Annals of emergency medicine
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Randomized Controlled Trial Clinical Trial
A randomized controlled trial on the effect of educational interventions in promoting airway management skill maintenance.
This study was conducted to determine the natural history of airway management skill decay and examine the effect of independent practice and periodic feedback on airway management skill maintenance. ⋯ Airway management skill performance declines early after initial training. Independent practice combined with periodic feedback was effective in maintaining performance scores in an advanced airway management simulation. Periodic evaluation with feedback alone showed a nonsignificant trend toward improvement over control.
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Comparative Study Clinical Trial Controlled Clinical Trial
Design and implementation of a controlled trial of pediatric endotracheal intubation in the out-of-hospital setting.
This article describes the design and implementation of the Pediatric Airway Management Project. The project was completed January 1, 1997, and evaluated the effectiveness of endotracheal intubation relative to bag-valve-mask ventilation in improving survival to hospital discharge and neurologic outcome in children, the effect of training on paramedic airway management skills and self-efficacy, the length of time the skills can be retained, and the costs of training and retraining. ⋯ To date, this project is the largest prospective, controlled, out-of-hospital study of the care of children ever reported. Barriers to implementation of a study of this size are described.