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"Helper:" A critical events prompter for unexpected emergencies
A J Schneider1, W B Murray, S C Mentzer
1Department of Anesthesiology, College of Medicine, Pennsylvania State University, USA.
Journal of Clinical Monitoring
|November 1, 1995
Summary
A computer-based prompting system improved medical professionals' ability to correctly administer medications during simulated cardiac emergencies. This ACLS (Advanced Cardiac Life Support) tool demonstrated significant value in high-stress situations.
Area of Science:
- Medical technology
- Emergency medicine
- Clinical decision support
Background:
- Medical protocols are complex and difficult to recall during emergencies.
- Advanced Cardiac Life Support (ACLS) algorithms require precise application.
- A computer-based system could aid recall of critical care plans.
Purpose of the Study:
- To develop and validate a computer-based prompting system for ACLS protocols.
- To assess the system's utility in managing simulated cardiac emergencies.
- To evaluate the impact of the prompting device on drug and dosage administration.
Main Methods:
- Developed a computer-based system using IconAuthor software and a touch-screen monitor.
- Subjects familiarized themselves with the system before a simulated anesthetic.
- Two emergency scenarios (Vfib/Vtach and bradycardia) were presented, with random access to the prompting device for half the subjects.
Main Results:
- Significantly more subjects in the experimental group correctly administered lidocaine and MgSO4 during ventricular fibrillation.
- The experimental group more frequently followed atropine with dopamine infusion for second-degree heart block.
- Epinephrine infusion for refractory bradycardia was ordered more often by the experimental group.
Conclusions:
- The prompting device demonstrated significant value in the anesthesia workstation.
- Such systems can enhance correct protocol adherence in critical care.
- The technology holds potential for broader applications across medical fields.