Clinical Research Directory

EXAMINATION OF THE EFFECTIVENESS OF GAME-BASED LEARNING METHOD IN START TRIAGE TRAINING IN DISASTERS

In the study titled "Investigating the Effect of Game-Based Learning Method in Disaster Triage Training," researchers aim to compare the effectiveness of game-based learning methods with classical face-to-face learning techniques. With advancing technology, access to information and learning methods are also evolving. It is crucial for paramedics to access and learn new information using methods they can apply both during their training and in their professional lives. For the pre-hospital, comprehensive paramedic system, using different learning methods in different learning environments will both facilitate access to information and improve information retention, thus facilitating learning. Especially in major changes like earthquakes, creating suitable situational conditions for practical application is quite difficult. However, game-based learning or transformations like game-based learning are quite suitable for this purpose. The programming goal is to facilitate the change in critical conditions such as triage for paramedic centers, which play very important roles extending beyond the pre-hospital setting, and to provide them with practical services by always ensuring easy access to information, using the rapidly spreading game-based learning deployment worldwide. The study will be conducted in a quasi-experimental style. Using both face-to-face and game-based learning methods, experimental and control groups will be formed and training requirements will be met. For this study, applicants from the first-year paramedic programs of two selected universities will be included; one group will be the experimental group, and the other will be the control group. A minimum of 60 students are planned to participate. The aim of the study is to examine the knowledge levels of first-year paramedics who have never received triage training before, using a pre-test. Following this, one group will receive face-to-face training, while the other group will be introduced to and play a triage initiation game. A second test will be administered one week later to assess the learning outcomes in both groups. Finally, a third test will be administered three months later to permanently assess the learned information in both groups. Additionally, after each test, a decision-making performance assessment, a change process, and a web-based learning experience (for the game-based group) will be administered to evaluate the overall learning outcome.

A Study on the Impact of a New Canton-Wide First Responder System in Zug, Switzerland, on Survival After Adult Cardiac Arrest-Examining Early Life-Saving Organized Help, Fast Defibrillation, and Improved Outcomes for Out of Hospital Cardiac Arrest

REVIVE Zug: Improving Emergency Response for Out-of-Hospital Cardiac Arrest Out-of-hospital cardiac arrest (OHCA) represents one of the most time-critical medical emergencies, where rapid recognition and immediate intervention are decisive for survival and neurological outcome. Early activation of emergency services, prompt initiation of cardiopulmonary resuscitation, and rapid defibrillation using automated external defibrillators (AEDs) are key components of the chain of survival. In many regions, organized First Responder systems-such as fire services, police forces, and trained lay responders supported by dispatcher-assisted instructions-arrive at the scene before emergency medical services (EMS) and initiate life-saving measures. Evidence from multiple EMS systems indicates that the early involvement of First Responders is associated with higher rates of return of spontaneous circulation (ROSC) and improved survival to hospital discharge with favorable neurological outcomes. Regions with well-established First Responder networks consistently report better OHCA outcomes compared with regions without such systems. In the canton of Zug, a comprehensive First Responder system has recently been implemented alongside an established hybrid EMS response model. In this system, resuscitation efforts are led either by an Emergency Physician (EP) or by a highly trained Critical Care Paramedic (CCP), depending on operational availability. Both roles operate within clearly defined competencies and provide the full scope of advanced prehospital care. This hybrid leadership model offers a unique opportunity to examine whether the professional background of the team leader influences resuscitation outcomes in real-world clinical practice. The REVIVE Zug study aims to evaluate the impact of the canton-wide First Responder system on outcomes following OHCA. Key outcomes of interest include ROSC rates, hospital admission after cardiac arrest, the occurrence of shockable rhythms at EMS arrival, and outcomes achieved before EMS arrival. In addition, the study explores whether team leadership by an EP or a CCP is associated with differences in resuscitation outcomes. Further analyses focus on time intervals within the chain of survival, such as time from cardiac arrest to arrival of organized help and time to first defibrillation, as well as on event timing and basic demographic characteristics. The study is based on anonymized data from established EMS quality registries and the national Swiss Reca database. By comparing OHCA cases before and after implementation of the comprehensive First Responder system, the project seeks to provide robust, practice-oriented evidence to inform future development of prehospital emergency care systems in Switzerland and comparable settings.

Evaluation of the Efficiency of Touch Massage on the Quality of Life at Work of Nursing Staff Working in a Cancer Center. (Pause "Toucher Massage (TM)")

The goal of this clinical trial is to scientifically confirming the common perception that Touch-Massage (TM) breaks have a beneficial effect on the daily life of paramedics, both psychologically and physically. The main question\[s\] it aims to answer \[is/are\]: * Evaluating the efficacy of TM on burnout * Evaluating the efficacy of TM on anxiety * Evaluating the efficacy of TM on affect * Evaluating the efficacy of TM on musculoskeletal disorders Researchers will compare 2 groups : Control group of paramedics who do not have the benefit of TM breaks and an experimental group of paramedics taking TM break. Participants in the experimental group received one 15-minute TM session per week for 6 weeks and burnout, anxiety, affect, and musculoskeletal disorders (MSDs) will be assessed in participants using questionnaires at different times of the study. Participants in the control group complete only the same questionnaires at the same times as the experimental group. Participants in the 2 arms are reviewed at 3 and 6 months to complete the questionnaires.