Page 31 - Journal of Special Operations Medicine - Fall 2017
P. 31

Table 3  Pairwise Comparisons of Glove Group Means for All Users
              Mean of One Glove Group Compared With a            Mean Difference
              Mean of Another Glove Group (One Minus Another)      (seconds)      SE of Difference   p Value
              Cold gloves – bare hands                               3.75            1.722            .029
              Cold gloves & mittens – bare hands                     3.75            1.722            .029
              Glove liners – bare hands                              3.75            1.711            .028
              Glove liners – examination gloves                      3.75            1.711            .028
              Mittens – bare hands                                   3.75            1.711            .028
              Mittens – examination gloves                           3.75            1.711            .028
              Leather gloves – examination gloves                    3.25            1.680            .053
              Cold gloves & mittens – cold gloves                    2.75            1.711            .108
              Glove liners & leather gloves – bare hands             2.75            1.722            .110
              Glove liners & leather gloves – examination gloves     2.75            1.690            .104
              Leather gloves – bare hands                            2.75            1.626            .091
              Flight gloves – bare hands                             1.75            1.722            .309
              Leather gloves – flight gloves                         1.25            1.722            .468
              Mittens – cold gloves                                  1.00            1.678            .552
              Glove liners – cold gloves                             0.75            1.690            .657
              Flight gloves – examination gloves                     0.75            1.690            .657
              Examination gloves – bare hands                        0.25            1.680            .882
              Mittens – glove liners & leather gloves                0.25            1.722            .885
              Glove liners & leather gloves – cold gloves            0.00            1.722            1.00
              Mittens – glove liners                                 0.00            1.626            1.00
              Leather gloves – glove liners & leather gloves        −0.25            1.722            .885
              Glove liners & leather gloves – cold gloves & mittens  −0.50           1.722            .772
              Leather gloves – cold gloves                          −0.50            1.711            .770
              Glove liners & leather gloves – glove liners          −0.75            1.722            .663
              Leather gloves – mittens                              −0.75            1.711            .661
              Flight gloves – cold gloves                           −1.00            1.722            .561
              Glove liners – cold gloves & mittens                  −1.25            1.722            .468
              Flight gloves – glove liners & leather gloves         −1.25            1.711            .465
              Leather gloves – glove liners                         −1.25            1.711            .465
              Mittens – cold gloves & mittens                       −1.50            1.711            .381
              Flight gloves – glove liners                          −1.75            1.690            .301
              Flight gloves – mittens                               −1.75            1.690            .301
              Leather gloves – cold gloves & mittens                −2.00            1.711            .243
              Flight gloves – cold gloves & mittens                 −2.50            1.722            .147
              Examination gloves – cold gloves                      −3.75            1.722            .029
              Examination gloves – cold gloves & mittens            −3.75            1.722            .029
              SE, standard error.

              When time to unwrap for each glove group for each individual   Damage to Gloves or Tourniquets
              user was indexed to the minimum time for that individual (i.e.,   No gloves were damaged during this study. Besides the wrap-
              the time for each glove group divided by that user’s minimum   pers, no tourniquet was damaged among those unwrapped for
              time among all glove groups), the results varied from 1 to 3.1   time.
              among the 36 data points among the four individual users
              (Figure 5). A threefold (3.1/1) spread of the data set indicated   Thicknesses of Glove Groups
              variance, whereas such spread of the individual user data was   The thicknesses of the glove groups ranged from 0mm for bare
              3.1, 2.4, 2.4, and 2.2, for users 1 through 4, respectively.  hands to 2.5mm for cold gloves layered under mittens (Table
                                                                 6; Figure 7). The association between thickness and median
              The mean time to unwrap among all four users was plotted   time to unwrap by glove group was moderate, as tested by
              by the use number to see if users overall acquired more speed   linear regression (R  = 0.6096; Figure 8).
                                                                                2
              with their accrual of experience (Figure 6). The linear regres-
              sion line was gently down sloped with a weak association     Comments of Tourniquet Users
              (time = −0.4292 × user number + 19.479; R  = 0.1671), indicat-  The comments of tourniquet users were both overlapping
                                               2
              ing that the set of four users did not increase speed significantly   and diverse but could be categorized into points learned
              by accruing experience. Individually, three of four individual us-  about unwrapping tourniquets while gloved and into rel-
              ers had results similar to that of the set of all users, but one user   evant tips for training tourniquet users (Tables 7 and 8).
              had an upward (reversed) sloped line, whereas all four associa-  The comments of users were occasionally stratified by the
              tions were weak with R  values less than 0.281.    level of skills of future intended users from novice to expert,
                                2
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