ABCDE cognitive aid tool in patient assessment – development and validation in a multicenter pilot simulation study

BMC Emergency Medicine

Roman Sykora¹  Kasper Glerup Lauridsen²  Ferenc Sari³  Anatolij Truhlar⁴  Patrik Christian Cmorej⁵  Jiri Kodet⁶  Jaroslav Pekara⁶  David Peran⁶  Lucie Mala⁷ 

[1] Department of Anaesthesia and Intensive Care Medicine, 3rd Faculty of Medicine CU and University Hospital Kralovske Vinohrady, Charles University;Department of Critical Care Medicine, Children’s Hospital of Philadelphia;Emergency Department, Skellefteå District General Hospital;Emergency Medical Services of the Hradec Kralove Region;Emergency Medical Services of the Usti nad Labem Region;Prague Emergency Medical Services;Secondary Nursing School and Nursing College in Prague;

关键词: Patient assessment;    Advanced life support;    Peri-arrest;    ABCDE approach;   

DOI  :  10.1186/s12873-020-00390-3

来源: DOAJ

【 摘 要 】

Abstract Background The so called ABCDE approach (Airway-Breathing-Circulation-Disability-Exposure) is a golden standard of patient assessment. The efficacy of using cognitive aids (CA) in resuscitation and peri-arrest situations remains an important knowledge gap. This work aims to develop an ABCDE CA tool (CAT) and study its potential benefits in patient condition assessment. Methods The development of the ABCDE CAT was done by 3 rounds of modified Delphi method performed by the members of the Advanced Life Support Science and Education Committee of the European Resuscitation Council. A pilot multicentre study on 48 paramedic students performing patient assessment in pre-post cohorts (without and with the ABCDA CAT) was made in order to validate and evaluate the impact of the tool in simulated clinical scenarios. The cumulative number and proper order of steps in clinical assessment in simulated scenarios were recorded and the time of the assessment was measured. Results The Delphi method resulted in the ABCDE CAT. The use of ABCDE CAT was associated with more performed assessment steps (804: 868; OR = 1.17, 95% CI: 1.02 to 1.35, p = 0.023) which were significantly more frequently performed in proper order (220: 338; OR = 1.68, 95% CI: 1.40 to 2.02, p < 0.0001). The use of ABCDE CAT did not prolong the time of patient assessment. Conclusion The cognitive aid for ABCDE assessment was developed. The use of this cognitive aid for ABCDE helps paramedics to perform more procedures, more frequently in the right order and did not prolong the patient assessment in advanced life support and peri-arrest care.

【 授权许可】

Unknown