The S2C Study – Securing Cannulas in Combat: a simulation-based mixed-method study

Benjamin Mackie; Christopher Williams; Benjamin Tribe; Jessica Muscat; Bradley Clarke; Jessica Schults; Gillian RayBarruel; Nicole Marsh; Aldon Delport; Darwin Alvarenga

doi:10.33235/va.7.2.12-18

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The S2C Study – Securing Cannulas in Combat: a simulation-based mixed-method study

Journal article

Peer reviewed

The S2C Study – Securing Cannulas in Combat: a simulation-based mixed-method study

Benjamin Mackie, Christopher Williams, Benjamin Tribe, Jessica Muscat, Bradley Clarke, Jessica Schults, Gillian RayBarruel, Nicole Marsh, Aldon Delport and Darwin Alvarenga

Vascular Access, Vol.7(2), pp.12-18

2021

DOI: https://doi.org/10.33235/va.7.2.12-18

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Abstract

Ranger IV

tactical combat casualty care

occlusive dressings

securement

catheterisation

peripheral intravenous

Introduction: Haemorrhage is the leading cause of preventable death in combat settings. Pre-hospital practice guidelines advocate for the rapid delivery of blood products and intravenous access to deliver adjunct treatments. However, peripheral intravenous catheter (PIVC) insertion is challenging in the austere setting, and catheter failure is common. This study aims to investigate dressing and securement methods to prevent catheter dislodgement and explore participants’ experiences with these methods within an Australian Defence Force Tactical Combat Casualty Care (TCCC) training course. Methods and analysis: A two-phase mixed-method design will be used to compare the Ruggedised Field (Ranger) method with the S‑Wrap technique to reduce PIVC dislodgement rates during TCCC simulations. The study will be undertaken at the Australian Army School of Health in Victoria, Australia. In Phase 1, we will examine the pull-out force of each dressing securement method in vitro. Phase 2 will involve (i) an observational audit (n=30 participants) of TCCC training to assess the quality and safety of PIVC securement practices and (ii) focus groups with participating healthcare professionals (HCPs) (n<15 participants) to understand their lived experiences of PIVC insertion and securement practices. Associations between pull-out forces will be assessed using analysis of variance, and descriptive statistics will be used to summarise audit data. Focus group data will be analysed using content analysis.

Details

Title: The S2C Study – Securing Cannulas in Combat: a simulation-based mixed-method study
Authors: Benjamin Mackie (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - Legacy
Christopher Williams (Author) - Army School of Health (Australia)
Benjamin Tribe (Author) - Army School of Health (Australia)
Jessica Muscat (Author) - Army School of Health (Australia)
Bradley Clarke (Author) - Army School of Health (Australia)
Jessica Schults (Author) - University of Queensland
Gillian RayBarruel (Author) - Menzies Health Institute Queensland
Nicole Marsh (Author) - Griffith University
Aldon Delport (Author) - Central Queensland University
Darwin Alvarenga (Author) - 2nd General Health Battalion (Australia)
Publication details: Vascular Access, Vol.7(2), pp.12-18
Publisher: Cambridge Media
DOI: 10.33235/va.7.2.12-18
ISSN: 2204-9762
Organisation Unit: School of Nursing, Midwifery and Paramedicine - Legacy; University of the Sunshine Coast, Queensland
Language: English
Record Identifier: 99583108802621
Output Type: Journal article

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