Defibrillation safety

An examination of paramedic perceptions using eye-tracking technology

Linda Ross, Brett Williams, Malcolm Boyle

Research output: Contribution to journalArticleResearchpeer-review

2 Citations (Scopus)

Abstract

Objective The importance of access to early defibrillation for patients in cardiac arrest has been emphasised as a critical part of the chain of survival by resuscitation bodies internationally; as such defibrillation has become a key procedure for many out-of-hospital emergency healthcare providers. However, little research has been undertaken specifically addressing students' safety during defibrillation procedures. The objective of this study was to examine visual and verbal safety checks prior to defibrillation utilising eye-tracking technology. Methods This was an observational study of student safety during cardiac rhythm analysis, defibrillator charging and immediately prior to defibrillation during a resuscitation attempt using a medium fidelity mannequin. The participants completed two 10 min simulations each requiring three defibrillation attempts. The κ statistic was used to determine the agreement by the student of their perceived safety performance and that viewed in the video. Results In both scenarios the student's level of agreement for their perceived defibrillation safety performance and what was observed in the video decreased from defibrillation one to three in both scenarios. However, there was agreement in their overall defibrillation safety performance for both scenarios. Conclusions Student perceptions of their actions during defibrillation are not always an accurate representation of their actual actions.

Original languageEnglish
Pages (from-to)62-66
Number of pages5
JournalBMJ Simulation and Technology Enhanced Learning
Volume1
Issue number2
DOIs
Publication statusPublished - 1 Oct 2015

Keywords

  • Allied Health Personnel
  • Electric Countershock
  • Emergency Medical Technician
  • Resuscitation
  • Safety

Cite this

@article{742ea4e2145a4212a7284d65d6195ba7,
title = "Defibrillation safety: An examination of paramedic perceptions using eye-tracking technology",
abstract = "Objective The importance of access to early defibrillation for patients in cardiac arrest has been emphasised as a critical part of the chain of survival by resuscitation bodies internationally; as such defibrillation has become a key procedure for many out-of-hospital emergency healthcare providers. However, little research has been undertaken specifically addressing students' safety during defibrillation procedures. The objective of this study was to examine visual and verbal safety checks prior to defibrillation utilising eye-tracking technology. Methods This was an observational study of student safety during cardiac rhythm analysis, defibrillator charging and immediately prior to defibrillation during a resuscitation attempt using a medium fidelity mannequin. The participants completed two 10 min simulations each requiring three defibrillation attempts. The κ statistic was used to determine the agreement by the student of their perceived safety performance and that viewed in the video. Results In both scenarios the student's level of agreement for their perceived defibrillation safety performance and what was observed in the video decreased from defibrillation one to three in both scenarios. However, there was agreement in their overall defibrillation safety performance for both scenarios. Conclusions Student perceptions of their actions during defibrillation are not always an accurate representation of their actual actions.",
keywords = "Allied Health Personnel, Electric Countershock, Emergency Medical Technician, Resuscitation, Safety",
author = "Linda Ross and Brett Williams and Malcolm Boyle",
year = "2015",
month = "10",
day = "1",
doi = "10.1136/bmjstel-2015-000033",
language = "English",
volume = "1",
pages = "62--66",
journal = "BMJ Simulation and Technology Enhanced Learning",
issn = "2056-6697",
number = "2",

}

Defibrillation safety : An examination of paramedic perceptions using eye-tracking technology. / Ross, Linda ; Williams, Brett; Boyle, Malcolm.

In: BMJ Simulation and Technology Enhanced Learning, Vol. 1, No. 2, 01.10.2015, p. 62-66.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Defibrillation safety

T2 - An examination of paramedic perceptions using eye-tracking technology

AU - Ross, Linda

AU - Williams, Brett

AU - Boyle, Malcolm

PY - 2015/10/1

Y1 - 2015/10/1

N2 - Objective The importance of access to early defibrillation for patients in cardiac arrest has been emphasised as a critical part of the chain of survival by resuscitation bodies internationally; as such defibrillation has become a key procedure for many out-of-hospital emergency healthcare providers. However, little research has been undertaken specifically addressing students' safety during defibrillation procedures. The objective of this study was to examine visual and verbal safety checks prior to defibrillation utilising eye-tracking technology. Methods This was an observational study of student safety during cardiac rhythm analysis, defibrillator charging and immediately prior to defibrillation during a resuscitation attempt using a medium fidelity mannequin. The participants completed two 10 min simulations each requiring three defibrillation attempts. The κ statistic was used to determine the agreement by the student of their perceived safety performance and that viewed in the video. Results In both scenarios the student's level of agreement for their perceived defibrillation safety performance and what was observed in the video decreased from defibrillation one to three in both scenarios. However, there was agreement in their overall defibrillation safety performance for both scenarios. Conclusions Student perceptions of their actions during defibrillation are not always an accurate representation of their actual actions.

AB - Objective The importance of access to early defibrillation for patients in cardiac arrest has been emphasised as a critical part of the chain of survival by resuscitation bodies internationally; as such defibrillation has become a key procedure for many out-of-hospital emergency healthcare providers. However, little research has been undertaken specifically addressing students' safety during defibrillation procedures. The objective of this study was to examine visual and verbal safety checks prior to defibrillation utilising eye-tracking technology. Methods This was an observational study of student safety during cardiac rhythm analysis, defibrillator charging and immediately prior to defibrillation during a resuscitation attempt using a medium fidelity mannequin. The participants completed two 10 min simulations each requiring three defibrillation attempts. The κ statistic was used to determine the agreement by the student of their perceived safety performance and that viewed in the video. Results In both scenarios the student's level of agreement for their perceived defibrillation safety performance and what was observed in the video decreased from defibrillation one to three in both scenarios. However, there was agreement in their overall defibrillation safety performance for both scenarios. Conclusions Student perceptions of their actions during defibrillation are not always an accurate representation of their actual actions.

KW - Allied Health Personnel

KW - Electric Countershock

KW - Emergency Medical Technician

KW - Resuscitation

KW - Safety

UR - http://www.scopus.com/inward/record.url?scp=85055836013&partnerID=8YFLogxK

U2 - 10.1136/bmjstel-2015-000033

DO - 10.1136/bmjstel-2015-000033

M3 - Article

VL - 1

SP - 62

EP - 66

JO - BMJ Simulation and Technology Enhanced Learning

JF - BMJ Simulation and Technology Enhanced Learning

SN - 2056-6697

IS - 2

ER -