Does an electronic cognitive aid have an effect on the management of severe gynaecological TURP syndrome? A prospective, randomised simulation study

Table 4 Without the cognitive aid both groups would have performed equally

	Cognitive Aid (n = 8) Debriefing	No Cognitive Aid (n = 9) Scenario	p-value
	From memory alone	From memory alone
Acute Heart Failure and Pulmonary Oedema
• Calls for help early	8 (100.0)	9 (100.0)	1.0
• Intubates patient	8 (100.0)	9 (100.0)	1.0
• Increases PEEP above respirators’ default value of 5 mbar	4 (50)	3 (33)	0.63
• Considers or starts infusion of vasopressor	4 (50)	2 (22)	0.33
• Considers or starts infusion of inotropic agent	3 (37.5)	1 (11.0)	0.29
• Considers or starts infusion of IV vasodilator	3 (37.5)	2 (22)	0.62
• Gives furosemide IV	5 (62.5)	6 (67)	1.0
Acute Hyponatraemia
• Does not delay treatment of hyponatraemia but initiates prompt infusion of hypertonic saline	0 (0)	1 (11)	1.0
• Starts infusion with recommended dose of 150 ml 3% hypertonic saline	3 (37.5)	1(11)	0.29
• Knows that pre-prepared 150 ml bottles of 3% hypertonic saline are stored at the IC	2 (25.5)	1 (11)	0.57

Data in column 2 (Cognitive Aid) were collected during debriefing, where participants declared whether a task had been performed or considered from memory alone or in response to an item of the cognitive aid. Frequencies in column 3 (No Cognitive Aid) describe task performance during the scenario
Values are number of teams (%)
CA, cognitive aid

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