Slamon N (AIDupont), Deutsch E, Viteri S, Nadkarni V

1. ALERT Presentation:
A prospective study investigating the measurement of
biometric parameters of critical care practitioners in
various clinical scenarios using the wearable
performance tracking device known as Hexoskin™
Nicholas Slamon MD, Ellen Deutsch MD,
Shirley Viteri MD, Vinay Nadkarni MD
Nemours/duPont Hospital for Children Wilmington DE, The Children’s
Hospital of Philadelphia, Philadelphia PA
INSPIRE @ IMSH 2016 – San Diego, CA / USA
International Network for Simulation-based Pediatric Innovation, Research and Education

2. • The measurement of biometric parameters in critical care
physicians in various work scenarios has never before
been reported.
• This study hopes to first describe the biometrics of critical
care practitioners in simulated stressful environments and
explore if biofeedback can alter those parameters.
International Network for Simulation-based Pediatric Innovation, Research and Education
Background

3. • P: Pediatric critical care physicians of various levels of experience
• I: Measurement of biometric parameters using Hexoskin(shown below)
• C:To known normal vital sign variables and comparison between groups
of various training levels
• O: Measure heart rate (HR), heart rate variability (HRV), respiratory rate
(RR), Tidal Volume (TV), Duration of activity, estimated calories burned,
steps taken with calculated distance walked estimate, sleep time and
sleep efficiency. If these parameters are seen by the physician, can they
be altered with training?
International Network for Simulation-based Pediatric Innovation, Research and Education
PICO / Research Question

4. • Subjects will wear the Hexoskin device and track biometrics
during scheduled simulation and work activities.
• During the simulation portion of this protocol,
– The control subjects will be blinded to their biometric
display.
– The study group will be able to see their real time
biometrics displayed on an Ipad™ as they run the
simulation.
– Both control and study subjects, will repeat simulations
to see if “training” using the Hexoskin will result in better
control of the normally autonomic functions measured by
the shirt.
International Network for Simulation-based Pediatric Innovation, Research and Education
Approach / Design

5. • ALERT Presentation
• Grant Proposal: Completed, Nemours Fund for Children’s Health grant.
• IRB Submission: Completed
• Recruitment / Data Collection: Phase I underway: Simulations
completed with 7 subjects
• Data Analysis:Ongoing
• Abstract Presentation:Pending
• Manuscript Preparation:Pending
International Network for Simulation-based Pediatric Innovation, Research and Education
Timeline

6. 1. Would actors hired to be confederates raise the stress
level of those in the simulation scenarios?
2. Would film review after the fact be an additional learning
experience to enhance the biofeedback training or introduce
bias?
3.Should we extend the study group to practitioners outside
of critical care? ED, Trauma, General pediatrics?
International Network for Simulation-based Pediatric Innovation, Research and Education
3 questions to improve study

7. At INSPIRE @ IMSH 2016: Obtain suggestions from
experienced simulation teams on improving the
simulation experience.
In 2 months: Second simulation session with PCCM
fellows, Begin real life work scenario data collection
and analysis
International Network for Simulation-based Pediatric Innovation, Research and Education
Goals to accomplish

8. Nicholas Slamon MD
Nemours/duPont Hospital for Children
nslamon@nemours.org; 302-293-7216
www.nemours.org
International Network for Simulation-based Pediatric Innovation, Research and Education
Contact Information