Inappropriately Firing Defibrillator: A Simulation Case for Emergency Medicine Residents

Introduction Emergency physicians must be able to manage inappropriately firing defibrillators. Many physicians may not experience this high-risk, low-frequency patient presentation during residency. We created this simulation to increase residents' knowledge of basic defibrillator function and...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Rachel Lauren Thorpe, Namit Rohant, Michael Cryer, Christopher Gainey
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2019
Materias:	Simulation Supraventricular Tachycardia Emergency Medicine Defibrillator Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/9985009934a14a7987ba69934c76538c
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:9985009934a14a7987ba69934c76538c
record_format	dspace
spelling	oai:doaj.org-article:9985009934a14a7987ba69934c76538c2021-11-22T13:41:32ZInappropriately Firing Defibrillator: A Simulation Case for Emergency Medicine Residents10.15766/mep_2374-8265.108082374-8265https://doaj.org/article/9985009934a14a7987ba69934c76538c2019-02-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10808https://doaj.org/toc/2374-8265Introduction Emergency physicians must be able to manage inappropriately firing defibrillators. Many physicians may not experience this high-risk, low-frequency patient presentation during residency. We created this simulation to increase residents' knowledge of basic defibrillator function and confidence in managing patients with malfunctioning defibrillators. Methods Sixteen emergency medicine residents of all levels of training participated in this curriculum. The educational experience began with a lecture. Residents then managed the simulated patient encounter in groups of four. The patient was a 63-year-old male presenting after feeling his defibrillator fire. He was found to have a supraventricular tachycardia with an inappropriately firing defibrillator. Learners needed to recognize the inappropriately firing defibrillator, inactivate it with a magnet, and treat the arrhythmia. Implementation of this scenario required audiovisual equipment and a simulation room equipped with high-fidelity simulator, patient monitor, code cart, defibrillator, and pacemaker magnet. Learners completed pre- and postcourse surveys to assess changes in baseline knowledge of defibrillator function and self-reported confidence in managing these complicated patients. Results After participating in this educational intervention, residents improved their performance on a 10-question quiz from a class mean of 60% to 84% (p < .001). Residents also exhibited an increase in self-reported confidence in managing patients with inappropriately firing defibrillators (p < .001) and in knowing when to place a magnet over a patient's defibrillator (p < .001). Discussion Residents demonstrated increased knowledge of defibrillator function as well as increased confidence in managing patients with malfunctioning defibrillators after participating in this simulation experience.Rachel Lauren ThorpeNamit RohantMichael CryerChristopher GaineyAssociation of American Medical CollegesarticleSimulationSupraventricular TachycardiaEmergency MedicineDefibrillatorMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 15 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Simulation Supraventricular Tachycardia Emergency Medicine Defibrillator Medicine (General) R5-920 Education L
spellingShingle	Simulation Supraventricular Tachycardia Emergency Medicine Defibrillator Medicine (General) R5-920 Education L Rachel Lauren Thorpe Namit Rohant Michael Cryer Christopher Gainey Inappropriately Firing Defibrillator: A Simulation Case for Emergency Medicine Residents
description	Introduction Emergency physicians must be able to manage inappropriately firing defibrillators. Many physicians may not experience this high-risk, low-frequency patient presentation during residency. We created this simulation to increase residents' knowledge of basic defibrillator function and confidence in managing patients with malfunctioning defibrillators. Methods Sixteen emergency medicine residents of all levels of training participated in this curriculum. The educational experience began with a lecture. Residents then managed the simulated patient encounter in groups of four. The patient was a 63-year-old male presenting after feeling his defibrillator fire. He was found to have a supraventricular tachycardia with an inappropriately firing defibrillator. Learners needed to recognize the inappropriately firing defibrillator, inactivate it with a magnet, and treat the arrhythmia. Implementation of this scenario required audiovisual equipment and a simulation room equipped with high-fidelity simulator, patient monitor, code cart, defibrillator, and pacemaker magnet. Learners completed pre- and postcourse surveys to assess changes in baseline knowledge of defibrillator function and self-reported confidence in managing these complicated patients. Results After participating in this educational intervention, residents improved their performance on a 10-question quiz from a class mean of 60% to 84% (p < .001). Residents also exhibited an increase in self-reported confidence in managing patients with inappropriately firing defibrillators (p < .001) and in knowing when to place a magnet over a patient's defibrillator (p < .001). Discussion Residents demonstrated increased knowledge of defibrillator function as well as increased confidence in managing patients with malfunctioning defibrillators after participating in this simulation experience.
format	article
author	Rachel Lauren Thorpe Namit Rohant Michael Cryer Christopher Gainey
author_facet	Rachel Lauren Thorpe Namit Rohant Michael Cryer Christopher Gainey
author_sort	Rachel Lauren Thorpe
title	Inappropriately Firing Defibrillator: A Simulation Case for Emergency Medicine Residents
title_short	Inappropriately Firing Defibrillator: A Simulation Case for Emergency Medicine Residents
title_full	Inappropriately Firing Defibrillator: A Simulation Case for Emergency Medicine Residents
title_fullStr	Inappropriately Firing Defibrillator: A Simulation Case for Emergency Medicine Residents
title_full_unstemmed	Inappropriately Firing Defibrillator: A Simulation Case for Emergency Medicine Residents
title_sort	inappropriately firing defibrillator: a simulation case for emergency medicine residents
publisher	Association of American Medical Colleges
publishDate	2019
url	https://doaj.org/article/9985009934a14a7987ba69934c76538c
work_keys_str_mv	AT rachellaurenthorpe inappropriatelyfiringdefibrillatorasimulationcaseforemergencymedicineresidents AT namitrohant inappropriatelyfiringdefibrillatorasimulationcaseforemergencymedicineresidents AT michaelcryer inappropriatelyfiringdefibrillatorasimulationcaseforemergencymedicineresidents AT christophergainey inappropriatelyfiringdefibrillatorasimulationcaseforemergencymedicineresidents
_version_	1718417568677494784

Inappropriately Firing Defibrillator: A Simulation Case for Emergency Medicine Residents

Ejemplares similares