Literature DB >> 20471871

Severe contrast reaction emergencies high-fidelity simulation training for radiology residents and technologists in a children's hospital.

Nancy M Tofil1, Marjorie Lee White, Matthew Grant, J Lynn Zinkan, Bhavik Patel, Lynsey Jenkins, Amber Q Youngblood, Stuart A Royal.   

Abstract

RATIONALE AND
OBJECTIVES: Severe reactions to radiographic contrast agents can be life threatening, and although they are rare, effective recognition and management are essential to improving outcomes. A high-fidelity radiology simulation course for radiology residents and technologists focusing on severe contrast reactions and immediate treatments was designed to test the hypothesis that knowledge would improve with this educational intervention.
MATERIALS AND METHODS: A prospective pretest and posttest study design was used. Residents and technologists worked in teams of three to five members. Learning objectives focused on demonstrating when and how to use basic life support skills and epinephrine auto-injectors. Each resident and technologist was administered a pretest prior to the start of the case scenarios and a posttest following the debriefing session. Scores from the pretest and posttest for the residents and technologists were compared using a paired-samples t test.
RESULTS: Nineteen radiology residents and 11 radiology technologists participated. The average test scores were higher and improved significantly following the simulation experience for both the radiology residents (57% vs 82%, P < .001) and technologists (47% vs 72%, P = .006). Anonymous evaluations demonstrated that the experience was well received by residents and technologists, with 97% of learners (29 of 30) rating the experience as extremely or very helpful. Important learning themes included the knowledge of epinephrine auto-injector use and basic life support skills. DISCUSSION: High-fidelity simulation for radiology residents and technologists focusing on epinephrine auto-injector use and basic life support skills during the first 5 minutes of a severe contrast reaction can significantly improve recognition and knowledge in treating patients having severe contrast reactions. 2010 AUR. Published by Elsevier Inc. All rights reserved.

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Year:  2010        PMID: 20471871     DOI: 10.1016/j.acra.2010.03.016

Source DB:  PubMed          Journal:  Acad Radiol        ISSN: 1076-6332            Impact factor:   3.173


  5 in total

1.  Teaching management of contrast reactions: does it work and how often do we need to refresh?

Authors:  Andrew T Trout; Richard H Cohan; James H Ellis; Shokoufeh Khalatbari
Journal:  Acad Radiol       Date:  2012-04       Impact factor: 3.173

2.  Repeated versus varied case selection in pediatric resident simulation.

Authors:  Nancy M Tofil; Dawn Taylor Peterson; Julie Turner Wheeler; Amber Youngblood; J Lynn Zinkan; Diego Lara; Brett Jakaitis; Julia Niebauer; Marjorie Lee White
Journal:  J Grad Med Educ       Date:  2014-06

3.  High-fidelity simulation training for sleep technologists in a pediatric sleep disorders center.

Authors:  Kristin T Avis; David J Lozano; Marjorie L White; Amber Q Youngblood; Lynn Zinkan; Julia M Niebauer; Nancy M Tofil
Journal:  J Clin Sleep Med       Date:  2012-02-15       Impact factor: 4.062

4.  High-fidelity simulation training improves resident knowledge of contrast reaction management, especially for junior residents.

Authors:  Danielle E Kruse; Geoffrey Scriver; Ryan Walsh
Journal:  Eur J Radiol Open       Date:  2022-10-11

5.  The Public Servants' Response When Facing Pandemic: The Role of Public Service Motivation, Accountability Pressure, and Emergency Response Capacity.

Authors:  Yong Ye; Yang Liu; Xiaojun Zhang
Journal:  Healthcare (Basel)       Date:  2021-05-01
  5 in total

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