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Comprehensive assessment of a nationwide simulation-based course for artificial life support

BACKGROUND: Successful implementation of medical technologies applied in life-threatening conditions, including extracorporeal membrane oxygenation (ECMO) requires appropriate preparation and training of medical personnel. The pandemic has accelerated the creation of new ECMO centers and has highlig...

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Autores principales: Puslecki, Mateusz, Dabrowski, Marek, Ligowski, Marcin, Zakhary, Bishoy, Said, Ahmed S., Ramanathan, Kollengode, Cooley, Elaine, Puslecki, Lukasz, Stefaniak, Sebastian, Ziemak, Piotr, Kiel-Puslecka, Ilona, Dabrowska, Agata, Klosiewicz, Tomasz, Sip, Maciej, Zalewski, Radoslaw, Ladzinska, Malgorzata, Mrowczynski, Wojciech, Ladzinski, Piotr, Szlanga, Lidia, Baumgart, Konrad, Kupidlowski, Piotr, Szarpak, Lukasz, Jemielity, Marek, Perek, Bartlomiej
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8496826/
https://www.ncbi.nlm.nih.gov/pubmed/34618829
http://dx.doi.org/10.1371/journal.pone.0257162
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author Puslecki, Mateusz
Dabrowski, Marek
Ligowski, Marcin
Zakhary, Bishoy
Said, Ahmed S.
Ramanathan, Kollengode
Cooley, Elaine
Puslecki, Lukasz
Stefaniak, Sebastian
Ziemak, Piotr
Kiel-Puslecka, Ilona
Dabrowska, Agata
Klosiewicz, Tomasz
Sip, Maciej
Zalewski, Radoslaw
Ladzinska, Malgorzata
Mrowczynski, Wojciech
Ladzinski, Piotr
Szlanga, Lidia
Baumgart, Konrad
Kupidlowski, Piotr
Szarpak, Lukasz
Jemielity, Marek
Perek, Bartlomiej
author_facet Puslecki, Mateusz
Dabrowski, Marek
Ligowski, Marcin
Zakhary, Bishoy
Said, Ahmed S.
Ramanathan, Kollengode
Cooley, Elaine
Puslecki, Lukasz
Stefaniak, Sebastian
Ziemak, Piotr
Kiel-Puslecka, Ilona
Dabrowska, Agata
Klosiewicz, Tomasz
Sip, Maciej
Zalewski, Radoslaw
Ladzinska, Malgorzata
Mrowczynski, Wojciech
Ladzinski, Piotr
Szlanga, Lidia
Baumgart, Konrad
Kupidlowski, Piotr
Szarpak, Lukasz
Jemielity, Marek
Perek, Bartlomiej
author_sort Puslecki, Mateusz
collection PubMed
description BACKGROUND: Successful implementation of medical technologies applied in life-threatening conditions, including extracorporeal membrane oxygenation (ECMO) requires appropriate preparation and training of medical personnel. The pandemic has accelerated the creation of new ECMO centers and has highlighted continuous training in adapting to new pandemic standards. To reach high standards of patients’ care, we created the first of its kind, National Education Centre for Artificial Life Support (NEC-ALS) in 40 million inhabitants’ country in the Central and Eastern Europe (CEE). The role of the Center is to test and promote the novel or commonly used procedures as well as to develop staff skills on management of patients needing ECMO. METHOD: In 2020, nine approved and endorsed by ELSO courses of “Artificial Life Support with ECMO” were organized. Physicians participated in the three-day high-fidelity simulation-based training that was adapted to abide by the social distancing norms of the COVID-19 pandemic. Knowledge as well as crucial cognitive, behavioral and technical aspects (on a 5-point Likert scale) of management on ECMO were assessed before and after course completion. Moreover, the results of training in mechanical chest compression were also evaluated. RESULTS: There were 115 participants (60% men) predominantly in the age of 30–40 years. Majority of them (63%) were anesthesiologists or intensivists with more than 5-year clinical experience, but 54% had no previous ECMO experience. There was significant improvement after the course in all cognitive, behavioral, and technical self-assessments. Among aspects of management with ECMO that all increased significantly following the course, the most pronounced was related to the technical one (from approximately 1.0 to more 4.0 points). Knowledge scores significantly increased post-course from 11.4 ± SD to 13 ± SD (out of 15 points). The quality of manual chest compression relatively poor before course improved significantly after training. CONCLUSIONS: Our course confirmed that simulation as an educational approach is invaluable not only in training and testing of novel or commonly used procedures, skills upgrading, but also in practicing very rare cases. The implementation of the education program during COVID-19 pandemic may be helpful in founding specialized Advanced Life Support centers and teams including mobile ones. The dedicated R&D Innovation Ecosystem established in the “ECMO for Greater Poland” program, with developed National Education Center can play a crucial role in the knowledge and know-how transfer but future research is needed.
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spelling pubmed-84968262021-10-08 Comprehensive assessment of a nationwide simulation-based course for artificial life support Puslecki, Mateusz Dabrowski, Marek Ligowski, Marcin Zakhary, Bishoy Said, Ahmed S. Ramanathan, Kollengode Cooley, Elaine Puslecki, Lukasz Stefaniak, Sebastian Ziemak, Piotr Kiel-Puslecka, Ilona Dabrowska, Agata Klosiewicz, Tomasz Sip, Maciej Zalewski, Radoslaw Ladzinska, Malgorzata Mrowczynski, Wojciech Ladzinski, Piotr Szlanga, Lidia Baumgart, Konrad Kupidlowski, Piotr Szarpak, Lukasz Jemielity, Marek Perek, Bartlomiej PLoS One Research Article BACKGROUND: Successful implementation of medical technologies applied in life-threatening conditions, including extracorporeal membrane oxygenation (ECMO) requires appropriate preparation and training of medical personnel. The pandemic has accelerated the creation of new ECMO centers and has highlighted continuous training in adapting to new pandemic standards. To reach high standards of patients’ care, we created the first of its kind, National Education Centre for Artificial Life Support (NEC-ALS) in 40 million inhabitants’ country in the Central and Eastern Europe (CEE). The role of the Center is to test and promote the novel or commonly used procedures as well as to develop staff skills on management of patients needing ECMO. METHOD: In 2020, nine approved and endorsed by ELSO courses of “Artificial Life Support with ECMO” were organized. Physicians participated in the three-day high-fidelity simulation-based training that was adapted to abide by the social distancing norms of the COVID-19 pandemic. Knowledge as well as crucial cognitive, behavioral and technical aspects (on a 5-point Likert scale) of management on ECMO were assessed before and after course completion. Moreover, the results of training in mechanical chest compression were also evaluated. RESULTS: There were 115 participants (60% men) predominantly in the age of 30–40 years. Majority of them (63%) were anesthesiologists or intensivists with more than 5-year clinical experience, but 54% had no previous ECMO experience. There was significant improvement after the course in all cognitive, behavioral, and technical self-assessments. Among aspects of management with ECMO that all increased significantly following the course, the most pronounced was related to the technical one (from approximately 1.0 to more 4.0 points). Knowledge scores significantly increased post-course from 11.4 ± SD to 13 ± SD (out of 15 points). The quality of manual chest compression relatively poor before course improved significantly after training. CONCLUSIONS: Our course confirmed that simulation as an educational approach is invaluable not only in training and testing of novel or commonly used procedures, skills upgrading, but also in practicing very rare cases. The implementation of the education program during COVID-19 pandemic may be helpful in founding specialized Advanced Life Support centers and teams including mobile ones. The dedicated R&D Innovation Ecosystem established in the “ECMO for Greater Poland” program, with developed National Education Center can play a crucial role in the knowledge and know-how transfer but future research is needed. Public Library of Science 2021-10-07 /pmc/articles/PMC8496826/ /pubmed/34618829 http://dx.doi.org/10.1371/journal.pone.0257162 Text en https://creativecommons.org/publicdomain/zero/1.0/This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 (https://creativecommons.org/publicdomain/zero/1.0/) public domain dedication.
spellingShingle Research Article
Puslecki, Mateusz
Dabrowski, Marek
Ligowski, Marcin
Zakhary, Bishoy
Said, Ahmed S.
Ramanathan, Kollengode
Cooley, Elaine
Puslecki, Lukasz
Stefaniak, Sebastian
Ziemak, Piotr
Kiel-Puslecka, Ilona
Dabrowska, Agata
Klosiewicz, Tomasz
Sip, Maciej
Zalewski, Radoslaw
Ladzinska, Malgorzata
Mrowczynski, Wojciech
Ladzinski, Piotr
Szlanga, Lidia
Baumgart, Konrad
Kupidlowski, Piotr
Szarpak, Lukasz
Jemielity, Marek
Perek, Bartlomiej
Comprehensive assessment of a nationwide simulation-based course for artificial life support
title Comprehensive assessment of a nationwide simulation-based course for artificial life support
title_full Comprehensive assessment of a nationwide simulation-based course for artificial life support
title_fullStr Comprehensive assessment of a nationwide simulation-based course for artificial life support
title_full_unstemmed Comprehensive assessment of a nationwide simulation-based course for artificial life support
title_short Comprehensive assessment of a nationwide simulation-based course for artificial life support
title_sort comprehensive assessment of a nationwide simulation-based course for artificial life support
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8496826/
https://www.ncbi.nlm.nih.gov/pubmed/34618829
http://dx.doi.org/10.1371/journal.pone.0257162
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