Akademik Veri Yönetim Sistemi
Xth Mediterranean Emergency Medicine Congress, Dubrovnik, Hırvatistan, 22 - 25 Eylül 2019
Objective: Cricothyroidotomy is a life-saving medical procedure
that allows for tracheal intubation. Most current cricothyroidotomy simulation
models are either expensive or not anatomically accurate and provide the
learner with an unrealistic simulation experience To developed a low-cost model
covered adult cricothyroidotomy simulation model and assessed its possible
usefulness for developing the surgical airway insertion skills among
paramedics.
Design and Method: This sheep model-based interventional study was
performed in a University simulation laboratory setting. We included 52 second
year paramedic student at the Acibadem Mehmet Ali Aydinlar University
Vocational School of Health Services, Istanbul, Turkey. A model was prepared
for training simulation using a sheep trachea and chicken skin. Paramedics
received lecture concerning “can't intubate, can't oxygenate” case and, watched
cricothyroidotomy procedure video. A total of 52 paramedics participating in
this interventional study were asked to insert number 6 endotracheal tube in a
sheep trachea-chicken skin covered model. A senior trainee scored their
performance using a check list and the mean of the total scores was calculated
(12 items; total score, 24).
Results: The mean age
of paramedics was 20.28 (min: 19, max 25). The mean procedural score was 11.58±4.93
of a possible 24. The maximum score of 24 was achieved by 4 of the paramedics.
Of the participants indicate the number of the participants 7; 12 % succeeded
in inserting the tube via an appropriate technique, achieving a score of 20 or
more.
Conclusions: Our results indicated that this model could be useful
for effective training of paramedics for cricothyroidotomy, which is an
important skill in prehospital setting. This model is inexpensive, repeatable
and its use can potentially be widened to improve training methods without
significant financial demand.