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

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

Eur Arch Otorhinolaryngol. 2016 Dec;273(12):4623-4628

Authors: Melchiors J, Todsen T, Nilsson P, Kohl AP, Bøttger M, Charabi B, Konge L, von Buchwald C

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.

PMID: 27380270 [PubMed - indexed for MEDLINE]

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