Xth Mediterranean Emergency Medicine Congress, Dubrovnik, Croatia, 22 - 25 September 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.