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Comparison of the bleeding cricothyrotomy model to SimMan for training students and residents emergency cricothyrotomy | ||
| Journal of Advances in Medical Education & Professionalism | ||
| مقاله 6، دوره 7، شماره 3، مهر 2019، صفحه 144-148 اصل مقاله (452.92 K) | ||
| نوع مقاله: Short Communication | ||
| شناسه دیجیتال (DOI): 10.30476/jamp.2019.74895 | ||
| نویسندگان | ||
| ALISA WRAY* 1؛ FARAZ KHAN2؛ JOHN RAY1؛ ROBERT ROWE1؛ MEGAN BOYSEN OSBORN1؛ SHANNON TOOHEY1؛ WARREN WIECHMANN1 | ||
| 1University of California, Irvine, Department of Emergency Medicine, Orange, CA, USA | ||
| 2University of California, Irvine, School of Medicine, Irvine, CA, USA | ||
| چکیده | ||
| Introduction: A cricothyroidotomy is an emergency procedure that few emergency medicine residents see or perform during their training. Therefore, there is a need for low cost, high fidelity models for training. In this study, we explore a new training model for cricothyroidotomies (the bleeding CRIC [cost-effective realistic interactive cricothyroidotomy]) to determine if this new tasktrainer is non-inferior compared to the current standard of training. Methods: Authors conducted a randomized control noninferiority study. There were seventeen residents and medical students enrolled by convenience sample to partake in the study. The participants were randomized by block randomization to be taught how to perform a ricothyroidotomy on either the new task trainer or the current standard task trainer and then were asked to perform the procedure on a pig trachea model. Primary outcome measures were scores on a previously validated objective assessment tool and secondary outcomes were comfort levels and realism scores based on pre and post survey results which were analyzed with ANOVA. Results: There was found to be no statistically significant difference between the groups in assessment scores, time to completion, or comfort levels pre- and post-intervention. There was a statistically significant difference in that the participants gave higher realism scores in post-test analysis to the Bleeding CRIC compared to the SimMan. Both groups demonstrated that they had significantly improved comfort levels from baseline post-intervention. Conclusion: Overall, the new task trainer was rated by learners to feel more realistic than the current standard. This study demonstrates non-inferiority of the new task trainer and further studies with larger sample sizes should be conducted to determine its true efficacy. | ||
| کلیدواژه‌ها | ||
| Graduate؛ Medical education؛ Simulation training؛ High fidelity simulation training | ||
| مراجع | ||
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1. Makowski AL. The ethics of using the recently deceased to instruct residents in cricothyrotomy. Ann Emerg Med. 2015;66(4):403-8. 2. Reiter DA, Lakoff DJ, Trueger NS, Shah KH. Individual interactive instruction: an innovative enhancement to resident dducation. YMEM. 2013;61(1):110-3. 3. Burnette K, Ramundo M, Stevenson M, Beeson MS. Evaluation of a web-based asynchronous pediatric emergency medicine learning tool for residents and medical students. Acad Emerg Med. 2016;16:S46-S50. 4. Toohey SL, Wray A, Wiechmann W, Lin M, Boysen- Osborn M. Ten tips for engaging the millennial learner and moving an emergency medicine residency curriculum into the 21st century. WestJEM. 2016;17(3):1-9. 5. Makowski A. A survey of graduating emergency medicine residents’ experience with cricothyrotomy. WestJEM. 2013;14(6):654-61. 6. ACGME program requirements for graduate medical education in emergency medicine [internet]. [Cited: May 26, 2016. Accessed May 26, 2016]. Available from: https://www.acgme.org/Portals/0/ PFAssets/ProgramRequirements/110_emergency_m edicine_07012015.pdf. 7. Greif R, Egger L, Basciani RM, Lockey A, Vogt A. Emergency skill training – a randomized controlled study on the effectiveness of the 4-stage approach compared to traditional clinical teaching. Resuscitation. 2010;81(12):1692-7. 8. Cho J, Kang GH, Kim EC, Oh YM, Choi HJ, Im TH, et al. Comparison of manikin versus porcine models in cricothyrotomy procedure training. Emerg Med J. 2008;25(11):732-4. 9. Malekzadeh S, Malloy KM, Chu EE, Tompkins J, Battista A, Deutsch ES. ORL emergencies boot camp: using simulation to onboard residents. Laryngoscope. 2011;121(10):2114-21. 10. Murphy C, Rooney SJ, Maharaj CH, Laffey JG, Harte BH. Comparison of three cuffed emergency percutaneous cricothyroidotomy devices to conventional surgical cricothyroidotomy in a porcine model. Br J Anaesth. 2011;106(1):57-64. 11. Melchiors J, Todsen T, Nilsson P, Wennervaldt K, Charabi B, Bøttger M, et al. Preparing for emergency: a valid, reliable assessment tool for emergency cricothyroidotomy skills. Otolaryngol Head Neck Surg. 2015;152(2):260-5. 12. Berry M, Lystig T, Reznick R, Lönn L. Assessment of a virtual interventional simulator trainer. J Endovasc Ther. 2006;13(2):237-43. 13. Laerdal. Deluxe Difficult Airway Trainer [internet]. [Accessed October 21, 2018]. Available from: https:// www.laerdal.com/us/item/261-10001. | ||
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