A randomised controlled trial of cognitive aids for emergency airway equipment preparation in a Paediatric Emergency Department

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Elliot LongMichael Joseph Barrett

Abstract

Safety of emergency intubation may be improved by standardising equipment preparation; the efficacy of cognitive aids is unknown. This randomised controlled trial compared no cognitive aid (control) with the use of a checklist or picture template for emergency airway equipment preparation in the Emergency Department of The Royal Children's Hospital, Melbourne. Sixty-three participants were recruited, 21 randomised to each group. Equal numbers of nursing, junior medical, and senior medical staff were included in each group. Compared to controls, the checklist or template group had significantly lower equipment omission rates (median 30% IQR 20-40% control, median 10% IQR 5-10 % checklist, median 10% IQR 5-20% template; p < 0.05). The combined omission rate and sizing error rate was lower using a checklist or template (median 35 % IQR 30-45 % control, median 15% IQR 10-20% checklist, median 15% IQR 10-30% template; p < 0.05). The template group had less variation in equipment location compared to checklist or controls. There was no significant difference in preparation time in controls (mean 3 min 14 s sd 56 s) compared to checklist (mean 3 min 46 s sd 1 min 15 s) or template (mean 3 min 6 s sd 49 s; p = 0.06). Template use reduc...Continue Reading

References

May 3, 2000·Anaesthesia·T MortonM Clancy
Sep 3, 2003·Paediatric Anaesthesia·A J OglesbyD W McKeown
Jun 15, 2007·Journal of Intensive Care Medicine·Thomas C Mort
Jul 5, 2007·BMC Medical Research Methodology·Rob McCarneyPeter Fisher
Aug 23, 2007·Journal of Intensive Care Medicine·Thomas C Mort
Feb 24, 2009·Emergency Medicine Journal : EMJ
May 4, 2010·The Journal of Emergency Medicine·Ron M WallsUNKNOWN NEAR II Investigators
May 11, 2010·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Christopher L Carroll
Nov 12, 2010·Acta Anaesthesiologica Scandinavica·Ø ThomassenJ-K Heltne
Dec 15, 2010·Emergency Medicine Journal : EMJ·Jonathan Benger, Sarah Hopkinson
Jan 26, 2011·Journal of Intensive Care Medicine·Paul H MayoPeter Doelken
Aug 10, 2011·Emergency Medicine Australasia : EMA·UNKNOWN Australian Resuscitation Council, UNKNOWN New Zealand Resuscitation Council
Nov 29, 2012·The Journal of Trauma and Acute Care Surgery·Shana L BallowMichelle Chang
Jan 19, 2013·Critical Care Medicine·Akira NishisakiUNKNOWN Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network
Jul 20, 2014·British Journal of Anaesthesia·D J LockeyH M Lossius
Jul 22, 2014·Paediatric Anaesthesia·Elliot LongFranz E Babl
Sep 12, 2014·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Peter Brendon SherrenGuy Glover
Jul 22, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Kurt A SmithWesley H Self

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Citations

May 22, 2016·BMC Medical Informatics and Decision Making·Matthew J WeissLuc Côté
Dec 30, 2016·Emergency Medicine Australasia : EMA·Ben Lawton, Paul Holmes
Mar 1, 2017·Paediatric Anaesthesia·Elliot LongUNKNOWN Paediatric Research in Emergency Departments International Collaborative (PREDICT)
Feb 17, 2018·Advances in Simulation·Sawsan AlyousefMuhammad Salman Bashir
Dec 14, 2019·Paediatric Anaesthesia·Elliot LongFrancis Lockie
Jun 10, 2017·International Anesthesiology Clinics·Louise Y Wen, Steven K Howard
Sep 25, 2020·Emergency Medicine Australasia : EMA·Shane GeorgeUNKNOWN Paediatric Critical Care Research Group (PCCRG), Australian and New Zealand Intensive Care Society Paediatric Study Group (A

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