Biological Response to Stress During Battlefield Trauma Training: Live Tissue Versus High-Fidelity Patient Simulator.

Introduction: Tactical Combat Casualty Care (TCCC) training imposes psychophysiological stress on medics. It is unclear whether these stress levels vary with the training modalities selected. It is also unclear how stress levels could have an impact on medical performance and skill uptake.

A comparison of live tissue training and high-fidelity patient simulator: A pilot study in battlefield trauma training.

Background: Trauma procedural and management skills are often learned on live tissue. However, there is increasing pressure to use simulators because their fidelity improves and as ethical concerns increase. We randomized military medical technicians (medics) to training on either simulators or live tissue to learn combat casualty care skills to determine if the choice of modality was associated with differences in skill uptake.

Revisiting confidence intervals for repeated measures designs.

Loftus and Masson (1994) proposed a method for computing confidence intervals (CIs) in repeated measures (RM) designs and later proposed that RM CIs for factorial designs should be based on number of observations rather than number of participants (Masson & Loftus, 2003). However, determining the correct number of observations for a particular effect can be complicated, given that its value depends on the relation between the effect and the overall design. To address this, we recently defined a general number-of-observations principle, explained why it obtains, and provided step-by-step instructions for constructing CIs for various effect types (Jarmasz & Hollands, 2009).

Confidence intervals in repeated-measures designs: The number of observations principle.

Since the publication of Loftus and Masson's (1994) method for computing confidence intervals (CIs) in repeated-measures (RM) designs, there has been uncertainty about how to apply it to particular effects in complex factorial designs. Masson and Loftus (2003) proposed that RM CIs for factorial designs be based on number of observations rather than number of participants. However, determining the correct number of observations for a particular effect can be complicated, given the variety of effects occurring in factorial designs.

Object-based attention and cognitive tunneling.

Simulator-based research has shown that pilots cognitively tunnel their attention on head-up displays (HUDs). Cognitive tunneling has been linked to object-based visual attention on the assumption that HUD symbology is perceptually grouped into an object that is perceived and attended separately from the external scene. The present research strengthens the link between cognitive tunneling and object-based attention by showing that (a) elements of a visual display that share a common fate are grouped into a perceptual object and that this grouping is sufficient to sustain object-based attention, (b) object-based attention and thereby cognitive tunneling is affected by strategic focusing of attention, and (c) object-based attention is primarily inhibitory in nature.