Paramedics' Newborn Life Support Knowledge and Skills Before and After a Targeted Simulation-Based Educational Intervention
Objective: Resuscitation of neonates after birth in the out-of-hospital setting is challenging. Thus, we aimed to assess paramedics' newborn life support knowledge and skills before and after targeted simulation-based training.Methods: Voluntary paramedics were recruited from a single Red Cross...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2019-04-01
|
| Series: | Frontiers in Pediatrics |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/article/10.3389/fped.2019.00132/full |
| _version_ | 1818609240162435072 |
|---|---|
| author | Lukas P. Mileder Jennifer Gressl Berndt Urlesberger Wolfgang Raith |
| author_facet | Lukas P. Mileder Jennifer Gressl Berndt Urlesberger Wolfgang Raith |
| author_sort | Lukas P. Mileder |
| collection | DOAJ |
| description | Objective: Resuscitation of neonates after birth in the out-of-hospital setting is challenging. Thus, we aimed to assess paramedics' newborn life support knowledge and skills before and after targeted simulation-based training.Methods: Voluntary paramedics were recruited from a single Red Cross division. During a 1-day simulation-based educational intervention, essential aspects of neonatal resuscitation were taught and practiced. Before and after simulation-based training, we assessed (1) knowledge of current European Resuscitation Council (ERC) guidelines using a 20-item-questionnaire and (2) the quality of simulated bag-valve-mask ventilation by measuring face mask leakage, using a respiratory function monitor (Standardized Measurement of Airway Resuscitation Training [SMART], GM Instruments Ltd., United Kingdom).Results: Forty-one paramedics participated in the initial survey and 12 took part in the simulation-based educational intervention. There was a significant increase in the number of correctly answered questions: median 62.1% (IQR 37.5–77.4%) vs. 91.7% (IQR 83.3–100%; p = 0.001). A total of 1,332 inflations were analyzed. The incidence of substantial mask leakage >75% decreased significantly after training (15.8 vs. 6.1%; p < 0.001), while median mask leakage was similar (17.0% [IQR 0.0–55.0%] vs. 18.0% [IQR 6.0–34.0%]; p = 0.414).Conclusions: Among paramedics, theoretical knowledge of current ERC guidelines was moderate in this study. Participation in a targeted simulation-based educational intervention was associated with a significant increase in theoretical knowledge. The initially high incidence of substantial mask leakage >75% was decreased after simulation-based training using respiratory function monitoring. |
| first_indexed | 2024-12-16T14:55:23Z |
| format | Article |
| id | doaj.art-2569d1f82522414ea56c34f43e1ee36f |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-16T14:55:23Z |
| publishDate | 2019-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-2569d1f82522414ea56c34f43e1ee36f2022-12-21T22:27:27ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602019-04-01710.3389/fped.2019.00132446947Paramedics' Newborn Life Support Knowledge and Skills Before and After a Targeted Simulation-Based Educational InterventionLukas P. MilederJennifer GresslBerndt UrlesbergerWolfgang RaithObjective: Resuscitation of neonates after birth in the out-of-hospital setting is challenging. Thus, we aimed to assess paramedics' newborn life support knowledge and skills before and after targeted simulation-based training.Methods: Voluntary paramedics were recruited from a single Red Cross division. During a 1-day simulation-based educational intervention, essential aspects of neonatal resuscitation were taught and practiced. Before and after simulation-based training, we assessed (1) knowledge of current European Resuscitation Council (ERC) guidelines using a 20-item-questionnaire and (2) the quality of simulated bag-valve-mask ventilation by measuring face mask leakage, using a respiratory function monitor (Standardized Measurement of Airway Resuscitation Training [SMART], GM Instruments Ltd., United Kingdom).Results: Forty-one paramedics participated in the initial survey and 12 took part in the simulation-based educational intervention. There was a significant increase in the number of correctly answered questions: median 62.1% (IQR 37.5–77.4%) vs. 91.7% (IQR 83.3–100%; p = 0.001). A total of 1,332 inflations were analyzed. The incidence of substantial mask leakage >75% decreased significantly after training (15.8 vs. 6.1%; p < 0.001), while median mask leakage was similar (17.0% [IQR 0.0–55.0%] vs. 18.0% [IQR 6.0–34.0%]; p = 0.414).Conclusions: Among paramedics, theoretical knowledge of current ERC guidelines was moderate in this study. Participation in a targeted simulation-based educational intervention was associated with a significant increase in theoretical knowledge. The initially high incidence of substantial mask leakage >75% was decreased after simulation-based training using respiratory function monitoring.https://www.frontiersin.org/article/10.3389/fped.2019.00132/fullresuscitationinfantnewborneducationsimulationemergency medical technicians |
| spellingShingle | Lukas P. Mileder Jennifer Gressl Berndt Urlesberger Wolfgang Raith Paramedics' Newborn Life Support Knowledge and Skills Before and After a Targeted Simulation-Based Educational Intervention Frontiers in Pediatrics resuscitation infant newborn education simulation emergency medical technicians |
| title | Paramedics' Newborn Life Support Knowledge and Skills Before and After a Targeted Simulation-Based Educational Intervention |
| title_full | Paramedics' Newborn Life Support Knowledge and Skills Before and After a Targeted Simulation-Based Educational Intervention |
| title_fullStr | Paramedics' Newborn Life Support Knowledge and Skills Before and After a Targeted Simulation-Based Educational Intervention |
| title_full_unstemmed | Paramedics' Newborn Life Support Knowledge and Skills Before and After a Targeted Simulation-Based Educational Intervention |
| title_short | Paramedics' Newborn Life Support Knowledge and Skills Before and After a Targeted Simulation-Based Educational Intervention |
| title_sort | paramedics newborn life support knowledge and skills before and after a targeted simulation based educational intervention |
| topic | resuscitation infant newborn education simulation emergency medical technicians |
| url | https://www.frontiersin.org/article/10.3389/fped.2019.00132/full |
| work_keys_str_mv | AT lukaspmileder paramedicsnewbornlifesupportknowledgeandskillsbeforeandafteratargetedsimulationbasededucationalintervention AT jennifergressl paramedicsnewbornlifesupportknowledgeandskillsbeforeandafteratargetedsimulationbasededucationalintervention AT berndturlesberger paramedicsnewbornlifesupportknowledgeandskillsbeforeandafteratargetedsimulationbasededucationalintervention AT wolfgangraith paramedicsnewbornlifesupportknowledgeandskillsbeforeandafteratargetedsimulationbasededucationalintervention |