{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T00:00:54Z","timestamp":1772496054324,"version":"3.50.1"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"Supplement_3","license":[{"start":{"date-parts":[[2024,8,19]],"date-time":"2024-08-19T00:00:00Z","timestamp":1724025600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100023530","name":"Army Contracting Command - Aberdeen Proving Ground","doi-asserted-by":"publisher","award":["W911NF-17-C-0043"],"award-info":[{"award-number":["W911NF-17-C-0043"]}],"id":[{"id":"10.13039\/100023530","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100023530","name":"Army Contracting Command - Aberdeen Proving Ground","doi-asserted-by":"publisher","award":["W911NF-17-C-0043"],"award-info":[{"award-number":["W911NF-17-C-0043"]}],"id":[{"id":"10.13039\/100023530","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,19]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Between 2011 and 2014, The Combat Casualty Training Consortium research study sought to evaluate all aspects of combat casualty care, including mortality, with a special focus on the incidence and causes of potentially preventable deaths among U.S. combat fatalities. This study identified a major training gap in critical airway management. To address this gap, the Advanced Joint Airway Management System (AJAMS) was designed and assessed for physical fidelity and educational utility in a population of paramedic instructors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>Paramedic instructors served as participants in this prospective observational pilot study (n\u2009=\u200912). Participants interacted with three airway management trainers: The AJAMS trainer, the Laerdal Airway Management Trainer, and the TruCorp AirSim Advance Bronchi X Trainer. Participants then completed an evaluation of the trainer using a purpose-built data collection instrument that queried the trainer\u2019s realism and educational utility. Within-group differences were analyzed via a 1-way repeated measures ANOVA, with a Bonferroni post hoc analysis. Rank data were analyzed via non-parametric Freidman\u2019s test, and Wilcoxon signed-rank test post hoc analysis, corrected using the Bonferroni correction.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The AJAMS trainer conveys significantly more physical fidelity (visual: P\u2009&amp;lt;\u2009.001, \u03b7p2\u2009=\u20090.977; tactile: P\u2009&amp;lt;\u2009.001, \u03b7p2\u2009=\u20090.983; and behavioral: P\u2009=\u2009.001, \u03b7p2\u2009=\u20090.971) and overall educational utility (\u03c72(2)\u2009=\u200915.273, P\u2009&amp;lt;\u2009.001) than the two commercially available skill trainers.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>These data suggest that physical fidelity is an important attribute in the design of simulators for health care, as perceived by expert instructors. These data illustrate that the AJAMS-integrated simulator demonstrates unparalleled physical fidelity, relative to commercially available airway management skill trainers.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/milmed\/usae234","type":"journal-article","created":{"date-parts":[[2024,8,19]],"date-time":"2024-08-19T16:52:02Z","timestamp":1724086322000},"page":"702-709","source":"Crossref","is-referenced-by-count":2,"title":["Development and Evaluation of the Advanced Joint Airway Management System for Educational Utility in Endotracheal Intubation, as Assessed by Expert Paramedic Instructors"],"prefix":"10.1093","volume":"189","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4020-2224","authenticated-orcid":false,"given":"Victoria A","family":"Roach","sequence":"first","affiliation":[{"name":"Center for Research in Educational and Simulation Technologies, Division of Healthcare Simulation Science, UW Medicine, University of Washington , Seattle, WA 98195-6410, 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