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Can undergraduate paramedic and nursing students accurately estimate patient age and weight?
Brett Williams1, Malcolm Boyle, Pete O'Meara
1Monash University, Department of Community Emergency Health and Paramedic Practice, Frankston, Victoria, Australia. brett.williams@med.monash.edu.au
Insights
Undergraduate paramedic and nursing students showed varied accuracy in estimating patient age and weight from photos. Pediatric age estimation was more accurate than adult, and most weights were underestimated.
Area of Science:
- Medical Education
- Clinical Skills Assessment
- Emergency Medical Services
Background:
- Accurate patient age and weight estimation is crucial for paramedics and nurses, especially when patients cannot communicate.
- These estimations impact critical decisions like medication dosage, defibrillation, and equipment selection.
- The study addresses the need for reliable estimation skills in healthcare professionals.
Purpose of the Study:
- To assess the accuracy of undergraduate paramedic and nursing students in estimating patient age and weight using digital photographs.
- To identify potential differences in estimation accuracy between age groups (pediatric vs. adult) and between student cohorts.
Main Methods:
- A prospective, observational study was conducted with undergraduate paramedic and nursing students from two Australian universities.
- Students estimated the age and weight of seven patients (adult and pediatric) from digital images presented via PowerPoint.
- Each image was displayed for 15 seconds, followed by a brief pause.
Main Results:
- Variable accuracy was observed in both age and weight estimations.
- Age estimations for pediatric patients were more accurate than for adult patients.
- The majority of patient weights were underestimated, with similar estimation performance between the two universities.
Conclusions:
- Undergraduate students exhibit variability in their ability to accurately estimate patient age and weight from images.
- The findings suggest a need for enhanced education and training in age and weight estimation within undergraduate healthcare curricula.
- Incorporating specific modules on estimation techniques could improve clinical readiness.
Introduction:
Accurate estimation of a patient's age and weight are skills expected of all healthcare clinicians, including paramedics and nurses. It is necessary because patients may be unable to communicate such information due to unconsciousness or an altered state of conscious. Age and weight estimation influence calculation for medication dosages, defibrillation, equipment sizing, and other invasive procedures such as intubation. The objective of this study was to identify whether undergraduate paramedic and nursing students were able to accurately estimate a patient's age and weight based on digital patient photos.
Methods:
A prospective, observational study involving undergraduate paramedic and nursing students from two Australian universities was used to estimate the age and weight of seven patients (adult and pediatric). Each patient image appeared in a PowerPoint presentation for 15 seconds, followed by a short pause, with the next patient image commencing automatically.
Results:
The findings demonstrated variable accuracy in age and weight estimation of the patients. Age estimations of pediatric patients were more accurate than estimations for adult patients. The majority of patient weights were under-estimated, with university undergraduate students in one university displaying similar estimations to the other university counterparts.
Conclusions:
Results from this study identified variations in students' ability to accurately estimate a patient's age and weight. This study shows that consideration should be given to age and weight estimation education, which could be incorporated into undergraduate healthcare curriculum.
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