scholarly journals The effects of crisis checklist on situation awareness in emergency situations of cardiopulmonary bypass use

2020 ◽  
Vol 47 (2) ◽  
pp. 128-137
Author(s):  
Kazuhiko Koyama ◽  
Kohei Oka ◽  
Toma Nishitsuji ◽  
Tatsuyuki Hori

2017 ◽  
Vol 23 (1) ◽  
pp. 32-38
Author(s):  
Klaus Kremer

This case study explores concepts and methodologies in user interface (UI) and user experience (UX) design with a view to increasing information retention and memorisation through the inclusion of human-centred design principles. It focuses on the participants’ individual context, mental state and abilities. In emergencies, visual perception and situation awareness may be restricted due to the impact of sensory symptoms (panic, tunnel vision or limited motor skills), thus calling for a linear course of action. This applied research project, ‘Floodscape’, is a mobile application designed to educate its user about possible inundation zones resulting from a tsunami. Ongoing user engagement through interactive simulation is the prime focus of the initial (dormant) state of the app. In case of an actual tsunami the app registers the event and adapts its UI accordingly. Crucial life-saving wayfinding information will then be displayed in a contextual manner considering contrast, typography, limited user attention and ease of use.



2021 ◽  
Vol 11 (12) ◽  
pp. 5745
Author(s):  
Hao Chen ◽  
Liping Pang ◽  
Xiaoru Wanyan ◽  
Shuang Liu ◽  
Yufeng Fang ◽  
...  

Air route alternation caused by unexpected events in abnormal or emergency situations often produces adverse consequences on an operator’s cognition and behavior in flight tasks. Under such a circumstance, it is especially necessary to examine the utility of the interaction displays usually designed based on the routine environment. This study was aimed to investigate the effects of air route alternation and display design on operators’ situation awareness (SA), task performance and mental workload during simulated flight tasks. Twenty-four participants attended an experiment where they were instructed to perform simulated flight tasks with three types of display designs in both air-route-as-planned and air-route-altered conditions. Subjective measures, behavioral measures and eye movement measures were adopted to assess the participants’ SA, task performance and mental workload. The results show that unexpected air route alternation increases mental workload as well as deteriorates the SA and task performance due to the gap between attention resource demand and supply. Reducing the demand of the operator’s attention resource should be the focus when coping with unexpected events in abnormal situations. In addition, reasonable information layout, such as a center-layout design of the critical decision-making information, is more important than information salience for improving the SA and task performance in abnormal situations. Nevertheless, indicators with a high-salience design, such as a more open window design and immersive design, are still worth recommending.



2021 ◽  
Vol 10 (9) ◽  
pp. 1955
Author(s):  
Jacek Chmielewski ◽  
Kacper Łoś ◽  
Napoleon Waszkiewicz ◽  
Włodzimierz Łuczyński

Background: Emergency medicine can impose a heavy psychological burden on healthcare workers. Stress experienced during life-threatening situations may disrupt situational awareness (SA), i.e., the perception of environmental elements with respect to time and space, the comprehension of their meaning, and the projection of their state into the near future. We aimed to investigate whether mindfulness (a special way of paying attention: conscious, non-judgmental, and oriented to the present moment) can be related to the SA levels among final-year medical students confronted with life-threatening situations during medical simulations. Methods: The simulations were constructed as high-fidelity scenarios in children and adults (ClinicalTrials.gov ID: NCT03761355). The components of mindfulness were assessed using the Five Facet Mindfulness Questionnaire. SA among students was assessed using The Situation Awareness Global Assessment Technique at three levels: (1) data, (2) comprehension, and (3) projection. Results: In total, 117 students were included. Level 1 SA positively correlated with the overall mindfulness score and its components, i.e., nonreactivity, conscious presence, and nonjudgment. Moreover, level 3 SA significantly correlated with the description, but not with the overall mindfulness score. A regression model showed that nonreactivity explained 34% of Level 1 of SA variability. The addition of conscious presence and nonjudgment into this model did not change its predictive value. Conclusions: nonreactivity a component of mindfulness of final-year medical students is related to the meticulous data collection of patients in life-threatening situations.



1992 ◽  
Vol 4 (2) ◽  
pp. 347-357 ◽  
Author(s):  
Ellen Strauss McErlean ◽  
Jean A. Cross ◽  
Joan E. Booth




VASA ◽  
1999 ◽  
Vol 28 (1) ◽  
pp. 30-33 ◽  
Author(s):  
Bürger ◽  
Meyer ◽  
Tautenhahn ◽  
Halloul

Background: Objective evaluation of the management of patients with ruptured infrarenal aortic aneurysm in emergency situations has been described rarely. Patients and methods: Fifty-two consecutive patients with ruptured infrarenal aortic aneurysm (mean age, 70.3 years; range, 56–89 years; SD 7.8) were admitted between January 1993 and March 1998. Emergency protocols, final reports, and follow-up data were analyzed retrospectively. APACHE II scores at admission and fifth postoperative day were assessed. Results: The time between the appearance of first symptoms and the referral of patients to the hospital was more than 5 hours in 37 patients (71%). Thirty-eight patients (71%) had signs of shock at time of admission. Ultrasound was performed in 81% of patients as the first diagnostic procedure. The most frequent site of aortic rupture was the left retroperitoneum (87%). Intraoperatively, acute left ventricular failure occurred in four patients, and cardiac arrest in two others. The postoperative course was complicated significantly in 34 patients. The overall mortality rate was 36.5% (n = 19). In 35 patients, APACHE II score was assessed, showing a probability of death of more than 40% in five patients and lower than 30% in 17 others. No patient showing probability of death of above 75% at the fifth postoperative day survived (n = 7). Conclusions: Ruptured aortic aneurysm demands surgical intervention. Clinical outcome is also influenced by preclinical and anesthetic management. The severity of disease as well as the patient’s prognosis can be approximated using APACHE II score. Treatment results of heterogenous patient groups can be compared.



2004 ◽  
Author(s):  
Parsa Mirhaji ◽  
S. Lillibridge ◽  
R. Richesson ◽  
J. Zhang ◽  
J. Smith


Author(s):  
Michael D. Matthews ◽  
◽  
Scott A. Beal


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