The Efficacy of Simulation Manikins in the Military Medics Training

The aim of the study is to verify the applicability of simulation manikin in combat training of military medics. The research will be conducted on healthy volunteers - medics of the Czech Armed Forces, as a part of the compulsory medical courses required for foreign military missions as a "Combat Life Saver". Comparison of the performance of two groups of course participants who were trained using the standard approach versus experiential learning using simulation manikins.

Study Overview

• Status: Enrolling by invitation
• Conditions: War-Related Injuries
• Intervention / Treatment: Behavioral: Conventional versus simulation manikin training

Detailed Description

With the development of modern hi-tech manikins and their growing popularity in the training of "civilian" medics, the possibilities of their application in the training of military medics are emerging. The aim of the study is to verify the applicability of simulation manikin in combat training of military medics. The research will be conducted on healthy volunteers - medics of the Czech Armed Forces, as a part of the compulsory medical courses required for foreign military missions as a "Combat Life Saver". Comparison of the performance of two groups of course participants who were trained using the standard approach versus experiential learning using simulation manikins. In addition to monitoring the particular professional performance of the trainees, changes in basic physiological functions, including the endocrinological response to stress conditions, will be evaluated.

• Study Type: Interventional
• Enrollment (Estimated): 50
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Czechia
  • Kladno, Czechia, 27201
    • Czech Technical University in Prague

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• active soldier during the Tactical Combat Casualty Care course

Exclusion Criteria:

• not willing to participate

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Conventional training; Combat Life Savers trained by conventional combat medicine approach.	Behavioral: Conventional versus simulation manikin training; Two approaches to training Combat Life Savers will be employed and performance of participants will be evaluated.
Experimental: Simulation manikin training; Training based on principles of simulation medicine.	Behavioral: Conventional versus simulation manikin training; Two approaches to training Combat Life Savers will be employed and performance of participants will be evaluated.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Duration time of the of use of tourniquet	Time to complete diagnostics and treatment of bleeding (in seconds)	10 minutes
Correctness of treatment of severe bleeding	Based on standardized forms (points on a standardised scale)	10 minutes
Duration time of the of use of nasal airway	Time to complete diagnostics and treatment of airway obstruction (in seconds)	10 minutes
Correctness of treatment of airway obstruction	Based on standardized forms (points on a standardised scale)	10 minutes
Duration time of the use of chest seal	Time to complete diagnostics and treatment of open pneumothorax (in seconds)	10 minutes
Correctness of treatment of open pneumothorax	Based on standardized forms (points on a standardised scale)	10 minutes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Stress level 1	Level of stress response based on changes in blood pressure (in mm of mercury)	1 hour
Stress level 2	Level of stress response based on changes in heart rate (in beats per minute)	1 hour
Stress level 3	Level of stress response based on changes in cortisol level (in nmol/L)	1 hour

Collaborators and Investigators

• Sponsor: Czech Technical University in Prague
• Collaborators: Military University Hospital, Prague
• Investigators: Study Director: Karel Roubík, Ph.D., Czech Technical University in Prague

Publications and helpful links

General Publications

• McCarthy M. US military revamps combat medic training and care. Lancet. 2003 Feb 8;361(9356):494-5. doi: 10.1016/S0140-6736(03)12494-4. No abstract available.

Study record dates

Study Major Dates

• Study Start (Actual): November 7, 2022
• Primary Completion (Estimated): December 31, 2026
• Study Completion (Estimated): December 31, 2026

Study Registration Dates

• First Submitted: October 29, 2022
• First Submitted That Met QC Criteria: November 9, 2022
• First Posted (Actual): November 10, 2022

Study Record Updates

• Last Update Posted (Actual): February 28, 2024
• Last Update Submitted That Met QC Criteria: February 26, 2024
• Last Verified: February 1, 2024

More Information

Terms related to this study

• Keywords: Stress response; Combat Life Saver; Simulation Medicine
• Additional Relevant MeSH Terms: Wounds and Injuries; War-Related Injuries
• Other Study ID Numbers: VentRes-2022-01-JP

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Sharing Time Frame: upon final publication
• IPD Sharing Access Criteria: open access
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; ICF; CSR

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No