Training of clinical triage of acute radiation casualties: a performance comparison of on-site versus online training due to the covid-19 pandemic

被引:3
|
作者
Lamkowski, Andreas [1 ]
Combs, Stephanie E. [2 ,3 ,4 ]
Abend, Michael [1 ]
Port, Matthias [1 ]
机构
[1] Univ Ulm, Bundeswehr Inst Radiobiol, Neuherbergstr 11, D-80937 Munich, Germany
[2] Tech Univ Munich TUM, Dept Radiat Oncol, Ismaninger Str 22, D-81675 Munich, Germany
[3] Helmholtz Zentrum Munchen HMGU, Dept Radiat Sci DRS, Inst Radiat Med IRM, Ingolstaedter Landstr 1, D-85764 Neuherberg, Germany
[4] Deutsch Konsortium Translat Krebsforsch DKTK, Partner Site, Munich, Germany
关键词
education; acute radiation syndrome; prodromal symptoms; corona; covid-19; on-site; online; TOTAL-BODY IRRADIATION; EARLY DOSE ASSESSMENT; MEDICAL-MANAGEMENT; IN-VIVO; CHERNOBYL DISASTER; EPR DOSIMETRY; EXPOSURE; PREDICTION; ACCIDENTS; RESPONSES;
D O I
10.1088/1361-6498/ac13c2
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
A collection of powerful diagnostic tools have been developed under the umbrellas of NATO for ionising radiation dose assessment (BAT, WinFRAT) and estimate of acute health effects in humans (WinFRAT, H-Module). We assembled a database of 191 ARS cases using the medical treatment protocols for radiation accident victims (n = 167) and the system for evaluation and archiving of radiation accidents based on case histories (n = 24) for training purposes of medical personnel. From 2016 to 2019, we trained 39 participants comprising MSc level radiobiology students in an on-site teaching class. Enforced by the covid-19 pandemic in 2020 for the first time, an online teaching of nine MSc radiobiology students replaced the on-site teaching. We found that: (a) limitations of correct diagnostic decision-making based on clinical signs and symptoms were experienced unrelated to the teaching format. (b) A significant performance decrease concerning online (first number in parenthesis) versus on-site teaching (reference and second number in parenthesis) was seen regarding the estimate time (31 vs 61 cases per hour, two-fold decrease, p = 0.005). Also, the accurate assessment of response categories (89.9% vs 96.9%, p = 0.001), ARS (92.4% vs 96.7%, p = 0.002) and hospitalisation (93.5% vs 97.0%, p = 0.002) decreased by around 3%-7%. The performances of the online attendees were mainly distributed within the lower quartile performance of on-site participants and the 25%-75% interquartile range increased 3-7-fold. (c) Comparison of dose estimates performed by training participants with hematologic acute radiation syndrome (HARS) severity mirrored the known limitations of dose alone as a surrogate parameter for HARS severity at doses less than 1.5 Gy, but demonstrated correct determination of HARS 2-4 and support for clinical decision making at dose estimates >1.5 Gy, regardless of teaching format. (d) Overall, one-third of the online participants showed substantial misapprehension and insecurities of elementary course content that did not occur after the on-site teaching.
引用
收藏
页码:S540 / S560
页数:21
相关论文
共 50 条
  • [31] Nursing students' experiences of clinical practice at a clinical training centre during the Covid-19 pandemic
    Lindqvist, Gunilla
    Safipour, Jalal
    Rolander, Bo
    Knutsson, Susanne
    NORDISK SYGEPLEJEFORSKNING-NORDIC NURSING RESEARCH, 2024, 14 (03):
  • [32] An online educational model in andrology for student training in the art of scientific writing in the COVID-19 pandemic
    Agarwal, Ashok
    Leisegang, Kristian
    Panner Selvam, Manesh Kumar
    Durairajanayagam, Damayanthi
    Barbarosie, Catalina
    Finelli, Renata
    Sengupta, Pallav
    Dutta, Sulagna
    Majzoub, Ahmad
    Pushparaj, Peter Natesan
    Elbardisi, Haitham
    Sharma, Rakesh
    Gupta, Sajal
    Arafa, Mohamed
    Roychoudhury, Shubhadeep
    Alves, Marco G.
    Oliveira, Pedro Fontes
    Henkel, Ralf
    ANDROLOGIA, 2021, 53 (03)
  • [33] Comparison of In-Person and Telesimulation for Critical Care Training during the COVID-19 Pandemic
    Lin, Erica
    You, Alan X.
    Wardi, Gabriel
    ATS SCHOLAR, 2021, 2 (04): : 581 - 594
  • [34] Surgical training during the COVID-19 pandemic at a designated 'cold' site: are we meeting the challenge?
    Hamid, M.
    Naumann, D. N.
    Digne-Malcolm, H.
    Kanwal, A.
    Puventhiranathan, P.
    Phelan, L.
    Dilworth, M.
    ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND, 2022, 104 (06) : 421 - 426
  • [35] Changes in Clinical Training for Nursing Students during the COVID-19 Pandemic: A Scoping Review
    Lobao, Catarina
    Coelho, Adriana
    Parola, Vitor
    Neves, Hugo
    Sousa, Joana Pereira
    Goncalves, Rui
    NURSING REPORTS, 2023, 13 (01) : 378 - 388
  • [36] Impact of COVID-19 pandemic on cardiology fellows academic training: beyond the clinical impact
    Persia-Paulino, Yvan R.
    Pascual, Isaac
    Fernandez-Asensio, Rodrigo
    Cuevas-Perez, Javier
    Adeba, Antonio
    Martin, Maria
    Garcia-Perez, Laura
    Avanzas, Pablo
    Reyes-Cortina, Maria
    Moris, Cesar
    Rozado, Jose
    ARCHIVOS DE CARDIOLOGIA DE MEXICO, 2021, 91 : 18 - 24
  • [37] Alternative Clinical Training During the First Year of COVID-19 Pandemic: Students' Experience
    Lee, Juyoung
    Moonier, Emma
    Heiderscheit, Annie
    MUSIC THERAPY PERSPECTIVES, 2024, 42 (01) : 63 - 74
  • [38] Clinical Training during the COVID-19 Pandemic: Experiences of Nursing Students and Implications for Education
    Dziurka, Magdalena
    Machul, Michal
    Ozdoba, Patrycja
    Obuchowska, Anna
    Kotowski, Michal
    Grzegorczyk, Aleksandra
    Pydys, Aleksandra
    Dobrowolska, Beata
    INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2022, 19 (10)
  • [39] Clinical Outcomes of Remote Training for Advanced Diabetes Technologies During the COVID-19 Pandemic
    Bozzetto, Lutgarda
    De Angelis, Raffaele
    Calabrese, Ilaria
    Giglio, Clemente
    Annuzzi, Giovanni
    JOURNAL OF DIABETES SCIENCE AND TECHNOLOGY, 2022, 16 (01): : 264 - 265
  • [40] Football and COVID-19: the effects of the pandemic on training and performance of South American and Brazilian referees
    Boschilia, Bruno
    Moraes, Leticia Cristina Lima
    Marchi Junior, Wanderley
    SOCCER & SOCIETY, 2021, 22 (1-2) : 58 - 65