Cost-effective task trainers for mastering drill handling in pediatric intraosseous procedure

IF 2.5 3区医学 Q1 NURSING

Clinical Simulation in Nursing Pub Date : 2025-10-04 DOI:10.1016/j.ecns.2025.101829

Marta Mencarelli M.Sc , Marco De Luca MD , Lorenzo Torzini M.Sc , Luca Puggelli PhD , Francesco Severi M.Sc , Vincenzo Abagnale M.Sc , Yary Volpe PhD

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引用次数: 0

Abstract

Background

Intraosseous (IO) access is a life-saving procedure when intravenous access is impossible in pediatric emergencies. Proficiency in IO technique, particularly drill handling, patient positioning, and site identification, is essential to minimize complications and improve outcomes.

Methods

To address the high cost and limited accessibility of commercial simulators, low-cost task trainers were developed using 3D printing and silicone casting. These trainers focused on drill handling, allowing trainees to progressively acquire procedural skills.

Results

Initial validation was conducted with experts at Meyer Children’s Hospital during a European Pediatric Immediate Life Support (EPILS) course. Structured feedback indicated high satisfaction with tactile realism and educational value. Based on this feedback, a second prototype with a fluid simulation system was implemented to enhance realism further. Nursing professionals, often first responders in emergencies, particularly benefited from the improved version, reporting increased confidence and competence.

Conclusion

The cost-effective IO task trainers offer a scalable, realistic alternative to commercial models, expanding access to essential training. Their affordability and usability make them suitable for diverse healthcare settings, enhancing preparedness for pediatric emergencies.

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具有成本效益的任务培训师掌握演练处理儿科骨内手术

背景：在儿科急诊无法静脉进入时，经骨（IO）进入是一种挽救生命的手术。熟练掌握IO技术，特别是钻头操作、患者体位和部位识别，对于减少并发症和改善预后至关重要。方法为了解决商业模拟器的高成本和有限的可及性，采用3D打印和硅胶铸造技术开发了低成本的任务训练器。这些培训师侧重于演练操作，让学员逐步获得程序性技能。在欧洲儿科紧急生命支持（EPILS）课程期间，Meyer儿童医院的专家进行了初步验证。结构化的反馈表明，对触觉真实感和教育价值的满意度很高。在此反馈的基础上，采用流体模拟系统实现了第二个原型，以进一步增强真实感。护理专业人员，通常是紧急情况的第一响应者，尤其受益于改进后的版本，报告信心和能力增强。结论具有成本效益的IO任务训练器提供了一种可扩展的、现实的替代商业模型，扩大了基本培训的可及性。它们的可负担性和可用性使它们适用于各种医疗保健环境，加强了对儿科紧急情况的准备。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.