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Table 1 Specific task performance and task consideration data

From: The effect of an electronic cognitive aid on the management of ST-elevation myocardial infarction during caesarean section: a prospective randomised simulation study

Ā 

Class and Levelb

Cognitive Aid (nā€‰=ā€‰8)

No Cognitive Aid (nā€‰=ā€‰10)

Differences in Adherence

Mandatory tasks (5)

Ā Ā Ā Ā 

ā€¢ Gives patient oxygen

IC

8 (100.0)

7 (70.0)

30%

ā€¢ Gives patient i.v. opioids (fentanyl or morphine)

IC

8 (100.0)

9 (90.0)

10%

ā€¢ Obtains 12-lead ECG as soon as possible

IB

8 (100.0)

8 (80.0)

20%

ā€¢ Takes or orders blood sampling for troponin

IC

5 (62.5)

8 (80.0)

17.5%a

ā€¢ Transfer to cardiac lab has highest treatment priority

IA

7 (87.5)

8 (80.0)

7.5%

Optional tasks (4)

Ā Ā Ā Ā 

ā€¢ Considers or gives aspirin i.v.

IB

8 (100.0)

8 (80.0)

20%

ā€¢ Considers or gives unfractionated heparin i.v.

IC

8 (100.0)

9 (90.0)

10%

ā€¢ Considers or gives i.v. metoprolol

IIa B

7 (87.5)

1 (10.0)

77.5%

ā€¢ Considers or gives i.v. nitrates

IIa C

8 (100.0)

4 (40.0)

60%

Clinically relevant tasks by consensus (6)

Ā Ā Ā Ā 

ā€¢ Calls for help early

n/a

8 (100.0)

8 (80.0)

20%

ā€¢ Informs surgeon

n/a

8 (100.0)

10 (100.0)

0%a

ā€¢ Participant considers: Does surgeon consent to treatment?

n/a

8 (100)

9 (90.0)

10%

ā€¢ Participant considers: Epidural-/spinal anaesthesia as contraindication?

n/a

6 (75.0)

0 (0.0)

75%

ā€¢ Checks Hb and considers transfusion (aim Hb 7ā€“9Ā g/dl)

n/a;

ESA-recommendation [3]

1 (12.5)

0 (0.0)

12.5%

ā€¢ Participant knows phone number of cath lab

n/a

8 (100.0)

0 (0.0)

100%

  1. Values in column 3 (Cognitive Aid) and 4 (No Cognitive Aid) are number of teams correctly performing or considering the task (%). Values in column 5 are differences in adherence to the individual task between the cognitive aid group and the control group
  2. Abbreviations: n/a not applicable
  3. aWith the exception of the tasks ā€œTakes or orders blood sampling for troponinā€ and ā€œInforms surgeonā€ the adherence for tasks was higher in the cognitive aid group
  4. bClass of recommendation and level of evidence as stated in the ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation [10]