Augmented reality- virtual reality wartime training of reserve prehospital teams: a pilot study.
Humans
Pilot Projects
Virtual Reality
Israel
Emergency Medical Services
/ methods
Augmented Reality
Male
Adult
Surveys and Questionnaires
Female
Manikins
Clinical Competence
/ standards
Airway Management
/ methods
Emergency Medical Technicians
/ education
Allied Health Personnel
/ education
Middle Aged
Augmented reality
Intubation
Prehospital teams
Training
Virtual reality
Journal
Israel journal of health policy research
ISSN: 2045-4015
Titre abrégé: Isr J Health Policy Res
Pays: England
ID NLM: 101584158
Informations de publication
Date de publication:
12 Sep 2024
12 Sep 2024
Historique:
received:
20
06
2024
accepted:
03
09
2024
medline:
13
9
2024
pubmed:
13
9
2024
entrez:
12
9
2024
Statut:
epublish
Résumé
In the realm of trauma response preparation for prehospital teams, the combination of Augmented Reality (AR) and Virtual Reality (VR) with manikin technologies is growing in importance for creating training scenarios that closely mirror potential real-life situations. The pilot study focused on training of airway management and intubation for trauma incidents, based on a Trauma AR-VR simulator involving reserve paramedics of the National EMS service (Magen David Adom) who had not practiced for up to six years, activated during the Israel-Gaza conflict (October 2023). The trauma simulator merges the physical and virtual realms by utilizing a real manikin and instruments outfitted with sensors. This integration enables a precise one-to-one correspondence between the physical and virtual environments. Considering the importance of enhancing the preparedness of the reserve paramedics to support the prehospital system in Israel, the study aims to ascertain the impact of AR-VR Trauma simulator training on the modification of key perceptual attitudes such as self-efficacy, resilience, knowledge, and competency among reserve paramedics in Israel. A quantitative questionnaire was utilized to gauge the influence of AR-VR training on specific psychological and skill-based metrics, including self-efficacy, resilience, medical knowledge, professional competency, confidence in performing intubations, and the perceived quality of the training experience in this pilot study. The methodology entailed administering a pre-training questionnaire, delivering a targeted 30-minute AR-VR training session on airway management techniques, and collecting post-training data through a parallel questionnaire to measure the training's impact. Fifteen reserve paramedics were trained, with a response rate of 80% (n = 12) in both measurements. Post-training evaluations indicated a significant uptick in all measured areas, with resilience (3.717±0.611 to 4.008±0.665) and intubation confidence (3.541±0.891 to 3.833±0.608) showing particularly robust gains. The high rating (4.438±0.419 on a scale of 5) of the training quality suggests positive response to the AR-VR integration for the enhancement of medical training, CONCLUSIONS: The application of AR-VR in the training of reserve paramedics demonstrates potential as a key tool for their swift mobilization and efficiency in crisis response. This is particularly valuable for training when quick deployment of personnel is necessary, training resources are diminished, and 'all hands on deck' is necessary.
Sections du résumé
BACKGROUND
BACKGROUND
In the realm of trauma response preparation for prehospital teams, the combination of Augmented Reality (AR) and Virtual Reality (VR) with manikin technologies is growing in importance for creating training scenarios that closely mirror potential real-life situations. The pilot study focused on training of airway management and intubation for trauma incidents, based on a Trauma AR-VR simulator involving reserve paramedics of the National EMS service (Magen David Adom) who had not practiced for up to six years, activated during the Israel-Gaza conflict (October 2023). The trauma simulator merges the physical and virtual realms by utilizing a real manikin and instruments outfitted with sensors. This integration enables a precise one-to-one correspondence between the physical and virtual environments. Considering the importance of enhancing the preparedness of the reserve paramedics to support the prehospital system in Israel, the study aims to ascertain the impact of AR-VR Trauma simulator training on the modification of key perceptual attitudes such as self-efficacy, resilience, knowledge, and competency among reserve paramedics in Israel.
METHODS
METHODS
A quantitative questionnaire was utilized to gauge the influence of AR-VR training on specific psychological and skill-based metrics, including self-efficacy, resilience, medical knowledge, professional competency, confidence in performing intubations, and the perceived quality of the training experience in this pilot study. The methodology entailed administering a pre-training questionnaire, delivering a targeted 30-minute AR-VR training session on airway management techniques, and collecting post-training data through a parallel questionnaire to measure the training's impact. Fifteen reserve paramedics were trained, with a response rate of 80% (n = 12) in both measurements.
RESULTS
RESULTS
Post-training evaluations indicated a significant uptick in all measured areas, with resilience (3.717±0.611 to 4.008±0.665) and intubation confidence (3.541±0.891 to 3.833±0.608) showing particularly robust gains. The high rating (4.438±0.419 on a scale of 5) of the training quality suggests positive response to the AR-VR integration for the enhancement of medical training, CONCLUSIONS: The application of AR-VR in the training of reserve paramedics demonstrates potential as a key tool for their swift mobilization and efficiency in crisis response. This is particularly valuable for training when quick deployment of personnel is necessary, training resources are diminished, and 'all hands on deck' is necessary.
Identifiants
pubmed: 39267143
doi: 10.1186/s13584-024-00634-8
pii: 10.1186/s13584-024-00634-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
46Informations de copyright
© 2024. The Author(s).
Références
Ellis DY, Sorene E. Magen David Adom—the EMS in Israel. Resuscitation. 2008;76(1):5–10.
doi: 10.1016/j.resuscitation.2007.07.014
pubmed: 17767990
Feigenberg Z. The pre-hospital medical treatment of the victims of multi-casualty incidents caused by explosions of suicide bombers during the Al-Aksa Intifada–April 2001 to December 2004: the activity and experience gained by the teams of Magen David Adom in Israel. Harefuah. 2010;149(7):413–7.
pubmed: 21465752
Jaffe E, Alpert EA. Health Care Workers and War in the Middle East. JAMA Published Online Dec. 2023;18. https://doi.org/10.1001/jama.2023.27284 .
Lochmannová A, Šimon M, Hořejší P, Bárdy M, Reichertová S, Gillernová K. The use of virtual reality in training paramedics for a Mass Casualty Incident. Appl Sci. 2022;12(22):11740.
doi: 10.3390/app122211740
Farshid M, Paschen J, Eriksson T, Kietzmann J. Go boldly! Explore augmented reality (AR), virtual reality (VR), and mixed reality (MR) for business. Bus Horiz. 2018;61(5):657–63.
doi: 10.1016/j.bushor.2018.05.009
Waltrich NJ, Sheen J, Ling M. Paramedics’ confidence and perceived competence when attending to varied patient presentations: a mixed-method study. Internet J Allied Health Sci Pract. 2022;20(3):16.
Gillespie BM, Chaboyer W, Wallis M, Grimbeek P. Resilience in the operating room: developing and testing of a resilience model. J Adv Nurs. 2007;59(4):427–38.
doi: 10.1111/j.1365-2648.2007.04340.x
pubmed: 17608683
Schwarzer R, Jerusalem M. Generalized self-efficacy scale. J Weinman S Wright M Johnston. 1995;Measures in health psychology: A user–s portfolio(Causal and control beliefs):35–7.
Campbell-Sills L, Stein MB. Psychometric analysis and refinement of the connor–davidson resilience scale (CD‐RISC): validation of a 10‐item measure of resilience. J Trauma Stress: Official Publication Int Soc Trauma Stress Stud. 2007;20(6):1019–28.
doi: 10.1002/jts.20271
Kaim A, Bodas M, Camacho NA, Peleg K, Ragazzoni L. Enhancing disaster response of emergency medical teams through TEAMS 3.0 training package—does the multidisciplinary intervention make a difference? Front Public Health. 2023;11:1150030.
doi: 10.3389/fpubh.2023.1150030
pubmed: 37124785
pmcid: 10130359
Kanschik D, Bruno RR, Wolff G, Kelm M, Jung C. Virtual and augmented reality in intensive care medicine: a systematic review. Ann Intensiv Care. 2023;13(1):81.
doi: 10.1186/s13613-023-01176-z
Hall RE, Plant JR, Bands CJ, Wall AR, Kang J, Hall CA. Human patient simulation is effective for teaching paramedic students endotracheal intubation. Acad Emerg Med. 2005;12(9):850–5.
doi: 10.1197/j.aem.2005.04.007
pubmed: 16141019
Simões de Almeida R, Costa A, Teixeira I, Trigueiro MJ, Dores AR, Marques A. Healthcare professionals’ Resilience during the COVID-19 and organizational factors that improve individual resilience: a mixed-method study. Health Serv Insights. 2023;16:11786329231198991.
doi: 10.1177/11786329231198991
pubmed: 37736335
pmcid: 10510343
Birt J, Moore E, Cowling M. (2017). Improving paramedic distance education through mobile mixed reality simulation. Australasian J Educational Technol, 33(6).