Self-directed simulation-based training of emergency cricothyroidotomy: a route to lifesaving skills
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Standard
Self-directed simulation-based training of emergency cricothyroidotomy : a route to lifesaving skills. / Melchiors, Jacob; Todsen, Tobias; Mørkeberg Nilsson, Philip; Kohl, Andreas Pagh; Bøttger, Morten; Charabi, Birgitte; Konge, Lars; von Buchwald, Christian.
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, 12.2016, s. 4623-4628.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
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
Y1 - 2016/12
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
VL - 273
SP - 4623
EP - 4628
JO - Archiv fur klinische und experimentelle Ohren- Nasen- und Kehlkopfheilkunde
JF - Archiv fur klinische und experimentelle Ohren- Nasen- und Kehlkopfheilkunde
SN - 0942-8992
IS - 12
ER -
ID: 176470585