Table 2: Cardiac Scenario - Proportion of Participants who Performed Correctly in Early and Late Phases of Each Scenario (n=35)

Observation or Action Subtle Cues (1-4 Mins) Obvious Cues (4-7.5 Mins) Paired Sample- Repeated Measurest-Test
Parameter % Correct Parameter % Correct t df Significance (2-Tailed); 95% CI
Observation
Pain assessment 5/10 73.5 9/10 38.2 3.55 32 0.001 (CI: 0.14-0.55)
Nitrates N/A - 94.3
BP 150/95 91.4 170/95 74.3 1.79 34 NS: 0.08 (CI: -0.24-0.37)
HR 110 57.1 140 42.9 1.22 34 NS: 0.23 (CI: -0.09-0.38)
RR 20 11.4 32 5.9 0.81 33 NS: 0.42 (CI: -0.09-0.21)
CRT 2 secs 0.0 2 secs 0.0 0.00 34 NS: 1.00
Oxygen saturation 95% 65.7 89% 29.4 3.42 34 0.002 (CI: 0.16-0.61)
Temperature 36.8 34.3 N/A -
Early Action
Obtain immediate history 80.0
Obtain/review rhythm strip/12 lead 91.4
Investigate current medication usage 37.1
Identify other symptoms 8.6
Consider non-cardiac causes of chest pain 17.1
Give Aspirin (sublingual) 23.5
Late Action
Call for urgent assistance 91.4
Position appropriately 67.6
Administer oxygen 94.3
Ensure /IV cannulation 82.9
Morphine 82.9
Sub-total cues 45.5% 58.7%
Overall: combined cues 52.1%

NS: non-significant change between early and late performance.

Back to Article