Table 1
Descriptions of the resuscitation cases per resident divided between pre- and post-reflection, as well as delineation between control (written reflection of first resuscitation) and intervention (video-assisted written reflection of first resuscitation) group with corresponding post-graduate year (PGY)
|
Pre-reflection case |
Post-reflection case |
PGY | |
|---|---|---|---|
|
Control | |||
|
Resident 1 |
Altered mental status with respiratory distress (alcohol withdrawal) |
Sudden onset abdominal pain in pregnancy with hypotension |
3 |
|
Resident 2 |
Respiratory distress (pulmonary edema) |
Chest pain with abnormal electrocardiogram |
2 |
|
Resident 3 |
Respiratory distress (pulmonary edema) |
Respiratory distress (bronchospastic) |
2 |
|
Resident 4 |
Tachyarrhythmia |
Respiratory distress (pulmonary edema) |
2 |
|
Resident 5 |
Syncope with respiratory distress |
Altered mental status with respiratory failure (unknown etiology) |
3 |
|
Intervention | |||
|
Resident 6 |
Respiratory distress (pulmonary edema) |
Altered mental status with respiratory failure (opioid overdose) |
3 |
|
Resident 7 |
Respiratory distress (bronchospastic) |
Tachyarrhythmia |
3 |
|
Resident 8 |
Respiratory distress (bronchospastic) |
Status epilepticus |
2 |
|
Resident 9 |
Hypertensive encephalopathy |
Altered mental status (seizure) |
3 |
|
Resident 10 |
Hypotension with syncope |
Cardiac arrest |
2 |
Table 2
Median composite gain scores between control and intervention. 95% CI for the difference between the two medians is −8.5 to 4.0 by Hodges-Lehman estimation
|
Assessment |
Control Median (Q1, Q3) |
Intervention Median (Q1, Q3) |
|---|---|---|
|
Clear role as leader |
0 (0, 0) |
−1 (−2, 0) |
|
Style appropriate |
0 (−1, 0) |
−1 (−1, 0) |
|
Voice appropriately loud and clear |
0 (−1, 0) |
0 (−2, 1) |
|
Addresses people explicitly |
1 (0, 2) |
−1 (−1, 0) |
|
Reinforces closed loop communication |
−1 (−1, 1) |
0 (−1, 1) |
|
Acknowledges roles |
0 (0, 1) |
0 (0, 1) |
|
Directs team effectively |
−1 (−1, 0) |
0 (−1, 0) |
|
Balances work load of team |
0 (0, 1) |
−1 (−2, 1) |
|
Engages team members in decision making |
0 (0, 1) |
1 (0, 2) |
|
Summarizes case periodically |
−1 (−1, −1) |
0 (0, 1) |
|
Prioritizes task order |
−1 (−2, −1) |
1 (0, 1) |
|
Maintains global view |
0 (−1, 0) |
0 (0, 1) |
|
Periodically reassesses patient |
−1 (−1, 0) |
2 (1, 2) |
|
States next steps in patient care |
−1 (−1, 0) |
1 (0, 2) |
|
Aware of limitations |
0 (0, 0) |
0 (0, 0) |
|
Composite score |
−1.5 (−2, 0.5) |
0.5 (−3.5, 4.50) |