Evidence map›Paper›PMID 40635058›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2025

A scoping review of cognitive load assessment tools suitable for clinicians performing REBOA.

Codey Simmons, Robbie Lendrum, Zane Perkins, Gareth Grier, Max Marsden

Abstract readScoping Review
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Codey SimmonsInstitute of Pre-Hospital Care, London's Air Ambulance, London, UK. c.a.simmons@smd19.qmul.ac.uk.
Robbie LendrumLondon's Air Ambulance, Barts Health NHS Trust, London, UK.
Zane PerkinsLondon's Air Ambulance, Barts Health NHS Trust, London, UK.
Gareth GrierQueen Mary University of London, London, UK.
Max MarsdenCentre for Trauma Sciences, Blizard Institute, Queen Mary University of London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe ability to measure a clinician's cognitive load allows task adaptions to optimise performance. The aim of this study was to identify cognitive load tools suitable for use by pre-hospital clinicians performing REBOA and develop a bespoke pre-hospital REBOA cognitive load assessment tool.

methodsA scoping review was conducted, following the PRISMA guidelines, to identify different cognitive load assessment tools in the literature from inception to January 2023. A qualitative narrative synthesis was used to compare tools based on their type, frequency of use, and context. Tools were assessed for contextual relevance and practical application to REBOA using defined criteria (CMTA-R score), created using domain experts.

resultsForty-nine articles were included for review, identifying 21 unique cognitive load tools: 10 subjective and 11 objective. The NASA-TLX was the most frequently used subjective tool (17 studies), scoring highest for potential REBOA use (CMTA-R 17). Heart Rate Variability (HRV) was the most common objective measure (14 studies), with a CMTA-R score of 13. A bespoke REBOA modification of the NASA-TLX, was suggested to quantify post-procedure cognitive load.

conclusionsThis scoping review identifies the NASA-TLX and HRV as potential tools for assessing cognitive load during prehospital REBOA. A bespoke REBOA-adapted NASA-TLX, could be used post-procedure, while intra-procedural HRV monitoring could provide real-time data. Future research should validate this approach in clinical settings.

Indexed as

CognitionEmergency Medical ServicesResuscitationHumansCognitive loadPrehospitalREBOA

Identifiers

PMID40635058
PMCPMC12239420

What OpenQuestion holds

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LicenceCC BY
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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.