Abstract
Background
Although Emergency physicians frequently intubate patients, management of mechanical
ventilation has not been emphasized in emergency medicine (EM) residency curricula.
Objectives
The objective of this study was to quantify EM residents' education, experience, and
knowledge regarding mechanical ventilation.
Methods
We developed a survey of residents' educational experiences with ventilators and an
assessment tool with nine clinical questions. Correlation and regression analyses
were performed to evaluate the relationship between residents' scores on the assessment
instrument and their training, education, and comfort with ventilation.
Results
Of 312 EM residents, 218 responded (69.9%). The overall correct response rate for
the assessment tool was 73.3%, standard deviation (SD) ± 22.3. Seventy-seven percent
(n = 167) of respondents reported ≤ 3 h of mechanical ventilation education in their
residency curricula over the past year. Residents reported frequently caring for ventilated
patients in the ED, as 64% (n = 139) recalled caring for ≥ 4 ventilated patients per
month. Fifty-three percent (n = 116) of residents endorsed feeling comfortable caring
for mechanically ventilated ED patients. In multiregression analysis, the only significant
predictor of total test score was residents' comfort with caring for mechanically
ventilated patients (F = 10.963, p = 0.001).
Conclusions
EM residents report caring for mechanically ventilated patients frequently, but receive
little education on mechanical ventilation. Furthermore, as residents' performance
on the assessment tool is only correlated with their self-reported comfort with caring
for ventilated patients, these results demonstrate an opportunity for increased educational
focus on mechanical ventilation management in EM residency training.
Keywords
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Article info
Publication history
Published online: December 09, 2014
Accepted:
September 30,
2014
Received in revised form:
August 15,
2014
Received:
April 14,
2014
Footnotes
Institutional Review Board approval was obtained at each participating institution.
Identification
Copyright
© 2015 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
