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The e-learning module was of greatest benefit in the subgroup of student paramedics who were actively working in an ambulance company (42% vs 25%, P = 0.021). Though the median of the difference was higher in the e-learning group, there was no statistically significant superiority over the control (33% vs 17%, P =. 013) and in the e-learning group (67% vs 25%, P =. Adequate choice of PPE increased significantly both in the control (50% vs 25%, P =. The participation rate was of 71% (98/138). The primary outcome was the difference in the percentage of adequate choices of PPE before and after the intervention. The e-learning group was shown the gamified e-learning module right after the guidelines, and before answering post-intervention questions. After a set of 22 questions designed to assess baseline knowledge, the control group was shown the guidelines before answering a set of 14 post-intervention questions. They were informed they would be presented with both an e-learning module and an abridged version of the current regional prehospital COVID-19 guidelines, albeit not in which order.

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Student paramedics from three Swiss schools were invited to participate. This was a web-based, randomized 1:1, parallel-group, triple-blind controlled trial. Our aim was to evaluate the impact of a gamified e-learning module on adequacy of PPE in student paramedics.

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Prehospital professionals such as emergency physicians or paramedics must be able to choose and adequately don and doff personal protective equipment (PPE) in order to avoid COVID-19 infection.








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