Use of a Hand-held Digital Cognitive Aid in the Early Management of Simulated War
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 15
- 主要终点
- Technical Performance as compared to a Reference Task List
研究概览
简要总结
Combat casualty care has proven to increase survival rate in military conflict by treating without delay the quickest-to-kill wounds. The French militaries are trained to the MARCHE RYAN acronym, an algorithm designed to help every soldiers provide simple treatment in order to bring the patient to the surgeon alive.
Our first study (MAX, Lelaidier et al, BJA 2017) clearly showed that the use of a digital cognitive aid in the hand of the leader significantly improves the management of anaesthesia & intensive care emergencies (malignant hyperthermia, anaphylactic shock, acute toxicity of local anaesthetics, severe and symptomatic hyperkalaemia).
The present study exclusively deals with the management of combat casualties with the same digital cognitive aid adapted for MARCHE RYAN algorithm.
详细描述
In a first study (MAX, BJA 2017, Lelaidier et al) the investigators designed a digital cognitive aid (MAX for Medical Assistant eXpert) under the form of a smartphone application including 5 scenarios of anaesthesia and intensive care crises (malignant hyperthermia, anaphylactic shock, acute toxicity of local anaesthetics, severe and symptomatic hyperkalaemia, ventricular fibrillation), designed to be used in the hand of the leader managing the situations. Technical and non-technical skills were improved in 4 out of 5 scenarios.
Combat casualties are dealt with a stereotyped management in the French army, and all soldiers learn the algorithm (acronym) designed for this purpose, the MARCHE RYAN. Situations requiring the use of the MARCHE RYAN are extremely stressful (on the battlefield, performed by non-medical personal, often on a comrade).
The present study exclusively deals with the management of combat casualties with the digital cognitive aid MAX adapted for MARCHE RYAN algorithm.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
盲法说明
single
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •already trained in Combat Care level 2, under training for external operations.
排除标准
- 未提供
研究组 & 干预措施
Digital cognitive aid
The digital cognitive aid is designed as a smartphone app.
干预措施: SIMMAXMARCHERYAN (Device)
no digital cognitive aid
No cognitive aid in the hand of the leader during crises management.
干预措施: SIMMAXMARCHERYAN (Device)
结局指标
主要结局
Technical Performance as compared to a Reference Task List
时间窗: Time 0-30 min
as compared to a Reference Task List
次要结局
- Non technical skills performance(Time 0-30 min)
研究者
CEJKA Jean-Christophe
MD, PhD, mEng
Claude Bernard University