Linear Cognitive Aid for Pediatric Emergencies

Recruiting at 1 trial location

Overseen By Jeanne-Marie Guise, MD, MPH, MBA

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Beth Israel Deaconess Medical Center

Disqualifiers: Not clinically active

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 2

80 Participants Needed

Trial Summary

What is the purpose of this trial?

The goal of this clinicial trial is to test the acceptability and feasibility of linear cognitive aid intervention to support EMS teams in responding to pediatric emergencies. We are testing the hypothesis that cognitive aids with linear logic will be feasible to use and acceptable to EMS teams in urban and rural areas. Researchers will compare technical performance, teamwork, and self-assessed cognitive load of participants to see the difference between performing resuscitations using their current standard with existing cognitive aids and using our linear cognitive aid. Participants' teams will: * perform in situ high-fidelity simulation of two critical children's resuscitation scenarios * be randomized to 1) perform both resuscitations with their current standard with existing cognitive aids or 2) perform both resuscitations using our linear cognitive aid.

Will I have to stop taking my current medications?

The trial information does not specify whether participants need to stop taking their current medications.

What data supports the effectiveness of the treatment Linear Cognitive Aid for pediatric emergencies?

The research on cognitive interventions for children with neurological and neurodevelopmental disorders suggests that such interventions can be effective in improving cognitive functions. This implies that using a structured approach like the Linear Cognitive Aid in pediatric emergencies might help in organizing and improving decision-making processes during critical situations. ^{1 2 3 4 5}

How is the Linear Cognitive Aid for Pediatric Emergencies treatment different from other treatments for pediatric emergencies?

The Linear Cognitive Aid for Pediatric Emergencies is unique because it provides a structured, step-by-step approach to managing pediatric emergencies, which can help healthcare providers remain thorough and consistent in high-pressure situations. This method is particularly useful in addressing the challenges of treating children, who often present differently than adults in emergency settings. ^{4 6 7 8 9}

Eligibility Criteria

This trial is for Emergency Medical Services (EMS) teams who respond to pediatric emergencies involving cardiac arrest and other critical situations. It's designed to see if a new app, which provides step-by-step guidance during resuscitation, helps these teams.

Inclusion Criteria

Speaks and understands English

Active public, private, volunteer, hospital-based, or third-party EMS providers

Exclusion Criteria

My condition is currently stable and not worsening.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Simulation

Participants perform in situ high-fidelity simulation of two critical children's resuscitation scenarios

10 minutes per simulation

2 simulation sessions

Evaluation

Technical performance, teamwork, and cognitive load are evaluated

Cumulative over each 10 minute simulation

Follow-up

Participants are monitored for feedback on feasibility and acceptability of the cognitive aid

4 weeks

Treatment Details

Interventions

• Linear Cognitive Aid

Trial Overview The study tests an app called 'Linear Cognitive Aid' that supports EMS teams in pediatric resuscitations. Teams will be randomly chosen to use either their usual aids or the new app during simulated emergency scenarios to compare effectiveness.

Participant Groups

Group I: Linear Cognitive Aid Experimental Treatment 1 Intervention

We will perform in situ high-fidelity simulation of two critical children's emergency resuscitation scenarios using a linear cognitive aid

Group II: Current Standard with Existing Cognitive Aids Active Control 1 Intervention

We will perform in situ high-fidelity simulation of two critical children's emergency resuscitation scenarios using the current standard of care with existing cognitive aids.

Who Is Running the Clinical Trial?

Beth Israel Deaconess Medical Center

Lead Sponsor

Trials

872

Recruited

12,930,000+

National Heart, Lung, and Blood Institute (NHLBI)

Collaborator

Trials

3,987

Recruited

47,860,000+

Findings from Research

Cognitive interventions for children with neurological and neurodevelopmental disorders showed significant positive effects in areas like attention, working memory, and memory tasks, based on a review of 13 randomized controlled trials.

Despite these positive findings, the overall quality of evidence was rated very low, indicating uncertainty about the effectiveness of these interventions across different outcome domains.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Systematic review and meta-analysis of cognitive interventions for children with central nervous system disorders and neurodevelopmental disorders. Robinson, KE., Kaizar, E., Catroppa, C., et al.[2018]

References

1. United States pubmed.ncbi.nlm.nih.gov

Long-term benefits of an early online problem-solving intervention for executive dysfunction after traumatic brain injury in children: a randomized clinical trial. [2022]

2. United States pubmed.ncbi.nlm.nih.gov

Systematic review and meta-analysis of cognitive interventions for children with central nervous system disorders and neurodevelopmental disorders. [2018]

3. United States pubmed.ncbi.nlm.nih.gov

Tools for the measurement of outcome after minor head injury in children: summary from the Ambulatory Pediatric Association/EMSC Outcomes Research Conference. [2019]

4. United States pubmed.ncbi.nlm.nih.gov

Neurocognitive evaluation of mild traumatic brain injury in the hospitalized pediatric population. [2009]

5. United States pubmed.ncbi.nlm.nih.gov

Cerebral oxygen saturation monitoring in pediatric altered mental status patients. [2016]

6. United States pubmed.ncbi.nlm.nih.gov

Executive functions after traumatic brain injury in children. [2022]

7. United States pubmed.ncbi.nlm.nih.gov

Etiologies and Yield of Diagnostic Testing in Children Presenting to the Emergency Department with Altered Mental Status. [2019]

8. United States pubmed.ncbi.nlm.nih.gov

Kids Really Are Just Small Adults: Utilizing the Pediatric Triangle with the Classic ABCD Approach to Assess Pediatric Patients. [2020]

9. Italy pubmed.ncbi.nlm.nih.gov

Let's cut it short: Italian standardization of the MMSPE (Mini-Mental State Pediatric Examination), a brief cognitive screening tool for school-age children. [2018]