Eugene Yuriditsky1, James M Horowitz2, Sunil Nair3, Brian S Kaufman4. 1. Division of Cardiology, Department of Medicine, NYU Langone Medical Center, New York, NY 10016, United States. Electronic address: Eugene.Yuriditsky@nyulangone.org. 2. Division of Cardiology, Department of Medicine, NYU Langone Medical Center, New York, NY 10016, United States. 3. Division of Pulmonary, Critical Care, Sleep Medicine, Department of Medicine, NYU Langone Medical Center, New York, NY 10016, United States. 4. Division of Pulmonary, Critical Care, Sleep Medicine, Department of Medicine, NYU Langone Medical Center, New York, NY 10016, United States; Department of Anesthesiology, NYU Langone Medical Center, New York, NY 10016, United States.
Abstract
PURPOSE: The COVID-19 surge required the deployment of large numbers of non-intensive care providers to assist in the management of the critically ill. Institutions took a variety of approaches to "uptraining" such providers though studies describing methods and effectiveness are lacking. MATERIALS AND METHODS: One hundred and seventy-five providers underwent a 3 h simulation-based session focused on management of shock, mechanical ventilation, acute respiratory distress syndrome, and critical care ultrasound. All participants were sent surveys to assess their comfort with various aspects of critical care following return to their usual work environments. RESULTS: One hundred and eight providers of 175 (62%) completed the survey. Overall, 104/108 responders (96%) felt training either significantly or somewhat improved their knowledge in the management of ICU patients. Responders felt most comfortable in the management of hypoxemia in intubated patients and the management of ventilated patients with acute respiratory distress syndrome (93% strongly agree or agree, and 86% strongly agree or agree, respectively). Fewer responders felt more comfortable using focused echocardiography (70% strongly agree or agree) and lung ultrasonography in following progression of COVID-19 (76% strongly agree or agree). CONCLUSIONS: Simulation-based training improved provider comfort in the management of critically ill patients with COVID-19.
PURPOSE: The COVID-19 surge required the deployment of large numbers of non-intensive care providers to assist in the management of the critically ill. Institutions took a variety of approaches to "uptraining" such providers though studies describing methods and effectiveness are lacking. MATERIALS AND METHODS: One hundred and seventy-five providers underwent a 3 h simulation-based session focused on management of shock, mechanical ventilation, acute respiratory distress syndrome, and critical care ultrasound. All participants were sent surveys to assess their comfort with various aspects of critical care following return to their usual work environments. RESULTS: One hundred and eight providers of 175 (62%) completed the survey. Overall, 104/108 responders (96%) felt training either significantly or somewhat improved their knowledge in the management of ICU patients. Responders felt most comfortable in the management of hypoxemia in intubated patients and the management of ventilated patients with acute respiratory distress syndrome (93% strongly agree or agree, and 86% strongly agree or agree, respectively). Fewer responders felt more comfortable using focused echocardiography (70% strongly agree or agree) and lung ultrasonography in following progression of COVID-19 (76% strongly agree or agree). CONCLUSIONS: Simulation-based training improved provider comfort in the management of critically illpatients with COVID-19.
Authors: Oscar J L Mitchell; Olivia Doran; Eugene Yuriditsky; Christopher Root; Felipe Teran; Kevin Ma; Michael Shashaty; Ari Moskowitz; James Horowitz; Benjamin S Abella Journal: Resusc Plus Date: 2021-04-12
Authors: Norha Vera San Juan; Sigrún Eyrúnardóttir Clark; Matthew Camilleri; John Paul Jeans; Alexandra Monkhouse; Georgia Chisnall; Cecilia Vindrola-Padros Journal: BMJ Open Date: 2022-01-07 Impact factor: 2.692