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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.date.accessioned2021-11-11T02:51:09Z
dc.date.available2021-11-11T02:51:09Z
dc.date.issued2021
dc.identifier.issn1559-2332
dc.identifier.doi10.1097/sih.0000000000000613
dc.identifier.urihttp://hdl.handle.net/10072/410050
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.
dc.description.peerreviewedYes
dc.languageen
dc.publisherOvid Technologies (Wolters Kluwer Health)
dc.relation.ispartofjournalSimulation in Healthcare: The Journal of the Society for Simulation in Healthcare
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchSpecialist studies in education
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode3904
dc.titleParamedic Student Clinical Performance During High-Fidelity Simulation After a Physically Demanding Occupational Task
dc.typeJournal article
dc.type.descriptionC1 - Articles
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, 2021
dc.date.updated2021-11-10T02:55:31Z
gro.description.notepublicThis publication has been entered as an advanced online version in Griffith Research Online.
gro.hasfulltextNo Full Text
gro.griffith.authorMacQuarrie, Sandy J.


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