Assessing the Sympathetic Response of Medical Doctors and Trainees when Exposed to a Virtual Realty Mass Casualty Incident Simulation
Introduction:The occurrence of disasters and mass casualty incidents (MCIs) is on the rise, thus training and rehearsal for disaster response remain paramount. Virtual reality (VR) platforms have previously been shown to be well-received, engaging, and immersive for disaster training. The primary ob...
Gespeichert in:
| Veröffentlicht in: | Prehospital and disaster medicine 2023-05, Vol.38 (S1), p.s16-s16 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | s16 |
|---|---|
| container_issue | S1 |
| container_start_page | s16 |
| container_title | Prehospital and disaster medicine |
| container_volume | 38 |
| creator | Tovar, Matthew Zebley, James Zwemer, Catherine Herur-Raman, Alap Higgens, Mairead Pierce, Ayal Ranninger, Claudia Sarani, Babak Phillips, James |
| description | Introduction:The occurrence of disasters and mass casualty incidents (MCIs) is on the rise, thus training and rehearsal for disaster response remain paramount. Virtual reality (VR) platforms have previously been shown to be well-received, engaging, and immersive for disaster training. The primary objective of this study was to ascertain if a human actor-based VR MCI scenario could elicit a sympathetic response, as measured by heart rate variability (HRV), in medical doctors and trainees compared to a baseline state.Method:A simulation was filmed with students, residents, and surgeons on a GoPro 360 camera. Subjects (n=35) were recruited to sufficiently power (1-b=0.8) a Wilcoxon matched-pairs test and Welch’s t-test. Subjects watched the simulation on an Oculus Quest headset while having HRV recorded. Multivariate logistic regression was performed to identify factors associated with increased odds of significant sympathetic activation. Statistical significance was established at p |
| doi_str_mv | 10.1017/S1049023X23000857 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2827379433</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><cupid>10_1017_S1049023X23000857</cupid><sourcerecordid>2827379433</sourcerecordid><originalsourceid>FETCH-LOGICAL-c1577-63af80410533659dd09a36a2b58f82429db2eefd89616d80ab4e3cf5f3e7fb293</originalsourceid><addsrcrecordid>eNp1UMtKAzEUHURBrX6Au4Dr0TzmlaXUV6Ei2CruhszkpkbaZMzNoP0A_9upFlyIq3su5wUnSU4YPWOUleczRjNJuXjmglJa5eVOcsBklqdMimp3wAOdbvj95BDxlVIuc14cJJ8XiIBo3YLEFyCz9apTA4i2JQ-AnXcIxBtyB9q2akkufRt9QKKcJvOgrANA8v4Cjlx9dB5Bk-iJIk82xH6QP4BaxjW5U4hkrLD__iautRpcJDO76pcqWu-Okj2jlgjH2ztKHq-v5uPbdHp_MxlfTNOW5WWZFkKZimaM5kIUudSaSiUKxZu8MhXPuNQNBzC6kgUrdEVVk4FoTW4ElKbhUoyS05_cLvi3HjDWr74PbqisecVLUcpMiEHFflRt8IgBTN0Fu1JhXTNab9au_6w9eMTWo1ZNsHoBv9H_u74A0KeC-w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2827379433</pqid></control><display><type>article</type><title>Assessing the Sympathetic Response of Medical Doctors and Trainees when Exposed to a Virtual Realty Mass Casualty Incident Simulation</title><source>Cambridge University Press Journals Complete</source><creator>Tovar, Matthew ; Zebley, James ; Zwemer, Catherine ; Herur-Raman, Alap ; Higgens, Mairead ; Pierce, Ayal ; Ranninger, Claudia ; Sarani, Babak ; Phillips, James</creator><creatorcontrib>Tovar, Matthew ; Zebley, James ; Zwemer, Catherine ; Herur-Raman, Alap ; Higgens, Mairead ; Pierce, Ayal ; Ranninger, Claudia ; Sarani, Babak ; Phillips, James</creatorcontrib><description>Introduction:The occurrence of disasters and mass casualty incidents (MCIs) is on the rise, thus training and rehearsal for disaster response remain paramount. Virtual reality (VR) platforms have previously been shown to be well-received, engaging, and immersive for disaster training. The primary objective of this study was to ascertain if a human actor-based VR MCI scenario could elicit a sympathetic response, as measured by heart rate variability (HRV), in medical doctors and trainees compared to a baseline state.Method:A simulation was filmed with students, residents, and surgeons on a GoPro 360 camera. Subjects (n=35) were recruited to sufficiently power (1-b=0.8) a Wilcoxon matched-pairs test and Welch’s t-test. Subjects watched the simulation on an Oculus Quest headset while having HRV recorded. Multivariate logistic regression was performed to identify factors associated with increased odds of significant sympathetic activation. Statistical significance was established at p<0.05.Results:Thirty-five subjects were enrolled and included three trauma surgeons, three emergency medicine (EM) attendings, eight EM residents, six surgery residents, and 15 medical students. A significant decrease in HRV was observed across all groups in the MCI (median 20 ms IQR 16.2, 31.4 ms) compared to baseline (33.2 ms IQR 27.2, 44.1 ms; p<0.0001). Sympathetic activation was most pronounced in students, then attendings, then residents. There was no significant difference in the fold-difference of sympathetic activation of EM physicians (-48.5% +/- 32.1%) versus surgeons (-49.5% +/- 25.2%; p=0.57). In all groups, SNS activation occurred independently of heart rate, age, sex, number of years in practice, first responder experience, or prior MCI response.Conclusion:Live-actor VR MCI simulation elicited a strong sympathetic response from students, residents, and attending physicians. By recruiting and disinhibiting essential neural pathways via controlled SNS activation, VR MCI training has the potential to enhance the encoding and consolidation of disaster training in a low-cost and reproducible manner.</description><identifier>ISSN: 1049-023X</identifier><identifier>EISSN: 1945-1938</identifier><identifier>DOI: 10.1017/S1049023X23000857</identifier><language>eng</language><publisher>New York, USA: Cambridge University Press</publisher><subject>Disaster management ; Disasters ; Education, Training, and Simulation ; Emergency medical care ; Heart rate ; Lightning and Oral Presentations ; Mass casualty incidents ; Medical personnel ; Simulation ; Students ; Surgeons ; Training ; Virtual reality</subject><ispartof>Prehospital and disaster medicine, 2023-05, Vol.38 (S1), p.s16-s16</ispartof><rights>The Author(s), 2023. Published by Cambridge University Press on behalf of World Association for Disaster and Emergency Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1049023X23000857/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,780,784,27924,27925,55628</link.rule.ids></links><search><creatorcontrib>Tovar, Matthew</creatorcontrib><creatorcontrib>Zebley, James</creatorcontrib><creatorcontrib>Zwemer, Catherine</creatorcontrib><creatorcontrib>Herur-Raman, Alap</creatorcontrib><creatorcontrib>Higgens, Mairead</creatorcontrib><creatorcontrib>Pierce, Ayal</creatorcontrib><creatorcontrib>Ranninger, Claudia</creatorcontrib><creatorcontrib>Sarani, Babak</creatorcontrib><creatorcontrib>Phillips, James</creatorcontrib><title>Assessing the Sympathetic Response of Medical Doctors and Trainees when Exposed to a Virtual Realty Mass Casualty Incident Simulation</title><title>Prehospital and disaster medicine</title><addtitle>Prehosp. Disaster med</addtitle><description>Introduction:The occurrence of disasters and mass casualty incidents (MCIs) is on the rise, thus training and rehearsal for disaster response remain paramount. Virtual reality (VR) platforms have previously been shown to be well-received, engaging, and immersive for disaster training. The primary objective of this study was to ascertain if a human actor-based VR MCI scenario could elicit a sympathetic response, as measured by heart rate variability (HRV), in medical doctors and trainees compared to a baseline state.Method:A simulation was filmed with students, residents, and surgeons on a GoPro 360 camera. Subjects (n=35) were recruited to sufficiently power (1-b=0.8) a Wilcoxon matched-pairs test and Welch’s t-test. Subjects watched the simulation on an Oculus Quest headset while having HRV recorded. Multivariate logistic regression was performed to identify factors associated with increased odds of significant sympathetic activation. Statistical significance was established at p<0.05.Results:Thirty-five subjects were enrolled and included three trauma surgeons, three emergency medicine (EM) attendings, eight EM residents, six surgery residents, and 15 medical students. A significant decrease in HRV was observed across all groups in the MCI (median 20 ms IQR 16.2, 31.4 ms) compared to baseline (33.2 ms IQR 27.2, 44.1 ms; p<0.0001). Sympathetic activation was most pronounced in students, then attendings, then residents. There was no significant difference in the fold-difference of sympathetic activation of EM physicians (-48.5% +/- 32.1%) versus surgeons (-49.5% +/- 25.2%; p=0.57). In all groups, SNS activation occurred independently of heart rate, age, sex, number of years in practice, first responder experience, or prior MCI response.Conclusion:Live-actor VR MCI simulation elicited a strong sympathetic response from students, residents, and attending physicians. By recruiting and disinhibiting essential neural pathways via controlled SNS activation, VR MCI training has the potential to enhance the encoding and consolidation of disaster training in a low-cost and reproducible manner.</description><subject>Disaster management</subject><subject>Disasters</subject><subject>Education, Training, and Simulation</subject><subject>Emergency medical care</subject><subject>Heart rate</subject><subject>Lightning and Oral Presentations</subject><subject>Mass casualty incidents</subject><subject>Medical personnel</subject><subject>Simulation</subject><subject>Students</subject><subject>Surgeons</subject><subject>Training</subject><subject>Virtual reality</subject><issn>1049-023X</issn><issn>1945-1938</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1UMtKAzEUHURBrX6Au4Dr0TzmlaXUV6Ei2CruhszkpkbaZMzNoP0A_9upFlyIq3su5wUnSU4YPWOUleczRjNJuXjmglJa5eVOcsBklqdMimp3wAOdbvj95BDxlVIuc14cJJ8XiIBo3YLEFyCz9apTA4i2JQ-AnXcIxBtyB9q2akkufRt9QKKcJvOgrANA8v4Cjlx9dB5Bk-iJIk82xH6QP4BaxjW5U4hkrLD__iautRpcJDO76pcqWu-Okj2jlgjH2ztKHq-v5uPbdHp_MxlfTNOW5WWZFkKZimaM5kIUudSaSiUKxZu8MhXPuNQNBzC6kgUrdEVVk4FoTW4ElKbhUoyS05_cLvi3HjDWr74PbqisecVLUcpMiEHFflRt8IgBTN0Fu1JhXTNab9au_6w9eMTWo1ZNsHoBv9H_u74A0KeC-w</recordid><startdate>202305</startdate><enddate>202305</enddate><creator>Tovar, Matthew</creator><creator>Zebley, James</creator><creator>Zwemer, Catherine</creator><creator>Herur-Raman, Alap</creator><creator>Higgens, Mairead</creator><creator>Pierce, Ayal</creator><creator>Ranninger, Claudia</creator><creator>Sarani, Babak</creator><creator>Phillips, James</creator><general>Cambridge University Press</general><general>Jems Publishing Company, Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope></search><sort><creationdate>202305</creationdate><title>Assessing the Sympathetic Response of Medical Doctors and Trainees when Exposed to a Virtual Realty Mass Casualty Incident Simulation</title><author>Tovar, Matthew ; Zebley, James ; Zwemer, Catherine ; Herur-Raman, Alap ; Higgens, Mairead ; Pierce, Ayal ; Ranninger, Claudia ; Sarani, Babak ; Phillips, James</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1577-63af80410533659dd09a36a2b58f82429db2eefd89616d80ab4e3cf5f3e7fb293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Disaster management</topic><topic>Disasters</topic><topic>Education, Training, and Simulation</topic><topic>Emergency medical care</topic><topic>Heart rate</topic><topic>Lightning and Oral Presentations</topic><topic>Mass casualty incidents</topic><topic>Medical personnel</topic><topic>Simulation</topic><topic>Students</topic><topic>Surgeons</topic><topic>Training</topic><topic>Virtual reality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tovar, Matthew</creatorcontrib><creatorcontrib>Zebley, James</creatorcontrib><creatorcontrib>Zwemer, Catherine</creatorcontrib><creatorcontrib>Herur-Raman, Alap</creatorcontrib><creatorcontrib>Higgens, Mairead</creatorcontrib><creatorcontrib>Pierce, Ayal</creatorcontrib><creatorcontrib>Ranninger, Claudia</creatorcontrib><creatorcontrib>Sarani, Babak</creatorcontrib><creatorcontrib>Phillips, James</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><jtitle>Prehospital and disaster medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tovar, Matthew</au><au>Zebley, James</au><au>Zwemer, Catherine</au><au>Herur-Raman, Alap</au><au>Higgens, Mairead</au><au>Pierce, Ayal</au><au>Ranninger, Claudia</au><au>Sarani, Babak</au><au>Phillips, James</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessing the Sympathetic Response of Medical Doctors and Trainees when Exposed to a Virtual Realty Mass Casualty Incident Simulation</atitle><jtitle>Prehospital and disaster medicine</jtitle><addtitle>Prehosp. Disaster med</addtitle><date>2023-05</date><risdate>2023</risdate><volume>38</volume><issue>S1</issue><spage>s16</spage><epage>s16</epage><pages>s16-s16</pages><issn>1049-023X</issn><eissn>1945-1938</eissn><abstract>Introduction:The occurrence of disasters and mass casualty incidents (MCIs) is on the rise, thus training and rehearsal for disaster response remain paramount. Virtual reality (VR) platforms have previously been shown to be well-received, engaging, and immersive for disaster training. The primary objective of this study was to ascertain if a human actor-based VR MCI scenario could elicit a sympathetic response, as measured by heart rate variability (HRV), in medical doctors and trainees compared to a baseline state.Method:A simulation was filmed with students, residents, and surgeons on a GoPro 360 camera. Subjects (n=35) were recruited to sufficiently power (1-b=0.8) a Wilcoxon matched-pairs test and Welch’s t-test. Subjects watched the simulation on an Oculus Quest headset while having HRV recorded. Multivariate logistic regression was performed to identify factors associated with increased odds of significant sympathetic activation. Statistical significance was established at p<0.05.Results:Thirty-five subjects were enrolled and included three trauma surgeons, three emergency medicine (EM) attendings, eight EM residents, six surgery residents, and 15 medical students. A significant decrease in HRV was observed across all groups in the MCI (median 20 ms IQR 16.2, 31.4 ms) compared to baseline (33.2 ms IQR 27.2, 44.1 ms; p<0.0001). Sympathetic activation was most pronounced in students, then attendings, then residents. There was no significant difference in the fold-difference of sympathetic activation of EM physicians (-48.5% +/- 32.1%) versus surgeons (-49.5% +/- 25.2%; p=0.57). In all groups, SNS activation occurred independently of heart rate, age, sex, number of years in practice, first responder experience, or prior MCI response.Conclusion:Live-actor VR MCI simulation elicited a strong sympathetic response from students, residents, and attending physicians. By recruiting and disinhibiting essential neural pathways via controlled SNS activation, VR MCI training has the potential to enhance the encoding and consolidation of disaster training in a low-cost and reproducible manner.</abstract><cop>New York, USA</cop><pub>Cambridge University Press</pub><doi>10.1017/S1049023X23000857</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1049-023X |
| ispartof | Prehospital and disaster medicine, 2023-05, Vol.38 (S1), p.s16-s16 |
| issn | 1049-023X 1945-1938 |
| language | eng |
| recordid | cdi_proquest_journals_2827379433 |
| source | Cambridge University Press Journals Complete |
| subjects | Disaster management Disasters Education, Training, and Simulation Emergency medical care Heart rate Lightning and Oral Presentations Mass casualty incidents Medical personnel Simulation Students Surgeons Training Virtual reality |
| title | Assessing the Sympathetic Response of Medical Doctors and Trainees when Exposed to a Virtual Realty Mass Casualty Incident Simulation |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-29T08%3A03%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Assessing%20the%20Sympathetic%20Response%20of%20Medical%20Doctors%20and%20Trainees%20when%20Exposed%20to%20a%20Virtual%20Realty%20Mass%20Casualty%20Incident%20Simulation&rft.jtitle=Prehospital%20and%20disaster%20medicine&rft.au=Tovar,%20Matthew&rft.date=2023-05&rft.volume=38&rft.issue=S1&rft.spage=s16&rft.epage=s16&rft.pages=s16-s16&rft.issn=1049-023X&rft.eissn=1945-1938&rft_id=info:doi/10.1017/S1049023X23000857&rft_dat=%3Cproquest_cross%3E2827379433%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2827379433&rft_id=info:pmid/&rft_cupid=10_1017_S1049023X23000857&rfr_iscdi=true |