Related Experiment Video
Updated: Jun 20, 2025

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
What the Fika? Implementation of Swedish Coffee Breaks During Emergency Medicine Conference
Jesse Zane Kellar1, Hanna Barrett1, Jaclyn Floyd2
1Saint Agnes Medical Center, Department of Emergency Medicine, Fresno, California.
Introduction:
In this study we aimed to investigate the effects of incorporating Swedish-style fika (coffee) breaks into the didactic schedule of emergency medicine residents on their sleepiness levels during didactic sessions. Fika is a Swedish tradition that involves a deliberate decision to take a break during the workday and usually involves pastries and coffee. We used the Karolinska Sleepiness Scale to assess changes in sleepiness levels before and after the implementation of fika breaks.
Methods:
The study design involved a randomized crossover trial approach, with data collected from emergency medicine residents over a specific period. This approach was done to minimize confounding and to be statistically efficient.
Results:
Results revealed the average sleepiness scale was 4.6 and 5.5 on fika and control days, respectively (P = 0.004).
Conclusion:
Integration of fika breaks positively influenced sleepiness levels, thus potentially enhancing the educational experience during residency didactics.
Related Concept Videos
SBAR II: Application of SBAR
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR I: Understanding the Concept
Standardized methods of communication have been developed to ensure that information is...

