Cargando…

The FAST VIP (First Aid for Severe Trauma “Virtual” in-Person) Educational Study

INTRODUCTION: Trauma is the leading cause of death for young Americans. Increased school violence, combined with an emphasis on early hemorrhage control, has boosted demand to treat injuries in schools. Meanwhile, coronavirus disease 2019 (COVID-19) has made educating the public about trauma more di...

Descripción completa

Detalles Bibliográficos
Autores principales: Goolsby, Craig A., Schuler, Keke, Rodzik, Raphaelle, Charlton, Nathan, Lala, Vidya, Anderson, Kevin, Pellegrino, Jeffrey L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Department of Emergency Medicine, University of California, Irvine School of Medicine 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8328158/
https://www.ncbi.nlm.nih.gov/pubmed/35354006
http://dx.doi.org/10.5811/westjem.2021.2.50033
_version_ 1783732246470983680
author Goolsby, Craig A.
Schuler, Keke
Rodzik, Raphaelle
Charlton, Nathan
Lala, Vidya
Anderson, Kevin
Pellegrino, Jeffrey L.
author_facet Goolsby, Craig A.
Schuler, Keke
Rodzik, Raphaelle
Charlton, Nathan
Lala, Vidya
Anderson, Kevin
Pellegrino, Jeffrey L.
author_sort Goolsby, Craig A.
collection PubMed
description INTRODUCTION: Trauma is the leading cause of death for young Americans. Increased school violence, combined with an emphasis on early hemorrhage control, has boosted demand to treat injuries in schools. Meanwhile, coronavirus disease 2019 (COVID-19) has made educating the public about trauma more difficult. A federally funded high school education program in development, called First Aid for Severe Trauma™ (FAST™), will teach students to aid the severely injured. The program will be offered in instructor-led, web-based, and blended formats. We created a program to prepare high school teachers to become FAST instructors via “virtual” in-person (VIP) instruction. We used a webinar followed by VIP skills practice, using supplies shipped to participants’ homes. To our knowledge, no prior studies have evaluated this type of mass, widely distributed, VIP education. METHODS: This study is a prospective, single-arm, educational cohort study. We enrolled a convenience sample of all high school teachers attending FAST sessions at the Health Occupations Students of America–Future Health Professionals International Leadership Conference. Half of the participants were randomized to complete the Stop the Bleed Education Assessment Tool (SBEAT) prior to the webinar, and the other completed it afterward; SBEAT is a validated tool to measure learning of bleeding competencies. We then performed 76 VIP video-training sessions from June–August 2020. The FAST instructors assessed each participant’s ability to apply a tourniquet and direct pressure individually, then provided interactive group skills training, and finally re-evaluated each participant’s performance post-training. RESULTS: A total of 190 (96%) participants successfully applied a tourniquet after VIP training, compared to 136 (68%) prior to training (P < 0.001). Participants significantly improved their ability to apply direct pressure: 116 (56%) pre-assessment vs 204 (100%) post-assessment (P < 0.001). The mean score for the SBEAT increased significantly from pre-training to post-training: 2.09 with a standard deviation (SD) of 0.97 to 2.55 post-training with a SD of 0.72 (P < 0.001). CONCLUSION: This study suggests that a webinar combined with VIP training is effective for teaching tourniquet and direct-pressure application skills, as well as life-threatening bleeding knowledge. VIP education may be useful for creating resuscitative medicine instructors from distributed locations, and to reach learners who cannot attend classroom-based instruction.
format Online
Article
Text
id pubmed-8328158
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Department of Emergency Medicine, University of California, Irvine School of Medicine
record_format MEDLINE/PubMed
spelling pubmed-83281582021-08-09 The FAST VIP (First Aid for Severe Trauma “Virtual” in-Person) Educational Study Goolsby, Craig A. Schuler, Keke Rodzik, Raphaelle Charlton, Nathan Lala, Vidya Anderson, Kevin Pellegrino, Jeffrey L. West J Emerg Med Trauma INTRODUCTION: Trauma is the leading cause of death for young Americans. Increased school violence, combined with an emphasis on early hemorrhage control, has boosted demand to treat injuries in schools. Meanwhile, coronavirus disease 2019 (COVID-19) has made educating the public about trauma more difficult. A federally funded high school education program in development, called First Aid for Severe Trauma™ (FAST™), will teach students to aid the severely injured. The program will be offered in instructor-led, web-based, and blended formats. We created a program to prepare high school teachers to become FAST instructors via “virtual” in-person (VIP) instruction. We used a webinar followed by VIP skills practice, using supplies shipped to participants’ homes. To our knowledge, no prior studies have evaluated this type of mass, widely distributed, VIP education. METHODS: This study is a prospective, single-arm, educational cohort study. We enrolled a convenience sample of all high school teachers attending FAST sessions at the Health Occupations Students of America–Future Health Professionals International Leadership Conference. Half of the participants were randomized to complete the Stop the Bleed Education Assessment Tool (SBEAT) prior to the webinar, and the other completed it afterward; SBEAT is a validated tool to measure learning of bleeding competencies. We then performed 76 VIP video-training sessions from June–August 2020. The FAST instructors assessed each participant’s ability to apply a tourniquet and direct pressure individually, then provided interactive group skills training, and finally re-evaluated each participant’s performance post-training. RESULTS: A total of 190 (96%) participants successfully applied a tourniquet after VIP training, compared to 136 (68%) prior to training (P < 0.001). Participants significantly improved their ability to apply direct pressure: 116 (56%) pre-assessment vs 204 (100%) post-assessment (P < 0.001). The mean score for the SBEAT increased significantly from pre-training to post-training: 2.09 with a standard deviation (SD) of 0.97 to 2.55 post-training with a SD of 0.72 (P < 0.001). CONCLUSION: This study suggests that a webinar combined with VIP training is effective for teaching tourniquet and direct-pressure application skills, as well as life-threatening bleeding knowledge. VIP education may be useful for creating resuscitative medicine instructors from distributed locations, and to reach learners who cannot attend classroom-based instruction. Department of Emergency Medicine, University of California, Irvine School of Medicine 2021-07 2021-06-29 /pmc/articles/PMC8328158/ /pubmed/35354006 http://dx.doi.org/10.5811/westjem.2021.2.50033 Text en Copyright: © 2021 Goolsby et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/)
spellingShingle Trauma
Goolsby, Craig A.
Schuler, Keke
Rodzik, Raphaelle
Charlton, Nathan
Lala, Vidya
Anderson, Kevin
Pellegrino, Jeffrey L.
The FAST VIP (First Aid for Severe Trauma “Virtual” in-Person) Educational Study
title The FAST VIP (First Aid for Severe Trauma “Virtual” in-Person) Educational Study
title_full The FAST VIP (First Aid for Severe Trauma “Virtual” in-Person) Educational Study
title_fullStr The FAST VIP (First Aid for Severe Trauma “Virtual” in-Person) Educational Study
title_full_unstemmed The FAST VIP (First Aid for Severe Trauma “Virtual” in-Person) Educational Study
title_short The FAST VIP (First Aid for Severe Trauma “Virtual” in-Person) Educational Study
title_sort fast vip (first aid for severe trauma “virtual” in-person) educational study
topic Trauma
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8328158/
https://www.ncbi.nlm.nih.gov/pubmed/35354006
http://dx.doi.org/10.5811/westjem.2021.2.50033
work_keys_str_mv AT goolsbycraiga thefastvipfirstaidforseveretraumavirtualinpersoneducationalstudy
AT schulerkeke thefastvipfirstaidforseveretraumavirtualinpersoneducationalstudy
AT rodzikraphaelle thefastvipfirstaidforseveretraumavirtualinpersoneducationalstudy
AT charltonnathan thefastvipfirstaidforseveretraumavirtualinpersoneducationalstudy
AT lalavidya thefastvipfirstaidforseveretraumavirtualinpersoneducationalstudy
AT andersonkevin thefastvipfirstaidforseveretraumavirtualinpersoneducationalstudy
AT pellegrinojeffreyl thefastvipfirstaidforseveretraumavirtualinpersoneducationalstudy
AT goolsbycraiga fastvipfirstaidforseveretraumavirtualinpersoneducationalstudy
AT schulerkeke fastvipfirstaidforseveretraumavirtualinpersoneducationalstudy
AT rodzikraphaelle fastvipfirstaidforseveretraumavirtualinpersoneducationalstudy
AT charltonnathan fastvipfirstaidforseveretraumavirtualinpersoneducationalstudy
AT lalavidya fastvipfirstaidforseveretraumavirtualinpersoneducationalstudy
AT andersonkevin fastvipfirstaidforseveretraumavirtualinpersoneducationalstudy
AT pellegrinojeffreyl fastvipfirstaidforseveretraumavirtualinpersoneducationalstudy