Self-directed simulation-based training of emergency cricothyroidotomy: a route to lifesaving skills

TY - JOUR

T1 - Self-directed simulation-based training of emergency cricothyroidotomy

T2 - a route to lifesaving skills

AU - Melchiors, Jacob

AU - Todsen, Tobias

AU - Mørkeberg Nilsson, Philip

AU - Kohl, Andreas Pagh

AU - Bøttger, Morten

AU - Charabi, Birgitte

AU - Konge, Lars

AU - von Buchwald, Christian

PY - 2016/12/1

Y1 - 2016/12/1

N2 - The emergency cricothyroidotomy (EC) is a critical procedure. The high cost of failures increases the demand for evidence-based training methods. The aim of this study was to present and evaluate self-directed video-guided simulation training. Novice doctors were given an individual 1-h simulation training session. One month later, an EC on a cadaver was performed. All EC's were video recorded. An assessment tool was used to rate performance. Performance was compared with a pass/fail level for the EC. We found a high reliability, based on Pearson's r (0.88), and a significant progression of skill during training (p < 0.001). Eleven out of 14 succeeded in creating an airway on the cadaver in 64 s (median, range 39-86 s), but only four achieved a passing score. Our 1-h training protocol successfully raised the competence level of novice doctors; however, the training did not ensure that all participants attained proficiency.

AB - The emergency cricothyroidotomy (EC) is a critical procedure. The high cost of failures increases the demand for evidence-based training methods. The aim of this study was to present and evaluate self-directed video-guided simulation training. Novice doctors were given an individual 1-h simulation training session. One month later, an EC on a cadaver was performed. All EC's were video recorded. An assessment tool was used to rate performance. Performance was compared with a pass/fail level for the EC. We found a high reliability, based on Pearson's r (0.88), and a significant progression of skill during training (p < 0.001). Eleven out of 14 succeeded in creating an airway on the cadaver in 64 s (median, range 39-86 s), but only four achieved a passing score. Our 1-h training protocol successfully raised the competence level of novice doctors; however, the training did not ensure that all participants attained proficiency.

KW - Adult

KW - Cadaver

KW - Clinical Competence

KW - Cricoid Cartilage

KW - Emergencies

KW - Feasibility Studies

KW - Female

KW - Humans

KW - Inservice Training

KW - Internship and Residency

KW - Male

KW - Programmed Instruction as Topic

KW - Reproducibility of Results

KW - Video Recording

KW - Journal Article

U2 - 10.1007/s00405-016-4169-0

DO - 10.1007/s00405-016-4169-0

M3 - Journal article

C2 - 27380270

SN - 0937-4477

VL - 273

SP - 4623

EP - 4628

JO - European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

JF - European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

IS - 12

ER -