training session (IP vs. VR) for the proper, stepwise application of a tourniquet, as defined by the American College of Trauma Surgeons. Each participant was then assessed on the application of a tourniquet by a blinded instructor using the National Registry Hemorrhage Control Skills Lab rubric. After 3 months, each resident was reevaluated on the same rubric, with subsequent data analysis on successful tourniquet placement (measured as under 90 s) and time to completion. Results: Of the 53 participants, the IP training group had an initial pass rate of 97% (28/29) compared to 92% (22/24) in the VR group ( Conclusions: In this pilot study of emergency medicine residents, we found no significant differences in successful hemorrhage control by tourniquet placement between those trained with VR compared to a traditional IP course among emergency medicine residents. While more studies with greater power are needed, the results suggest that VR may be a useful adjunct to traditional IP medical training.

Indexed as

emergency medicine residentshemorrhage controlresident educationStop the BleedtourniquetVR

Identifiers

PMID38738183
PMCPMC11079436

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.