Data_Sheet_1_Paramedics' Newborn Life Support Knowledge and Skills Before and After a Targeted Simulation-Based Educational Intervention.PDF

Objective: Resuscitation of neonates after birth in the out-of-hospital setting is challenging. Thus, we aimed to assess paramedics' newborn life support knowledge and skills before and after targeted simulation-based training.Methods: Voluntary paramedics were recruited from a single Red Cross division. During a 1-day simulation-based educational intervention, essential aspects of neonatal resuscitation were taught and practiced. Before and after simulation-based training, we assessed (1) knowledge of current European Resuscitation Council (ERC) guidelines using a 20-item-questionnaire and (2) the quality of simulated bag-valve-mask ventilation by measuring face mask leakage, using a respiratory function monitor (Standardized Measurement of Airway Resuscitation Training [SMART], GM Instruments Ltd., United Kingdom).Results: Forty-one paramedics participated in the initial survey and 12 took part in the simulation-based educational intervention. There was a significant increase in the number of correctly answered questions: median 62.1% (IQR 37.5–77.4%) vs. 91.7% (IQR 83.3–100%; p = 0.001). A total of 1,332 inflations were analyzed. The incidence of substantial mask leakage >75% decreased significantly after training (15.8 vs. 6.1%; p < 0.001), while median mask leakage was similar (17.0% [IQR 0.0–55.0%] vs. 18.0% [IQR 6.0–34.0%]; p = 0.414).Conclusions: Among paramedics, theoretical knowledge of current ERC guidelines was moderate in this study. Participation in a targeted simulation-based educational intervention was associated with a significant increase in theoretical knowledge. The initially high incidence of substantial mask leakage >75% was decreased after simulation-based training using respiratory function monitoring.

研究目的：在院外环境中对新生儿进行复苏是一项艰巨的任务。因此，本研究旨在评估急救人员在经过目标化基于模拟的培训前后的新生儿生命支持知识和技能。研究方法：从单一红十字分会招募了自愿的急救人员。在为期一天的基于模拟的教育干预中，讲授并实践了新生儿复苏的基本方面。在模拟培训前后，我们通过20项问卷评估了（1）对当前欧洲复苏委员会（ERC）指南的知识，以及（2）通过呼吸功能监测仪（标准化气道复苏训练[SMART]，GM Instruments Ltd.，英国）测量口罩泄漏情况，来评估模拟袋-面罩通气的质量。研究结果：41名急救人员参与了初始调查，12名参与了基于模拟的教育干预。正确回答问题的数量显著增加：中位数62.1%（IQR 37.5–77.4%）与91.7%（IQR 83.3–100%；p = 0.001）。共分析了1,332次充气。严重口罩泄漏（>75%）的发生率在培训后显著下降（15.8 vs. 6.1%；p < 0.001），而中位口罩泄漏率相似（17.0% [IQR 0.0–55.0%] vs. 18.0% [IQR 6.0–34.0%]; p = 0.414）。研究结论：在本研究中，急救人员对当前ERC指南的理论知识适中。参与目标化基于模拟的教育干预与理论知识的显著增加相关。通过呼吸功能监测的模拟培训后，最初高发生率的重度口罩泄漏（>75%）显著降低。