Prehospital chest tube placement: Which factors are associated with feeling confident to perform the procedure?

The prehospital placement of chest tubes is a rare but potentially life-saving procedure. A high level of subjective confidence with the procedure is essential for emergency medical doctors. This study aims to identify if there is a statistically significant difference in the subjective sense of con...

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Bibliographic Details
Published in:Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen Fortbildung und Qualität im Gesundheitswesen, 2024-05, Vol.186, p.27
Main Authors: Knobloch, Rebecca, Metelmann, Camilla, Metelmann, Bibiana, Rübsam, Marie-Luise, Krämer, Bernd, Krämer, Sebastian, Metelmann, Isabella B
Format: Article
Language:ger
Subjects:
Adult
Attitude of Health Personnel
Chest Tubes
Clinical Competence
Emergency Medical Services
Emergency Medicine - education
Female
Germany
Humans
Male
Middle Aged
Surveys and Questionnaires
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Summary:The prehospital placement of chest tubes is a rare but potentially life-saving procedure. A high level of subjective confidence with the procedure is essential for emergency medical doctors. This study aims to identify if there is a statistically significant difference in the subjective sense of confidence in prehospital chest tube placement regarding medical experience and qualification, clinical routine, and attendance at simulation courses. Prehospital emergency physicians of three emergency medical services in Southwest Saxony, Greifswald, and Vechta, Germany, were invited to participate in an online survey from January to March 2022 using the online survey service limesurvey. The question "Do you feel confident in chest tube placement?" was used to measure the subjective level of confidence. Answers were compared with data concerning medical qualification, experience in prehospital emergency medicine, clinical routine, and attendance at simulation courses. Statistical analysis was performed using chi-squared test and Fisher's exact test. Three out of four participants felt confident in chest tube placement (53/71; 74.6%). More than half of the participants reported that they did not perform this procedure regularly (35/53, 66%). Subjective confidence was highest in physicians who regularly place chest tubes during their non-prehospital work (34/37; 91,9%; p
ISSN:2212-0289
2212-0289
DOI:10.1016/j.zefq.2024.03.009