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KMID : 1100620160030010016
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Clinical and Experimental Emergency Medicine
2016 Volume.3 No. 1 p.16 ~ p.19
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Tube thoracostomy training with a medical simulator is associated with faster, more successful performance of the procedure
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Chung Tae-Nyoung
Kim Sun-Wook
You Je-Sung
Chung Hyun-Soo
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Abstract
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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.
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KEYWORD
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Education, Chest tubes, Simulation training, Cadaver
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