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

Jacob Melchiors; Tobias Todsen; Philip Mørkeberg Nilsson; Andreas Pagh Kohl; Morten Bøttger; Birgitte Charabi; Lars Konge; Christian von Buchwald

doi:10.1007/s00405-016-4169-0

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

Jacob Melchiors, Tobias Todsen, Philip Mørkeberg Nilsson, Andreas Pagh Kohl, Morten Bøttger, Birgitte Charabi, Lars Konge, Christian von Buchwald

Institut for Klinisk Medicin

9 Citationer (Scopus)

Abstract

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.

Originalsprog	Engelsk
Tidsskrift	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
Vol/bind	273
Udgave nummer	12
Sider (fra-til)	4623-4628
Antal sider	6
ISSN	0937-4477
DOI	https://doi.org/10.1007/s00405-016-4169-0
Status	Udgivet - 1 dec. 2016

Adgang til dokumentet

10.1007/s00405-016-4169-0

Citationsformater

Melchiors, J., Todsen, T., Mørkeberg Nilsson, P., Kohl, A. P., Bøttger, M., Charabi, B., Konge, L., & von Buchwald, C. (2016). Self-directed simulation-based training of emergency cricothyroidotomy: a route to lifesaving skills. 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, 273(12), 4623-4628. https://doi.org/10.1007/s00405-016-4169-0

Self-directed simulation-based training of emergency cricothyroidotomy : a route to lifesaving skills. / Melchiors, Jacob; Todsen, Tobias; Mørkeberg Nilsson, Philip et al.

I: 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, Bind 273, Nr. 12, 01.12.2016, s. 4623-4628.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review

Melchiors, J, Todsen, T, Mørkeberg Nilsson, P, Kohl, AP, Bøttger, M, Charabi, B, Konge, L & von Buchwald, C 2016, 'Self-directed simulation-based training of emergency cricothyroidotomy: a route to lifesaving skills', 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, bind 273, nr. 12, s. 4623-4628. https://doi.org/10.1007/s00405-016-4169-0

Melchiors J, Todsen T, Mørkeberg Nilsson P, Kohl AP, Bøttger M, Charabi B et al. Self-directed simulation-based training of emergency cricothyroidotomy: a route to lifesaving skills. 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. 2016 dec. 1;273(12):4623-4628. doi: 10.1007/s00405-016-4169-0

Melchiors, Jacob ; Todsen, Tobias ; Mørkeberg Nilsson, Philip et al. / Self-directed simulation-based training of emergency cricothyroidotomy : a route to lifesaving skills. I: 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. 2016 ; Bind 273, Nr. 12. s. 4623-4628.

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abstract = "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.",

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

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