Tube thoracostomy training with a medical simulator is associated with faster, more successful performance of the procedure
Clinical and Experimental Emergency Medicine
; (4): 16-19, 2016.
Article
em En
| WPRIM
| ID: wpr-649221
Biblioteca responsável:
WPRO
ABSTRACT
OBJECTIVE: Tube thoracostomy (TT) is a commonly performed intensive care procedure. Simulator training may be a good alternative method for TT training, compared with conventional methods such as apprenticeship and animal skills laboratory. However, there is insufficient evidence supporting use of a simulator. The aim of this study is to determine whether training with medical simulator is associated with faster TT process, compared to conventional training without simulator. METHODS: This is a simulation study. Eligible participants were emergency medicine residents with very few (≤3 times) TT experience. Participants were randomized to two groups: the conventional training group, and the simulator training group. While the simulator training group used the simulator to train TT, the conventional training group watched the instructor performing TT on a cadaver. After training, all participants performed a TT on a cadaver. The performance quality was measured as correct placement and time delay. Subjects were graded if they had difficulty on process. RESULTS: Estimated median procedure time was 228 seconds in the conventional training group and 75 seconds in the simulator training group, with statistical significance (P=0.040). The difficulty grading did not show any significant difference among groups (overall performance scale, 2 vs. 3; P=0.094). CONCLUSION: Tube thoracostomy training with a medical simulator, when compared to no simulator training, is associated with a significantly faster procedure, when performed on a human cadaver.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Cadáver
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Toracostomia
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Tubos Torácicos
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Cuidados Críticos
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Educação
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Medicina de Emergência
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Treinamento por Simulação
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Métodos
Tipo de estudo:
Clinical_trials
Limite:
Animals
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Humans
Idioma:
En
Revista:
Clinical and Experimental Emergency Medicine
Ano de publicação:
2016
Tipo de documento:
Article