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.
| Original language | English |
|---|---|
| Journal | 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 |
| Volume | 273 |
| Issue number | 12 |
| Pages (from-to) | 4623-4628 |
| Number of pages | 6 |
| ISSN | 0937-4477 |
| DOIs | |
| Publication status | Published - 1 Dec 2016 |
Keywords
- Adult
- Cadaver
- Clinical Competence
- Cricoid Cartilage
- Emergencies
- Feasibility Studies
- Female
- Humans
- Inservice Training
- Internship and Residency
- Male
- Programmed Instruction as Topic
- Reproducibility of Results
- Video Recording
- Journal Article