The Evaluation of Training an Emergency Reflex Action Drill in the Emergency Surgical Airway in Dutch Paramedics
ERAD-ESA
The Use of an Emergency Reflex Action Drill in Emergency Surgical Airway
1 other identifier
observational
100
1 country
1
Brief Summary
The goal of this observational study is to learn about the effects of training an Emergency Reflex Action Drill (ERAD) for Emergency Surgical Airway (ESA) in Dutch paramedics. The main question it aims to answer is: \- Does training an ERAD improves self-confidence in performing an ESA in Dutch paramedics Participants will fill out a questionnaire directly before and after the training. To investigate long-term effects, they will be asked to fill out a questionnaire after 2 till 3 months and after one year.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Sep 2024
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 9, 2024
CompletedFirst Submitted
Initial submission to the registry
October 11, 2024
CompletedFirst Posted
Study publicly available on registry
October 16, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 30, 2026
October 16, 2024
October 1, 2024
2.1 years
October 11, 2024
October 14, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Self-confidence
Increase/decrease/no difference in self-confidence from baseline, assessed by a five-point Likert-scale of paramedics in performing an Emergency Surgical Airway
Baseline, pre-training up to immediately after the training
Secondary Outcomes (2)
Training model
Immediately after the training
Self-confidence real life cases
Through study completion, an average of 1 year
Interventions
Emergency Reflex Action Drill in performing Emergency Surgical Airway
Eligibility Criteria
The study will include Dutch paramedics attending a course. Dutch paramedics are all registered nurses with a background in Intensive Care, Anaesthesiology or Emergency Care. EMS training comprises an additional nine months of training and assessments, to be concluded with a final exam. Also, ambulance drivers of ambulances providing advanced life support (excluding medium care ambulances) who participate in the course are eligible to participate due to their supporting role in airway management.
You may qualify if:
- Registered Dutch paramedic
- Ambulance driver on Advanced Life Support Ambulance
- Participant in the two-day trauma course.
You may not qualify if:
- Medium care ambulance paramedic
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Academie van Ambulancezorg
Harderwijk, Gelderland, 3847 LG, Netherlands
Related Publications (20)
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PMID: 28084900BACKGROUNDArmstrong L, Harding F, Critchley J, McNarry AF, Myatra SN, Cooper R, Baker PA; World Airway Management Meeting 2015 Education Group. An international survey of airway management education in 61 countriesdagger. Br J Anaesth. 2020 Jul;125(1):e54-e60. doi: 10.1016/j.bja.2020.04.051. Epub 2020 May 20.
PMID: 32444066BACKGROUNDIverson K, Riojas R, Sharon D, Hall AB. Objective comparison of animal training versus artificial simulation for initial cricothyroidotomy training. Am Surg. 2015 May;81(5):515-8.
PMID: 25975338BACKGROUNDGustafson ML, Hensley B, Dotson M, Broce M, Tager A. Comparison of Manikin Versus Porcine Trachea Models When Teaching Emergent Cricothyroidotomy Among Emergency Medicine Residents. AEM Educ Train. 2019 Apr 7;3(3):280-285. doi: 10.1002/aet2.10333. eCollection 2019 Jul.
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PMID: 18955605BACKGROUNDWarren JN, Luctkar-Flude M, Godfrey C, Lukewich J. A systematic review of the effectiveness of simulation-based education on satisfaction and learning outcomes in nurse practitioner programs. Nurse Educ Today. 2016 Nov;46:99-108. doi: 10.1016/j.nedt.2016.08.023. Epub 2016 Aug 25.
PMID: 27621199BACKGROUNDJabaay MJ, Marotta DA, Aita SL, Walker DB, Grcevich LO, Camba V, Nolin JR, Lyons J, Giannini J Jr. Medical Simulation-Based Learning Outcomes in Pre-Clinical Medical Education. Cureus. 2020 Dec 3;12(12):e11875. doi: 10.7759/cureus.11875.
PMID: 33415028BACKGROUNDChan CH, Chan TN, Yuen MC, Tung WK. Evaluation of a simulation-based workshop on clinical performance for emergency physicians and nurses. World J Emerg Med. 2015;6(1):16-22. doi: 10.5847/wjem.j.1920-8642.2015.01.003.
PMID: 25802561BACKGROUNDMorton S, Avery P, Kua J, O'Meara M. Success rate of prehospital emergency front-of-neck access (FONA): a systematic review and meta-analysis. Br J Anaesth. 2023 May;130(5):636-644. doi: 10.1016/j.bja.2023.01.022. Epub 2023 Feb 28.
PMID: 36858888BACKGROUNDZink N, Merelman A, Fisher AD, Lauria MJ. Emergency Reflex Action Drills and the Problem with Stress. J Spec Oper Med. 2023 Mar 15;23(1):54-58. doi: 10.55460/RCF2-CXS9.
PMID: 36764288BACKGROUNDSmith JE, Rickard A, Wise D. Traumatic cardiac arrest. J R Soc Med. 2015 Jan;108(1):11-6. doi: 10.1177/0141076814560837.
PMID: 25572990BACKGROUNDBurns KJ, Robinson K, Lowe EG. Evaluation of responses of an air medical helicopter program during a comprehensive emergency response drill. Air Med J. 2007 May-Jun;26(3):139-43. doi: 10.1016/j.amj.2006.08.009.
PMID: 17467567BACKGROUNDAnderson NE, Gott M, Slark J. Beyond prognostication: ambulance personnel's lived experiences of cardiac arrest decision-making. Emerg Med J. 2018 Apr;35(4):208-213. doi: 10.1136/emermed-2017-206743. Epub 2018 Jan 5.
PMID: 29305380BACKGROUNDChrimes N. The Vortex: a universal 'high-acuity implementation tool' for emergency airway management. Br J Anaesth. 2016 Sep;117 Suppl 1:i20-i27. doi: 10.1093/bja/aew175. Epub 2016 Jul 20.
PMID: 27440673BACKGROUNDReardon RF, Robinson AE, Kornas R, Ho JD, Anzalone B, Carlson J, Levy M, Driver B. Prehospital Surgical Airway Management: An NAEMSP Position Statement and Resource Document. Prehosp Emerg Care. 2022;26(sup1):96-101. doi: 10.1080/10903127.2021.1995552.
PMID: 35001821BACKGROUNDWang HE, Mann NC, Mears G, Jacobson K, Yealy DM. Out-of-hospital airway management in the United States. Resuscitation. 2011 Apr;82(4):378-85. doi: 10.1016/j.resuscitation.2010.12.014. Epub 2011 Feb 1.
PMID: 21288624BACKGROUNDSchauer SG, Naylor JF, Maddry JK, Beaumont DM, Cunningham CW, Blackburn MB, April MD. Prehospital Airway Management in Iraq and Afghanistan: A Descriptive Analysis. South Med J. 2018 Dec;111(12):707-713. doi: 10.14423/SMJ.0000000000000906.
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PMID: 24672610BACKGROUND
Related Links
Study Officials
- PRINCIPAL INVESTIGATOR
Iscander M Maissan
Erasmus Medical Center
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dr. I.M. Maissan MD PhD
Study Record Dates
First Submitted
October 11, 2024
First Posted
October 16, 2024
Study Start
September 9, 2024
Primary Completion (Estimated)
September 30, 2026
Study Completion (Estimated)
September 30, 2026
Last Updated
October 16, 2024
Record last verified: 2024-10
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
- Time Frame
- Beginning after 6 months after publication, ending 10 years after publication
- Access Criteria
- Investigators whose proposed use of the data has been approved by an independent review committee ("learned intermediary") identified for this purpose.
Individual participant data that underlie the results reported in this article, after deidentification (text, tables, figures, and appendices).