Reducing Disparities for Children in Rural Emergency Resuscitation (RESCU-ER): Developing and Testing the Acceptability and Feasibility of an Integrated Linear Cognitive Aid for Pediatric Resuscitation in a Pilot RCT
Overview
- Phase
- Not Applicable
- Intervention
- Current Standard with Existing Cognitive Aids
- Conditions
- Pediatric Emergency Medicine
- Sponsor
- Beth Israel Deaconess Medical Center
- Enrollment
- 80
- Locations
- 3
- Primary Endpoint
- Time to Achieve AHA Technical Milestones
- Status
- Recruiting
- Last Updated
- 19 days ago
Overview
Brief Summary
The goal of this clinicial trial is to test the acceptability and feasibility of linear cognitive aid intervention to support EMS teams in responding to pediatric emergencies. We are testing the hypothesis that cognitive aids with linear logic will be feasible to use and acceptable to EMS teams in urban and rural areas.
Researchers will compare technical performance, teamwork, and self-assessed cognitive load of participants to see the difference between performing resuscitations using their current standard with existing cognitive aids and using our linear cognitive aid.
Participants' teams will:
- perform in situ high-fidelity simulation of two critical children's resuscitation scenarios
- be randomized to 1) perform both resuscitations with their current standard with existing cognitive aids or 2) perform both resuscitations using our linear cognitive aid.
Investigators
Jeanne-Marie Guise
Principal Investigator
Beth Israel Deaconess Medical Center
Eligibility Criteria
Inclusion Criteria
- •Active public, private, volunteer, hospital-based, or third-party EMS providers
- •Speaks and understands English
- •Age 18 and over
Exclusion Criteria
- •\- Not clinically active
Arms & Interventions
Current Standard with Existing Cognitive Aids
We will perform in situ high-fidelity simulation of two critical children's emergency resuscitation scenarios using the current standard of care with existing cognitive aids.
Linear Cognitive Aid
We will perform in situ high-fidelity simulation of two critical children's emergency resuscitation scenarios using a linear cognitive aid
Intervention: Linear Cognitive Aid
Outcomes
Primary Outcomes
Time to Achieve AHA Technical Milestones
Time Frame: 10 minute simulation
Time stamps for achieving completion of clinically recommended steps according to AHA guidance in minutes and seconds over a total 10 min simulation session. Less time taken is better performance.
Secondary Outcomes
- Teamwork(Cumulative evaluation over each 10 minute simulation)
- Cognitive load(Cumulative evaluation over each 10 minute simulation)