{"title":"Critical Skills Mannequin Training for Cricothyrotomy","authors":"V. Scali, J. Espinosa","doi":"10.30654/MJEM.10038","DOIUrl":null,"url":null,"abstract":"The purpose of this study was to assess whether the low frequency/critically high skill set of cricothyrotomy can be taught to emergency medicine residents at various levels of training. Our study was prospective in design, involving a brief survey concerning years of training, prior experience with cricothyrotomy, sense of comfort with procedure and number witnessed. Participants were emergency medicine residents PGY 2-5. After the survey, participants watched a demonstration video. Cricothyrotomy was then performed by participants on a mannequin using a preassembled cricothyrotomy kit, up to a maximum of 10 attempts. Successful performance was defined as 40 seconds or less as per the training model of Wong et al. When participants were pooled by attempt, the overall reduction in time performance reached a plateau by the 5th attempt. This plateau is identical to the plateau described by Wong in his study of cricothyrotomy training in anesthesiologists. When success was operationally defined as less than or equal to 40 seconds per attempt, the success threshold was definitely reached by the 2nd attempt and reached a plateau by the 5th attempt. Statistical significance of less than p= 0.01 was reached by the second attempt and reached a plateau (p=0.001) by the 5th attempt.","PeriodicalId":128320,"journal":{"name":"Mathews Journal of Emergency Medicine","volume":"48 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2020-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Mathews Journal of Emergency Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.30654/MJEM.10038","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
The purpose of this study was to assess whether the low frequency/critically high skill set of cricothyrotomy can be taught to emergency medicine residents at various levels of training. Our study was prospective in design, involving a brief survey concerning years of training, prior experience with cricothyrotomy, sense of comfort with procedure and number witnessed. Participants were emergency medicine residents PGY 2-5. After the survey, participants watched a demonstration video. Cricothyrotomy was then performed by participants on a mannequin using a preassembled cricothyrotomy kit, up to a maximum of 10 attempts. Successful performance was defined as 40 seconds or less as per the training model of Wong et al. When participants were pooled by attempt, the overall reduction in time performance reached a plateau by the 5th attempt. This plateau is identical to the plateau described by Wong in his study of cricothyrotomy training in anesthesiologists. When success was operationally defined as less than or equal to 40 seconds per attempt, the success threshold was definitely reached by the 2nd attempt and reached a plateau by the 5th attempt. Statistical significance of less than p= 0.01 was reached by the second attempt and reached a plateau (p=0.001) by the 5th attempt.