02.10.01. Investigación y comunicación científica

Aprendizaje combinado frente a realidad virtual y métodos tradicionales en la formación en reanimación cardiopulmonar: un ensayo aleatorizado en estudiantes universitarios

Sun, 01 Feb 2026 00:00:00 GMT

Aprendizaje combinado frente a realidad virtual y métodos tradicionales en la formación en reanimación cardiopulmonar: un ensayo aleatorizado en estudiantes universitarios Ocampo-Cervantes, Ana-Belén; Greif, Robert; Castro-Delgado, Rafael; López-López, Carmen-Amalia; Carrión-García, Eduardo; Pardo-Ríos, Manuel OBJECTIVE: Out-of-hospital cardiac arrest is the leading cause of sudden death. Basic Life Support (BLS) training is an essential competency in Nursing. Active learning methodologies such as blended learning may improve educational outcomes. DESIGN: A randomized controlled trial with four parallel groups (n=160). PARTICIPANTS: was conducted among first-year undergraduate nursing students. Site: At a university in the Region of Murcia, Spain. INTERVENTIONS: Four methodologies were compared: traditional training, virtual reality (VR), blended learning, and a control group with no intervention. Practical competence was assessed using an 8-item checklist covering key steps in the chain of survival. Technical parameters were measured using Laerdal QCPR® manikins, including percentage of high-quality CPR, compression depth, rate, and full chest recoil. ANOVA, chi-square tests, and correlation models were applied (p<0.05). RESULTS: Practical competence differed significantly between groups (p<0.001). MAIN MEASUREMENTS: The blended and traditional groups achieved the highest scores (6.6±1.7 and 6.6±1.5, respectively), followed by the VR group (6.3±1.5) and the control group (3.1±1.5). Mean CPR quality also differed significantly (p=0.0045), with the blended group showing the highest percentage (72.3%), followed by traditional (65.4%), VR (63.4%), and control (46.9%). Regarding compression depth (p=0.0011), the blended and VR groups achieved similar results (6.1cm), outperforming the traditional (5.5cm) and control (4.8cm) groups. Perceived usability of the VR system was high (78/100). CONCLUSIONS: Blended learning showed overall better performance in most variables analyzed, with higher CPR quality and equal or superior results in practical competence and compression depth compared to the traditional and immersive models. These findings support its effectiveness as a teaching strategy for acquiring BLS competencies.

Dimethyl fumarate induced Wells syndrome. A case report

Sun, 01 Jan 2023 00:00:00 GMT

Dimethyl fumarate induced Wells syndrome. A case report Candeliere-Merlicco, Antonio; Villaverde-González, Ramón; Hidalgo-Pérez, Paloma-Victoria; Escobar-Arias, Fabio-Hugo; Aparicio-Castro, Eladio; Lastres-Arias, María-del-Carmen INTRODUCTION: Wells syndrome, also known as eosinophilic cellulitis, is a rare dermatosis with approximately 200 cases previously described in the literature. Here, we present a case of a patient with multiple sclerosis with Wells syndrome induced by dimethyl fumarate (DMF). CASE REPORT: A 41-year-old Caucasian woman was treated with DMF in July 2021. One week later, she experienced itching on her upper and lower right arm, followed by the appearance of erythematous plaques covered with vesicles. The complete blood count showed an increased eosinophil count of up to 2,000 µL. The histological images demonstrated dermal eosinophil infiltration concordant with Wells syndrome. The clinical course was benign, with complete resolution of the lesions and normalization of the eosinophil count within four weeks. Administration of corticosteroids was not necessary. CONCLUSIONS: Eosinophilia is rare in patients with multiple sclerosis treated with DMF and usually does not require dosage adjustments. Although clinical manifestations of eosinophilia in these patients are very rare, it is important for practitioners to recognize the symptoms. Many neuroleptic drugs can induce eosinophilia and systemic symptoms; therefore, physicians must be aware of the risks associated with DMF and neuroleptic drugs, particularly for quetiapine, which contains fumarate.

Evaluation of advanced life support training through virtual reality: A cross-sectional observational study in a hypothermia and helicopter evacuation scenario

Fri, 16 Jan 2026 00:00:00 GMT

Evaluation of advanced life support training through virtual reality: A cross-sectional observational study in a hypothermia and helicopter evacuation scenario Sánchez-Gómez, Marina; López-López, Carmen-Amalia; Greif, Robert; Semeraro, Federico; Ocampo-Cervantes, Ana-Belén; Pons-Claramonte, Manuel; Nieto-Caballero, Sergio; Alcázar-Artero, Petronila-Mireia; Pardo-Ríos, Manuel; Guillén-Martínez, Daniel To evaluate clinical performance and user perception after advanced life support training through immersive virtual reality (VR) simulation, focused on decision-making in a hypothermia scenario involving a helicopter evacuation. Cross-sectional observational study with an analytical component. Update Course on Ultrasound and Emergencies organized by the semFYC, held in Las Palmas de Gran Canaria from February 6 to 8, 2025. 101 healthcare professionals who fully completed the simulation experience and assessment questionnaires. Immersive VR clinical simulation using a 360 degrees video recorded at a ski station, presented through Meta Quest 3 (R) headsets. The scenario included 16 clinical decisions related to the management of a hypothermic patient during air transport. Percentage of correct clinical decisions, subjective perception (satisfaction, realism, confidence), and system usability assessed using the System Usability Scale (SUS). The mean score for correct decisions was 69.4% (SD = 15.2). Participants rated the experience very positively, highlighting realism (8.87/10), training usefulness (M > 4.7/5), and increased clinical confidence. The mean SUS score was 76.7, indicating "good" usability. A lower performance was identified in specific advanced hypothermia decision-making items. Immersive VR simulation proved to be a feasible, well-accepted, and useful strategy for training in clinical decision-making in complex, low-frequency scenarios. The results support its integration as a complementary tool in continuing emergency training programs.

Scoping review of the evolution of delirium detection, diagnostic, and severity assessment scales

Wed, 01 Apr 2026 00:00:00 GMT

Scoping review of the evolution of delirium detection, diagnostic, and severity assessment scales Alonso-Crespo, David; Rodríguez-Mondéjar, Juan-José; Leal-Costa, César Aim/Objective: To systematically compile and analyze all delirium detection tools, establishing a temporal and contextual framework to clarify current knowledge. Background: Delirium is a prevalent condition in hospitalized patients, particularly older adults, associated with high morbidity, mortality, and healthcare burden. Early diagnosis is essential for timely intervention. Despite the development of numerous diagnostic tools over five decades, existing resources remain fragmented, necessitating a comprehensive synthesis. Methods: A scoping review was conducted across six databases (PubMed, Cochrane Library, Cuiden, LILACS, CINAHL, Web of Science) following Joanna Briggs Institute (JBI) methodology and PRISMA-ScR guidelines. Results: Nearly 100 delirium detection tools were identified and categorized into five comparative tables, providing a structured overview of key features. Conclusions: This review consolidates dispersed information, presenting a comprehensive timeline of delirium assessment tools. Findings support clinical practice and research by offering an updated, structured perspective on available screening and diagnostic methods. (c) 2026 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)