Trial reportGMS journal for medical education2025
Development and evaluation of the SimArena Magdeburg (SAM): A randomized controlled trial of the impact of a low-cost 180° simulation arena for emergency medical simulation training on stress perception and the associated resuscitation quality in medical students.
Trial report in GMS journal for medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Simulation arenas, in which video recordings from multiple projectors are projected onto curved screens to increase the realism of emergency medical simulations, have so far been associated with high development costs of more than 100,000 euros. The objectives of this study were (1) to develop a cost-effective simulation arena, (2) to determine whether the simulation arena increases the realism of simulations and (3) whether it has an impact on the perception of stress and the associated quality of resuscitation. Methods: A pilot study was conducted to assess the level of satisfaction, realism, and perceived stress in two student courses using a questionnaire. In the randomized controlled SIMARENA trial, third to sixth year students were assessed for subjective stress and subjective resuscitation quality by a visual analogue scale (VAS), objective resuscitation quality by a resuscitation feedback system, and objective stress by cardiac reactivity. Results: The development costs of the SimArena Magdeburg (SAM) amounted to 7,726.50 euros. Almost all participants agreed that the SAM contributed to the perception of a realistic environment. There was a significant difference in perceived stress. Cardiac reactivity was also significantly higher when using the SAM. The subjective and objective resuscitation quality showed no significant difference. Conclusions: The SAM is the first low-cost 180° simulation arena that enables emergency medical simulations in a realistic, secure, quickly interchangeable, and standardized environment. It causes an increased stress perception without reducing the quality of resuscitation, providing an optimal learning environment in which stress levels can be tailored to the participants' learning objectives through various parameters.
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