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Inappropriately Firing Defibrillator: A Simulation Case for Emergency Medicine Residents
INTRODUCTION: Emergency physicians must be able to manage inappropriately firing defibrillators. Many physicians may not experience this high-risk, low-frequency patient presentation during residency. We created this simulation to increase residents' knowledge of basic defibrillator function an...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Association of American Medical Colleges
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415004/ https://www.ncbi.nlm.nih.gov/pubmed/30931387 http://dx.doi.org/10.15766/mep_2374-8265.10808 |
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author | Thorpe, Rachel Lauren Rohant, Namit Cryer, Michael Gainey, Christopher |
author_facet | Thorpe, Rachel Lauren Rohant, Namit Cryer, Michael Gainey, Christopher |
author_sort | Thorpe, Rachel Lauren |
collection | PubMed |
description | INTRODUCTION: Emergency physicians must be able to manage inappropriately firing defibrillators. Many physicians may not experience this high-risk, low-frequency patient presentation during residency. We created this simulation to increase residents' knowledge of basic defibrillator function and confidence in managing patients with malfunctioning defibrillators. METHODS: Sixteen emergency medicine residents of all levels of training participated in this curriculum. The educational experience began with a lecture. Residents then managed the simulated patient encounter in groups of four. The patient was a 63-year-old male presenting after feeling his defibrillator fire. He was found to have a supraventricular tachycardia with an inappropriately firing defibrillator. Learners needed to recognize the inappropriately firing defibrillator, inactivate it with a magnet, and treat the arrhythmia. Implementation of this scenario required audiovisual equipment and a simulation room equipped with high-fidelity simulator, patient monitor, code cart, defibrillator, and pacemaker magnet. Learners completed pre- and postcourse surveys to assess changes in baseline knowledge of defibrillator function and self-reported confidence in managing these complicated patients. RESULTS: After participating in this educational intervention, residents improved their performance on a 10-question quiz from a class mean of 60% to 84% (p < .001). Residents also exhibited an increase in self-reported confidence in managing patients with inappropriately firing defibrillators (p < .001) and in knowing when to place a magnet over a patient's defibrillator (p < .001). DISCUSSION: Residents demonstrated increased knowledge of defibrillator function as well as increased confidence in managing patients with malfunctioning defibrillators after participating in this simulation experience. |
format | Online Article Text |
id | pubmed-6415004 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Association of American Medical Colleges |
record_format | MEDLINE/PubMed |
spelling | pubmed-64150042019-03-29 Inappropriately Firing Defibrillator: A Simulation Case for Emergency Medicine Residents Thorpe, Rachel Lauren Rohant, Namit Cryer, Michael Gainey, Christopher MedEdPORTAL Original Publication INTRODUCTION: Emergency physicians must be able to manage inappropriately firing defibrillators. Many physicians may not experience this high-risk, low-frequency patient presentation during residency. We created this simulation to increase residents' knowledge of basic defibrillator function and confidence in managing patients with malfunctioning defibrillators. METHODS: Sixteen emergency medicine residents of all levels of training participated in this curriculum. The educational experience began with a lecture. Residents then managed the simulated patient encounter in groups of four. The patient was a 63-year-old male presenting after feeling his defibrillator fire. He was found to have a supraventricular tachycardia with an inappropriately firing defibrillator. Learners needed to recognize the inappropriately firing defibrillator, inactivate it with a magnet, and treat the arrhythmia. Implementation of this scenario required audiovisual equipment and a simulation room equipped with high-fidelity simulator, patient monitor, code cart, defibrillator, and pacemaker magnet. Learners completed pre- and postcourse surveys to assess changes in baseline knowledge of defibrillator function and self-reported confidence in managing these complicated patients. RESULTS: After participating in this educational intervention, residents improved their performance on a 10-question quiz from a class mean of 60% to 84% (p < .001). Residents also exhibited an increase in self-reported confidence in managing patients with inappropriately firing defibrillators (p < .001) and in knowing when to place a magnet over a patient's defibrillator (p < .001). DISCUSSION: Residents demonstrated increased knowledge of defibrillator function as well as increased confidence in managing patients with malfunctioning defibrillators after participating in this simulation experience. Association of American Medical Colleges 2019-02-27 /pmc/articles/PMC6415004/ /pubmed/30931387 http://dx.doi.org/10.15766/mep_2374-8265.10808 Text en Copyright © 2019 Thorpe et al. https://creativecommons.org/licenses/by-nc-sa/4.0/legalcode This is an open-access publication distributed under the terms of the Creative Commons Attribution-NonCommercial-Share Alike (https://creativecommons.org/licenses/by-nc-sa/4.0/legalcode) license. |
spellingShingle | Original Publication Thorpe, Rachel Lauren Rohant, Namit Cryer, Michael Gainey, Christopher Inappropriately Firing Defibrillator: A Simulation Case for Emergency Medicine Residents |
title | Inappropriately Firing Defibrillator: A Simulation Case for Emergency Medicine Residents |
title_full | Inappropriately Firing Defibrillator: A Simulation Case for Emergency Medicine Residents |
title_fullStr | Inappropriately Firing Defibrillator: A Simulation Case for Emergency Medicine Residents |
title_full_unstemmed | Inappropriately Firing Defibrillator: A Simulation Case for Emergency Medicine Residents |
title_short | Inappropriately Firing Defibrillator: A Simulation Case for Emergency Medicine Residents |
title_sort | inappropriately firing defibrillator: a simulation case for emergency medicine residents |
topic | Original Publication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415004/ https://www.ncbi.nlm.nih.gov/pubmed/30931387 http://dx.doi.org/10.15766/mep_2374-8265.10808 |
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