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dc.contributor.authorMacQuarrie, Alex Sandy
dc.contributor.authorHunter, Jayden R
dc.contributor.authorSheridan, Samantha
dc.contributor.authorHlushak, Amanda
dc.contributor.authorSutton, Clare
dc.contributor.authorWickham, James
dc.description.abstractIntroduction: 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.en_US
dc.publisherOvid Technologies (Wolters Kluwer Health)en_US
dc.relation.ispartofjournalSimulation in Healthcare: The Journal of the Society for Simulation in Healthcareen_US
dc.titleParamedic Student Clinical Performance During High-Fidelity Simulation After a Physically Demanding Occupational Tasken_US
dc.typeJournal articleen_US
dcterms.bibliographicCitationMacQuarrie, 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, 2021en_US
gro.description.notepublicThis publication has been entered as an advanced online version in Griffith Research Online.en_US
gro.hasfulltextNo Full Text
gro.griffith.authorMacQuarrie, Sandy J.

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