The Evaluation of Training an Emergency Reflex Action Drill in the Emergency Surgical Airway in Dutch Paramedics (ERAD-ESA)
The Use of an Emergency Reflex Action Drill in Emergency Surgical Airway
The goal of this observational study is to learn about the effects of training an Emergency Reflex Action Drill (ERAD) for Emergency Surgical Airway (ESA) in Dutch paramedics. The main question it aims to answer is:
- Does training an ERAD improves self-confidence in performing an ESA in Dutch paramedics Participants will fill out a questionnaire directly before and after the training. To investigate long-term effects, they will be asked to fill out a questionnaire after 2 till 3 months and after one year.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Iscander M Maissan
- Phone Number: 010-7033713
- Email: i.maissan@erasmusmc.nl
Study Contact Backup
- Name: Denyse D Paalvast
- Email: d.paalvast@erasmusmc.nl
Study Locations
-
-
Gelderland
-
Harderwijk, Gelderland, Netherlands, 3847 LG
- Academie van Ambulancezorg
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Registered Dutch paramedic
- Ambulance driver on Advanced Life Support Ambulance
- Participant in the two-day trauma course.
Exclusion Criteria:
- Medium care ambulance paramedic
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Self-confidence
Time Frame: Baseline, pre-training up to immediately after the training
|
Increase/decrease/no difference in self-confidence from baseline, assessed by a five-point Likert-scale of paramedics in performing an Emergency Surgical Airway
|
Baseline, pre-training up to immediately after the training
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Training model
Time Frame: Immediately after the training
|
Difference in effect on self-confidence between two training models used during the ESA-ERAD training, assessed by a five-point Likert-scale.
|
Immediately after the training
|
|
Self-confidence real life cases
Time Frame: Through study completion, an average of 1 year
|
Increase/decrease/no difference in self-confidence assessed by a five-point Likert-scale and correctly placed emergency surgical airway in real-life cases reported by paramedics at any time point after the ESA-ERAD training, up to an average of 1 year
|
Through study completion, an average of 1 year
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Iscander M Maissan, Erasmus Medical Center
Publications and helpful links
General Publications
- Wang HE, Mann NC, Mears G, Jacobson K, Yealy DM. Out-of-hospital airway management in the United States. Resuscitation. 2011 Apr;82(4):378-85. doi: 10.1016/j.resuscitation.2010.12.014. Epub 2011 Feb 1.
- Unver V, Basak T, Watts P, Gaioso V, Moss J, Tastan S, Iyigun E, Tosun N. The reliability and validity of three questionnaires: The Student Satisfaction and Self-Confidence in Learning Scale, Simulation Design Scale, and Educational Practices Questionnaire. Contemp Nurse. 2017 Feb;53(1):60-74. doi: 10.1080/10376178.2017.1282319. Epub 2017 Feb 10.
- Armstrong L, Harding F, Critchley J, McNarry AF, Myatra SN, Cooper R, Baker PA; World Airway Management Meeting 2015 Education Group. An international survey of airway management education in 61 countriesdagger. Br J Anaesth. 2020 Jul;125(1):e54-e60. doi: 10.1016/j.bja.2020.04.051. Epub 2020 May 20.
- Iverson K, Riojas R, Sharon D, Hall AB. Objective comparison of animal training versus artificial simulation for initial cricothyroidotomy training. Am Surg. 2015 May;81(5):515-8.
- Gustafson ML, Hensley B, Dotson M, Broce M, Tager A. Comparison of Manikin Versus Porcine Trachea Models When Teaching Emergent Cricothyroidotomy Among Emergency Medicine Residents. AEM Educ Train. 2019 Apr 7;3(3):280-285. doi: 10.1002/aet2.10333. eCollection 2019 Jul.
- Cho J, Kang GH, Kim EC, Oh YM, Choi HJ, Im TH, Yang JH, Cho YS, Chung HS. Comparison of manikin versus porcine models in cricothyrotomy procedure training. Emerg Med J. 2008 Nov;25(11):732-4. doi: 10.1136/emj.2008.059014.
- Warren JN, Luctkar-Flude M, Godfrey C, Lukewich J. A systematic review of the effectiveness of simulation-based education on satisfaction and learning outcomes in nurse practitioner programs. Nurse Educ Today. 2016 Nov;46:99-108. doi: 10.1016/j.nedt.2016.08.023. Epub 2016 Aug 25.
- Jabaay MJ, Marotta DA, Aita SL, Walker DB, Grcevich LO, Camba V, Nolin JR, Lyons J, Giannini J Jr. Medical Simulation-Based Learning Outcomes in Pre-Clinical Medical Education. Cureus. 2020 Dec 3;12(12):e11875. doi: 10.7759/cureus.11875.
- Chan CH, Chan TN, Yuen MC, Tung WK. Evaluation of a simulation-based workshop on clinical performance for emergency physicians and nurses. World J Emerg Med. 2015;6(1):16-22. doi: 10.5847/wjem.j.1920-8642.2015.01.003.
- Morton S, Avery P, Kua J, O'Meara M. Success rate of prehospital emergency front-of-neck access (FONA): a systematic review and meta-analysis. Br J Anaesth. 2023 May;130(5):636-644. doi: 10.1016/j.bja.2023.01.022. Epub 2023 Feb 28.
- Zink N, Merelman A, Fisher AD, Lauria MJ. Emergency Reflex Action Drills and the Problem with Stress. J Spec Oper Med. 2023 Mar 15;23(1):54-58. doi: 10.55460/RCF2-CXS9.
- Smith JE, Rickard A, Wise D. Traumatic cardiac arrest. J R Soc Med. 2015 Jan;108(1):11-6. doi: 10.1177/0141076814560837.
- Burns KJ, Robinson K, Lowe EG. Evaluation of responses of an air medical helicopter program during a comprehensive emergency response drill. Air Med J. 2007 May-Jun;26(3):139-43. doi: 10.1016/j.amj.2006.08.009.
- Anderson NE, Gott M, Slark J. Beyond prognostication: ambulance personnel's lived experiences of cardiac arrest decision-making. Emerg Med J. 2018 Apr;35(4):208-213. doi: 10.1136/emermed-2017-206743. Epub 2018 Jan 5.
- Chrimes N. The Vortex: a universal 'high-acuity implementation tool' for emergency airway management. Br J Anaesth. 2016 Sep;117 Suppl 1:i20-i27. doi: 10.1093/bja/aew175. Epub 2016 Jul 20.
- Reardon RF, Robinson AE, Kornas R, Ho JD, Anzalone B, Carlson J, Levy M, Driver B. Prehospital Surgical Airway Management: An NAEMSP Position Statement and Resource Document. Prehosp Emerg Care. 2022;26(sup1):96-101. doi: 10.1080/10903127.2021.1995552.
- Schauer SG, Naylor JF, Maddry JK, Beaumont DM, Cunningham CW, Blackburn MB, April MD. Prehospital Airway Management in Iraq and Afghanistan: A Descriptive Analysis. South Med J. 2018 Dec;111(12):707-713. doi: 10.14423/SMJ.0000000000000906.
- Mabry RL, Frankfurt A. An analysis of battlefield cricothyrotomy in Iraq and Afghanistan. J Spec Oper Med. 2012 Spring;12(1):17-23. doi: 10.55460/FYQG-8E49.
- Mabry RL, Edens JW, Pearse L, Kelly JF, Harke H. Fatal airway injuries during Operation Enduring Freedom and Operation Iraqi Freedom. Prehosp Emerg Care. 2010 Apr-Jun;14(2):272-7. doi: 10.3109/10903120903537205.
- Brown CA 3rd, Cox K, Hurwitz S, Walls RM. 4,871 Emergency airway encounters by air medical providers: a report of the air transport emergency airway management (NEAR VI: "A-TEAM") project. West J Emerg Med. 2014 Mar;15(2):188-93. doi: 10.5811/westjem.2013.11.18549.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- MEC-2024-0388
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- ANALYTIC_CODE
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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