The Efficacy of Simulation Manikins in the Military Medics Training

Study Overview
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Brief Summary
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The aim of the study is to verify the applicability of simulation manikin in combat training of military medics. The research will be conducted on healthy volunteers - medics of the Czech Armed Forces, as a part of the compulsory medical courses required for foreign military missions as a Combat Life Saver. Comparison of the performance of two groups of course participants who were trained using the standard approach versus experiential learning using simulation manikins.

Detailed Description
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With the development of modern hi-tech manikins and their growing popularity in the training of civilian medics, the possibilities of their application in the training of military medics are emerging. The aim of the study is to verify the applicability of simulation manikin in combat training of military medics. The research will be conducted on healthy volunteers - medics of the Czech Armed Forces, as a part of the compulsory medical courses required for foreign military missions as a Combat Life Saver. Comparison of the performance of two groups of course participants who were trained using the standard approach versus experiential learning using simulation manikins. In addition to monitoring the particular professional performance of the trainees, changes in basic physiological functions, including the endocrinological response to stress conditions, will be evaluated.

Official Title
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The Efficacy of Simulation Manikins in the Military Medics Training

Conditions
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War-Related Injuries

Intervention / Treatment
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* Behavioral: Conventional versus simulation manikin training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: active soldier during the Tactical Combat Casualty Care course Exclusion Criteria: not willing to participate
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: randomized control trial
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Conventional training<br>Combat Life Savers trained by conventional combat medicine approach. | Behavioral: Conventional versus simulation manikin training<br>* Two approaches to training Combat Life Savers will be employed and performance of participants will be evaluated.<br>|
| Experimental: Simulation manikin training<br>Training based on principles of simulation medicine. | Behavioral: Conventional versus simulation manikin training<br>* Two approaches to training Combat Life Savers will be employed and performance of participants will be evaluated.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Duration time of the of use of tourniquet | Time to complete diagnostics and treatment of bleeding (in seconds) | 10 minutes | 
| Correctness of treatment of severe bleeding | Based on standardized forms (points on a standardised scale) | 10 minutes | 
| Duration time of the of use of nasal airway | Time to complete diagnostics and treatment of airway obstruction (in seconds) | 10 minutes | 
| Correctness of treatment of airway obstruction | Based on standardized forms (points on a standardised scale) | 10 minutes | 
| Duration time of the use of chest seal | Time to complete diagnostics and treatment of open pneumothorax (in seconds) | 10 minutes | 
| Correctness of treatment of open pneumothorax | Based on standardized forms (points on a standardised scale) | 10 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Stress level 1 | Level of stress response based on changes in blood pressure (in mm of mercury) | 1 hour | 
| Stress level 2 | Level of stress response based on changes in heart rate (in beats per minute) | 1 hour | 
| Stress level 3 | Level of stress response based on changes in cortisol level (in nmol/L) | 1 hour | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Combat Life Saver, Simulation Medicine, Stress response