University of California, Irvine School of Medicine, Department of Emergency Medicine, Irvine, California.
King Abdullah Bin Abdulaziz University Hospital, Department of Emergency Medicine, Riyadh, Saudi Arabia.
West J Emerg Med. 2019 May;20(3):512-519. doi: 10.5811/westjem.2019.3.40805. Epub 2019 Apr 26.
Our goal was to evaluate the feasibility and effectiveness of using telesimulation to deliver an emergency medical services (EMS) course on mass casualty incident (MCI) training to healthcare providers overseas.
We conducted a feasibility study to establish the process for successful delivery of educational content to learners overseas via telesimulation over a five-month period. Participants were registrants in an EMS course on MCI triage broadcast from University of California, Irvine Medical Simulation Center. The intervention was a Simple Triage and Rapid Treatment (START) course. The primary outcome was successful implementation of the course via telesimulation. The secondary outcome was an assessment of participant thoughts, feelings, and attitudes via a qualitative survey. We also sought to obtain quantitative data that would allow for the assessment of triage accuracy. Descriptive statistics were used to express the percentage of participants with favorable responses to survey questions.
All 32 participants enrolled in the course provided a favorable response to all questions on the survey regarding their thoughts, feelings, and attitudes toward learning via telesimulation with wearable/mobile technology. Key barriers and challenges identified included dependability of Internet connection, choosing appropriate software platforms to deliver content, and intercontinental time difference considerations. The protocol detailed in this study demonstrated the successful implementation and feasibility of providing education and training to learners at an off-site location.
In this feasibility study, we were able to demonstrate the successful implementation of an intercontinental MCI triage course using telesimulation and wearable/mobile technology. Healthcare providers expressed a positive favorability toward learning MCI triage via telesimulation. We were also able to establish a process to obtain quantitative data that would allow for the calculation of triage accuracy for further experimental study designs.
我们的目标是评估使用远程模拟技术向海外医疗保健提供者提供大规模伤亡事件 (MCI) 培训的紧急医疗服务 (EMS) 课程的可行性和效果。
我们进行了一项可行性研究，以确定在五个月的时间内通过远程模拟向海外学习者成功传递教育内容的过程。参与者是加利福尼亚大学欧文医学模拟中心广播的 MCI 分诊 EMS 课程的注册者。干预措施是简单分诊和快速治疗 (START) 课程。主要结果是通过远程模拟成功实施课程。次要结果是通过定性调查评估参与者的想法、感受和态度。我们还试图获得允许评估分诊准确性的定量数据。描述性统计用于表示对调查问题持有利态度的参与者的百分比。
所有 32 名参加课程的参与者对调查中关于他们通过可穿戴/移动技术进行远程模拟学习的想法、感受和态度的所有问题都给出了有利的回应。确定的关键障碍和挑战包括互联网连接的可靠性、选择合适的软件平台来提供内容以及洲际时差考虑。本研究中的方案详细说明了在异地提供教育和培训的成功实施和可行性。
在这项可行性研究中，我们能够展示使用远程模拟和可穿戴/移动技术成功实施洲际 MCI 分诊课程。医疗保健提供者对通过远程模拟学习 MCI 分诊表示出积极的好感。我们还能够建立一个过程来获取定量数据，以便进一步进行实验研究设计计算分诊准确性。
