| Primary | Fraction of Pulseless Time With no Chest Compressions | | Pre-specified analysis included completed simulations for which complete compression quality data were available. Per protocol, simulations for which equipment malfunction precluded measurement of compression quality were excluded, as were intervention-group simulations classified as "run-in" simulations because they occurred before optimization of the telemedicine audio equipment. | Posted | | Mean | Standard Deviation | Fraction analysis time CPR not delivered | | From initiation of intervention or placebo control until completion of two complete cycles of CPR (an average of 4 minutes) | simulation events | simulation events | | ID | Title | Description |
|---|
| OG000 | Tele-intensivist Consultation | Standardized consultation to on-site cardiac arrest response team by off-site intensivist via two-way audiovisual link using a mobile telemedicine cart Tele-intensivist consultation: Standardized consultation to on-site cardiac arrest team by off-site intensivist via two-way audiovisual link using a mobile telemedicine cart | | OG001 | Control | Simulated "observation" by ICU physician by displaying a silent, pre-recorded, non-interactive videotape of an ICU physician. The on-site participants will be told that an intensive care physician is observing the mock code. Simulated "observation" by ICU physician: Display of silent, pre-recorded, non-interactive videotape of an ICU physician. The on-site cardiac arrest team will be told that an intensive care physician is observing the mock code. |
| | Units | Counts |
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| Participants | | | simulation events | |
| | Title | Denominators | Categories |
|---|
| | | Title | Measurements |
|---|
| - OG0000.22± 0.13
- OG0010.19± 0.10
|
|
| | Group IDs | Group Description | Statistical Method | Statistical Comment | P-Value | P-Value Comment | Parameter Type | Parameter Value | Dispersion Type | Dispersion Value | Confidence Interval Sides | Confidence Interval % | CI Lower Limit | CI Upper Limit | CI Lower Limit Comment | CI Upper Limit Comment | Estimate Comment | Tested Non-Inferiority | Non-Inferiority Type | Non-Inferiority Comment | Other Analysis Description |
|---|
| | t-test, 2 sided | | 0.41 | | | | | | | | | | | | | | Superiority | | |
|
| Secondary | Time From Onset of Shockable Rhythm to Defibrillation | | Pre-specified analysis included completed simulations for which complete compression quality data were available and resuscitation team delivered ≥1 shock to the mannequin during the simulation. Per protocol, simulations for which equipment malfunction or simulation error precluded measurement of protocol adherence were excluded, as were intervention-group simulations classified as "run-in" simulations because they occurred before optimization of the telemedicine audio equipment. | Posted | | Mean | Standard Deviation | seconds | | From onset of simulated VF or VT until first defibrillation or end of simulation | Simulation events | Simulation events | | ID | Title | Description |
|---|
| OG000 | Tele-intensivist Consultation | Standardized consultation to on-site cardiac arrest response team by off-site intensivist via two-way audiovisual link using a mobile telemedicine cart Tele-intensivist consultation: Standardized consultation to on-site cardiac arrest team by off-site intensivist via two-way audiovisual link using a mobile telemedicine cart | | OG001 | Control | Simulated "observation" by ICU physician by displaying a silent, pre-recorded, non-interactive videotape of an ICU physician. The on-site participants will be told that an intensive care physician is observing the mock code. Simulated "observation" by ICU physician: Display of silent, pre-recorded, non-interactive videotape of an ICU physician. The on-site cardiac arrest team will be told that an intensive care physician is observing the mock code. |
|
| Secondary | Fraction of Chest Compressions With Complete Release | | Pre-specified analysis included completed simulations for which complete compression quality data were available. Per protocol, simulations for which equipment malfunction or simulation error precluded measurement of compression quality were excluded, as were intervention-group simulations classified as "run-in" simulations because they occurred before optimization of the telemedicine audio equipment. | Posted | | Mean | Standard Deviation | Fraction compression in analysis window | | From initiation of intervention or placebo control until completion of two complete cycles of CPR (an average of 4 minutes) | Simulation events | Simulation events | | ID | Title | Description |
|---|
| OG000 | Tele-intensivist Consultation | Standardized consultation to on-site cardiac arrest response team by off-site intensivist via two-way audiovisual link using a mobile telemedicine cart Tele-intensivist consultation: Standardized consultation to on-site cardiac arrest team by off-site intensivist via two-way audiovisual link using a mobile telemedicine cart | | OG001 | Control | Simulated "observation" by ICU physician by displaying a silent, pre-recorded, non-interactive videotape of an ICU physician. The on-site participants will be told that an intensive care physician is observing the mock code. Simulated "observation" by ICU physician: Display of silent, pre-recorded, non-interactive videotape of an ICU physician. The on-site cardiac arrest team will be told that an intensive care physician is observing the mock code. |
|
| Secondary | Fraction of Chest Compressions at Target Rate | | Pre-specified analysis included completed simulations for which complete compression quality data were available. Per protocol, simulations for which equipment malfunction or simulation error precluded measurement of compression quality were excluded, as were intervention-group simulations classified as "run-in" simulations because they occurred before optimization of the telemedicine audio equipment. | Posted | | Mean | Standard Deviation | Fraction compression in analysis window | | From initiation of intervention or placebo control until completion of two complete cycles of CPR (an average of 4 minutes) | Simulation events | Simulation events | | ID | Title | Description |
|---|
| OG000 | Control | Simulated "observation" by ICU physician by displaying a silent, pre-recorded, non-interactive videotape of an ICU physician. The on-site participants will be told that an intensive care physician is observing the mock code. Simulated "observation" by ICU physician: Display of silent, pre-recorded, non-interactive videotape of an ICU physician. The on-site cardiac arrest team will be told that an intensive care physician is observing the mock code. | | OG001 | Tele-intensivist Consultation | Standardized consultation to on-site cardiac arrest response team by off-site intensivist via two-way audiovisual link using a mobile telemedicine cart Tele-intensivist consultation: Standardized consultation to on-site cardiac arrest team by off-site intensivist via two-way audiovisual link using a mobile telemedicine cart |
|
| Secondary | Time to First Dose of Epinephrine | | Pre-specified analysis included completed simulations for which complete compression quality data were available and epinephrine was administered. Per protocol, simulations for which equipment malfunction or simulation error precluded measurement of protocol adherence were excluded, as were intervention-group simulations classified as "run-in" simulations because they occurred before optimization of the telemedicine audio equipment. | Posted | | Mean | Standard Deviation | seconds | | From initiation of simulation through termination of simulation, an average of 15 minutes | Simulation events | Simulation events | | ID | Title | Description |
|---|
| OG000 | Control | Simulated "observation" by ICU physician by displaying a silent, pre-recorded, non-interactive videotape of an ICU physician. The on-site participants will be told that an intensive care physician is observing the mock code. Simulated "observation" by ICU physician: Display of silent, pre-recorded, non-interactive videotape of an ICU physician. The on-site cardiac arrest team will be told that an intensive care physician is observing the mock code. | | OG001 | Tele-intensivist Consultation | Standardized consultation to on-site cardiac arrest response team by off-site intensivist via two-way audiovisual link using a mobile telemedicine cart Tele-intensivist consultation: Standardized consultation to on-site cardiac arrest team by off-site intensivist via two-way audiovisual link using a mobile telemedicine cart |
|
| Secondary | Overall ACLS Protocol Adherence (Using Checklist Adapted From McEvoy ACLS Assessment Tool) | | Pre-specified analysis included completed simulations for which complete compression quality data were available. Per protocol, simulations for which equipment malfunction or simulation error precluded measurement of protocol adherence were excluded, as were intervention-group simulations classified as "run-in" simulations because they occurred before optimization of the telemedicine audio equipment. | Posted | | Mean | Standard Deviation | Fraction of eligible actions performed | | From initiation of simulation through termination of simulation, an average of 15 minutes | Simulation events | Simulation events | | ID | Title | Description |
|---|
| OG000 | Control | Simulated "observation" by ICU physician by displaying a silent, pre-recorded, non-interactive videotape of an ICU physician. The on-site participants will be told that an intensive care physician is observing the mock code. Simulated "observation" by ICU physician: Display of silent, pre-recorded, non-interactive videotape of an ICU physician. The on-site cardiac arrest team will be told that an intensive care physician is observing the mock code. | | OG001 | Tele-intensivist Consultation | Standardized consultation to on-site cardiac arrest response team by off-site intensivist via two-way audiovisual link using a mobile telemedicine cart Tele-intensivist consultation: Standardized consultation to on-site cardiac arrest team by off-site intensivist via two-way audiovisual link using a mobile telemedicine cart |
|
| Secondary | ACLS Protocol Errors (Using Checklist Adapted From McEvoy ACLS Assessment Tool) | | Pre-specified analysis included completed simulations for which complete compression quality data were available. Per protocol, simulations for which equipment malfunction or simulation error precluded measurement of protocol adherence were excluded, as were intervention-group simulations classified as "run-in" simulations because they occurred before optimization of the telemedicine audio equipment. | Posted | | Mean | Standard Deviation | Number of protocol errors | | From initiation of simulation through termination of simulation, an average of 15 minutes | Simulation events | Simulation events | | ID | Title | Description |
|---|
| OG000 | Control | Simulated "observation" by ICU physician by displaying a silent, pre-recorded, non-interactive videotape of an ICU physician. The on-site participants will be told that an intensive care physician is observing the mock code. Simulated "observation" by ICU physician: Display of silent, pre-recorded, non-interactive videotape of an ICU physician. The on-site cardiac arrest team will be told that an intensive care physician is observing the mock code. | | OG001 | Tele-intensivist Consultation | Standardized consultation to on-site cardiac arrest response team by off-site intensivist via two-way audiovisual link using a mobile telemedicine cart Tele-intensivist consultation: Standardized consultation to on-site cardiac arrest team by off-site intensivist via two-way audiovisual link using a mobile telemedicine cart |
|
| Secondary | Team Emergency Assessment Measure Score | The validated "Team Emergency Assessment Measure (TEAM)" evaluates non-technical performance of the on-site resuscitation team. The score (range 0-4) for each simulation was obtained by averaging the mean score for each of 11 component scores (each component item scored 0-4, with higher values representing better performance). | Pre-specified analysis included completed simulations for which complete compression quality data were available. Per protocol, simulations for which equipment malfunction or simulation error precluded measurement of team performance were excluded, as were intervention-group simulations classified as "run-in" simulations because they occurred before optimization of the telemedicine audio equipment. | Posted | | Mean | Standard Deviation | score on composite TEAM scale | | From initiation of simulation through termination of simulation, an average of 15 minutes | Simulation events | Simulation events | | ID | Title | Description |
|---|
| OG000 | Control | Simulated "observation" by ICU physician by displaying a silent, pre-recorded, non-interactive videotape of an ICU physician. The on-site participants will be told that an intensive care physician is observing the mock code. Simulated "observation" by ICU physician: Display of silent, pre-recorded, non-interactive videotape of an ICU physician. The on-site cardiac arrest team will be told that an intensive care physician is observing the mock code. | | OG001 | Tele-intensivist Consultation | |
|
| Secondary | Types of Input by Telemedical Intensivist Copilot | | Pre-specified analysis included completed simulations for which complete compression quality data were available. Per protocol, simulations for which equipment malfunction or simulation error precluded measurement of telemedical intensivist input were excluded, as were intervention-group simulations classified as "run-in" simulations because they occurred before optimization of the telemedicine audio equipment. | Posted | | Count of Units | | Simulation events | | From initiation of simulation through termination of simulation, an average of 15 minutes | Simulation events | Simulation events | | ID | Title | Description |
|---|
| OG000 | Tele-intensivist Consultation | Standardized consultation to on-site cardiac arrest response team by off-site intensivist via two-way audiovisual link using a mobile telemedicine cart Tele-intensivist consultation: Standardized consultation to on-site cardiac arrest team by off-site intensivist via two-way audiovisual link using a mobile telemedicine cart |
| |
| Secondary | Opinions of Study Subjects About Experience Participating in Simulated Cardiac Arrest, Using a Locally-developed and Validated Survey Instrument | Measured domains: understanding of telemedicine intensivist copilot's role, beliefs about telemedicine intensivist copilot's ability to integrate with on site team, ability to influence on-site team performance, comfort with telemedicine intensivist copilot's role, and function of telemedicine interface | Pre-specified analysis included complete surveys returned by on-site participants in completed simulations for which complete compression quality data were available. Per protocol, simulations for which equipment malfunction or simulation error precluded measurement of resuscitation quality were excluded, as were intervention-group simulations classified as "run-in" simulations because they occurred before optimization of the telemedicine audio equipment. | Posted | | Count of Participants | | Participants | | Immediately after simulation | | | | ID | Title | Description |
|---|
| OG000 | Tele-intensivist Consultation | Standardized consultation to on-site cardiac arrest response team by off-site intensivist via two-way audiovisual link using a mobile telemedicine cart Tele-intensivist consultation: Standardized consultation to on-site cardiac arrest team by off-site intensivist via two-way audiovisual link using a mobile telemedicine cart |
| |
| Secondary | Short-form State-Trait Anxiety Inventory Score | The short-form State-Trait Anxiety Inventory (STAI) measures acute stress experienced by respondents using 6 questions (scores for each question range from 1 to 4, with higher values indicating more stress). Analyzed respondent-level values use the total score (range 4-24) obtained by summing the score for each of the six questions, with higher values indicating more respondent-reported acute stress. | Pre-specified analysis included completed surveys by participants completed simulations for which complete compression quality data were available. Per protocol, participants in simulations for which equipment malfunction or simulation error precluded measurement of compression quality were excluded, as were participants in intervention-group simulations classified as "run-in" simulations because they occurred before optimization of the telemedicine audio equipment. | Posted | | Mean | Standard Deviation | score on a scale | | Immediately after simulation | | | | ID | Title | Description |
|---|
| OG000 | Control | Simulated "observation" by ICU physician by displaying a silent, pre-recorded, non-interactive videotape of an ICU physician. The on-site participants will be told that an intensive care physician is observing the mock code. Simulated "observation" by ICU physician: Display of silent, pre-recorded, non-interactive videotape of an ICU physician. The on-site cardiac arrest team will be told that an intensive care physician is observing the mock code. | | OG001 | Tele-intensivist Consultation |
|
| Secondary | Presence of Telemedicine Audiovisual Connection Problems for Intervention Group Simulation Event | | Pre-specified analysis included completed simulations for which complete compression quality data were available. Per protocol, simulations for which equipment malfunction precluded measurement of compression quality were excluded, as were intervention-group simulations classified as "run-in" simulations because they occurred before optimization of the telemedicine audio equipment. | Posted | | Count of Units | | Simulation events | | From initiation of simulation through termination of simulation, an average of 15 minutes | Simulation events | Simulation events | | ID | Title | Description |
|---|
| OG000 | Tele-intensivist Consultation | Standardized consultation to on-site cardiac arrest response team by off-site intensivist via two-way audiovisual link using a mobile telemedicine cart Tele-intensivist consultation: Standardized consultation to on-site cardiac arrest team by off-site intensivist via two-way audiovisual link using a mobile telemedicine cart |
| |