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

Department of Clinical Medicine

9 Citations (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.

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	https://doi.org/10.1007/s00405-016-4169-0
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

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10.1007/s00405-016-4169-0

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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.

In: 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. 273, No. 12, 01.12.2016, p. 4623-4628.

Research output: Contribution to journal › Journal article › Research › 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, vol. 273, no. 12, pp. 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. In: 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 ; Vol. 273, No. 12. pp. 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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Keywords

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