mechanical-ventilation-boot-camp-curriculum

Mechanical Ventilation Boot Camp Curriculum

Medical management of mechanically ventilated patients is challenging to novice providers. Incorrect management of this population may lead to increased ...

Akron City Hospital

Northeast Ohio Medical University

In situ simulation within new facilities holds the promise of identifying latent safety threats. The aim of this study was to identify if in situ simulation can also impact important employee perceptions and attitudes.

In Situ Simulation to Assess Workplace Attitudes and Effectiveness in a New Facility.

Confidence is a crucial trait of any physician, but its development and relationship to proficiency are still unknown. This study aimed to evaluate the relationship between confidence and competency of medical students undergoing basic surgical skills training.

The relationship between confidence and competence in the development of surgical skills.

Objectives. Management of mechanically ventilated patients may pose a challenge to novice residents, many of which may not have received formal dedicated critical care instruction prior to starting their residency training. There is a paucity of data regarding simulation and mechanical ventilation training in the medical education literature. The purpose of this study was to develop a curriculum to educate first-year residents on addressing and troubleshooting ventilator alarms. Methods. Prospective evaluation was conducted of seventeen residents undergoing a twelve-hour three-day curriculum. Residents were assessed using a predetermined critical action checklist for each case, as well as pre- and postcurriculum multiple-choice cognitive knowledge questionnaires and confidence surveys. Results. Significant improvements in cognitive knowledge, critical actions, and self-reported confidence were demonstrated. The mean change in test score from before to after intervention was +26.8%, and a median score increase of 25% was noted. The ARDS and the mucus plugging cases had statistically significant improvements in critical actions, p < 0.001. A mean increase in self-reported confidence was realized (1.55 to 3.64), p = 0.049. Conclusions. A three-day simulation curriculum for residents was effective in increasing competency, knowledge, and confidence with ventilator management.

Mechanical Ventilation Boot Camp: A Simulation-Based Pilot Study.

Although cortisol alterations have been associated with posttraumatic stress disorder (PTSD) and PTSD symptoms (PTSS), the direction of association is mixed. Cortisol which is measured in blood, saliva, or urine is subject to transient factors that may confound results. Recent advances in cortisol sampling techniques provide novel opportunities to address these inconsistencies. Hair cortisol sampling is a non-invasive method for the retrospective assessment of long-term integrated cortisol, yet its utility at predicting PTSS has not been assessed in acute injury victims.

Article	Year
In Situ Simulation to Assess Workplace Attitudes and Effectiveness in a New Facility. Simulation in healthcare : journal of the Society for Simulation in Healthcare\| PubMed ID: 24096917	2013
The relationship between confidence and competence in the development of surgical skills. Journal of surgical education\| PubMed ID: 24797858	2014
Mechanical Ventilation Boot Camp: A Simulation-Based Pilot Study. Critical care research and practice\| PubMed ID: 26949545	2016
The utility of hair cortisol concentrations in the prediction of PTSD symptoms following traumatic physical injury. Social science & medicine (1982)\| PubMed ID: 28109728	2017

Richard George

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