U97YS6HI
type: UserItem
resource: https://www.ncbi.nlm.nih.gov/pubmed/34617916
tagged: UserTag
  label: *Cardiopulmonary Resuscitation
tagged: UserTag
  label: *Emergency Medical Services
tagged: UserTag
  label: *Mobile Applications
tagged: UserTag
  label: Allied Health Personnel
tagged: UserTag
  label: Child
tagged: UserTag
  label: Editors uniform disclosure form and declare no support from commercial entities
tagged: UserTag
  label: Emergency Service, Hospital
tagged: UserTag
  label: Geneva University Hospitals, indirect institutional rewarding through its
tagged: UserTag
  label: Humans
tagged: UserTag
  label: Infant
tagged: UserTag
  label: State-Trait Anxiety Inventory
tagged: UserTag
  label: Store (Apple) for research and educational purposes. JNS, CL, AG, FE, and SM
tagged: UserTag
  label: app. The app is currently commercially available on Google Play Store and App
tagged: UserTag
  label: cardiopulmonary resuscitation
tagged: UserTag
  label: commercialization (ie, without personal enrichment). The authors declare no other
tagged: UserTag
  label: declare individual intellectual property rights on this app and, as employees of
tagged: UserTag
  label: drugs
tagged: UserTag
  label: emergency medical services
tagged: UserTag
  label: entities that might have an interest in the submitted work in the previous 3
tagged: UserTag
  label: for the submitted work, and no financial relationships with any commercial
tagged: UserTag
  label: medication errors
tagged: UserTag
  label: mobile apps
tagged: UserTag
  label: mobile health
tagged: UserTag
  label: out-of-hospital cardiac arrest
tagged: UserTag
  label: paramedics
tagged: UserTag
  label: pediatrics
tagged: UserTag
  label: relationships or activities that could appear to have influenced the submitted
tagged: UserTag
  label: stress
tagged: UserTag
  label: work. All authors have completed the International Committee of Medical Journal
tagged: UserTag
  label: years.

https://www.ncbi.nlm.nih.gov/pubmed/34617916
type: AcademicArticle
title: Impact of a Mobile App on Paramedics' Perceived and Physiologic Stress Response During Simulated Prehospital Pediatric Cardiopulmonary Resuscitation: Study Nested Within a Multicenter Randomized Controlled Trial
abstract: BACKGROUND: Out-of-hospital cardiac arrests (OHCAs) are stressful, high-stake events that are associated with low survival rates. Acute stress experienced in this situation is associated with lower cardiopulmonary resuscitation performance in calculating drug dosages by emergency medical services. Children are particularly vulnerable to such errors. To date, no app has been validated to specifically support emergency drug preparation by paramedics through reducing the stress level of this procedure and medication errors. OBJECTIVE: This study aims to determine the effectiveness of an evidence-based mobile app compared with that of the conventional preparation methods in reducing acute stress in paramedics at the psychological and physiological levels while safely preparing emergency drugs during simulated pediatric OHCA scenarios. METHODS: In a parent, multicenter, randomized controlled trial of 14 emergency medical services, perceived and physiologic stress of advanced paramedics with drug preparation autonomy was assessed during a 20-minute, standardized, fully video-recorded, and highly realistic pediatric OHCA scenario in an 18-month-old child. The primary outcome was participants' self-reported psychological stress perceived during sequential preparations of 4 intravenous emergency drugs (epinephrine, midazolam, 10% dextrose, and sodium bicarbonate) with the support of the PedAMINES (Pediatric Accurate Medication in Emergency Situations) app designed to help pediatric drug preparation (intervention) or conventional methods (control). The State-Trait Anxiety Inventory and Visual Analog Scale questionnaires were used to measure perceived stress. The secondary outcome was physiologic stress, measured by a single continuous measurement of the participants' heart rate with optical photoplethysmography. RESULTS: From September 3, 2019, to January 21, 2020, 150 advanced paramedics underwent randomization. A total of 74 participants were assigned to the mobile app (int…
pages: e31748
doi: 10.2196/31748
source: 34617916
creator: Person
author list: Person
is part of: Issue
  date: 2021-10-08
  volume: 9
  issue: 10
  is part of: JMIR Mhealth Uhealth
    type: Journal
    issn: 2291-5222 (Electronic) 2291-5222 (Linking)

Person
given name: M.
surname: Lacour

Person
given name: L.
surname: Bloudeau

Person
given name: C.
surname: Combescure

Person
given name: K.
surname: Haddad

Person
given name: F.
surname: Hugon

Person
given name: L.
surname: Suppan

Person
given name: F.
surname: Rodieux

Person
given name: C.
surname: Lovis

Person
given name: A.
surname: Gervaix

Person
given name: F.
surname: Ehrler

Person
given name: S.
surname: Manzano

Person
given name: J. N.
surname: Siebert

Person
given name: Amines Prehospital Group
surname: Ped