dc.contributor.author | MacQuarrie, Alex Sandy | |
dc.contributor.author | Hunter, Jayden R | |
dc.contributor.author | Sheridan, Samantha | |
dc.contributor.author | Hlushak, Amanda | |
dc.contributor.author | Sutton, Clare | |
dc.contributor.author | Wickham, James | |
dc.date.accessioned | 2021-11-11T02:51:09Z | |
dc.date.available | 2021-11-11T02:51:09Z | |
dc.date.issued | 2022 | |
dc.identifier.issn | 1559-2332 | |
dc.identifier.doi | 10.1097/sih.0000000000000613 | |
dc.identifier.uri | http://hdl.handle.net/10072/410050 | |
dc.description.abstract | Introduction:
Paramedic duties include assessing, treating, and maneuvering patients in physically challenging environments. Whether clinical skills and patient care are affected by these occupational demands is unknown. High-fidelity simulation affords the opportunity to study this in a controlled setting.
Methods:
Using a randomized crossover design, 11 regional paramedicine students and graduates (mean ± SD age = 23 ± 2 years) completed two, 20-minute high-fidelity simulations that included cardiopulmonary resuscitation (CPR) immediately after either an acute bout of occupational physical activity (OPA) or a rest period (REST). Heart rate, respiratory rate, and mean arterial pressure were measured throughout. Clinical performance was scored using the Global Rating Score and a patient care record. Measures of CPR efficacy were recorded in the manikin.
Results:
There were no significant differences in Global Rating Score (P = 0.07, ES = 0.03) or CPR efficacy between conditions. Patient care record accuracy was higher after the OPA versus REST simulations (mean ± SD = 61.8 ± 12.6% vs. 55.5 ± 12.0%, P = 0.03, ES = 0.5). Mean heart rate was higher during OPA simulations versus REST simulations (121 ± 14 vs. 84 ± 9 beats per minute, P < 0.01, ES = 3.1), as was mean respiratory rate (19 ± 3 vs. 16 ± 3 breaths per minute, P < 0.01, ES = 1.0). Mean arterial pressure was higher for OPA versus REST at simulation start (105 ± 11.3 vs. 95.8 ± 11.8 mm Hg, P = 0.01, Effect Size = 0.8), although not different after simulation.
Conclusions:
Paramedicine students including recent graduates performed as well, or better, in a simulated clinical scenario immediately after occupation-specific acute physical exertion compared with a REST, despite higher physiological exertion. Whether this is the case for more experienced but potentially less physically fit paramedics in the workforce warrants investigation. | |
dc.description.peerreviewed | Yes | |
dc.language | en | |
dc.publisher | Ovid Technologies (Wolters Kluwer Health) | |
dc.relation.ispartofdatefrom | 234 | |
dc.relation.ispartofdateto | 241 | |
dc.relation.ispartofpagefrom | 234 | |
dc.relation.ispartofpageto | 241 | |
dc.relation.ispartofissue | 4 | |
dc.relation.ispartofjournal | Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare | |
dc.relation.ispartofvolume | 17 | |
dc.subject.fieldofresearch | Nursing | |
dc.subject.fieldofresearch | Specialist studies in education | |
dc.subject.fieldofresearch | Health services and systems | |
dc.subject.fieldofresearchcode | 4205 | |
dc.subject.fieldofresearchcode | 3904 | |
dc.subject.fieldofresearchcode | 4203 | |
dc.title | Paramedic Student Clinical Performance During High-Fidelity Simulation After a Physically Demanding Occupational Task | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dcterms.bibliographicCitation | MacQuarrie, AS; Hunter, JR; Sheridan, S; Hlushak, A; Sutton, C; Wickham, J, Paramedic Student Clinical Performance During High-Fidelity Simulation After a Physically Demanding Occupational Task, Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 2022, 17 (4), pp. 234-241 | |
dc.date.updated | 2021-11-10T02:55:31Z | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | MacQuarrie, Sandy J. | |