The Impact and Description of a Training Program With a Novel Landmark Device for Needle Thoracostomy.

WMJ : official publication of the State Medical Society of Wisconsin Pub Date : 2026-01-01

Justin T Chu, Thomas Engel, Matthew Chinn, Benjamin W Weston

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Abstract

Background: Needle thoracostomy (NT) is a lifesaving procedure for patients with tension pneumothorax but requires correct anatomical placement to ensure effectiveness and minimize complications. We describe a novel emergency medical services (EMS) training using a lateral NT landmark device, the SAM ThoraSite, and report provider feedback on the training.

Methods: A 90-minute training was delivered to EMS providers. Providers completed pre- and post-training surveys regarding confidence in procedural performance, concerns about complications, and overall educational experience.

Results: The response rate was 79.4%. Post-training confidence in correctly performing NT increased significantly (7.1 vs 9.0, P < .001). Participants also reported higher satisfaction with this training compared with prior needle thoracostomy education (6.9 vs 9.3, P < .001).

Conclusions: A novel EMS educational session incorporating the ThoraSite landmark device improved provider confidence in NT performance and increased satisfaction with training.

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一种新型胸廓针切开术标志性器械训练方案的影响与描述。

背景：针刺开胸术（NT）是张力性气胸患者的救命手术，但需要正确的解剖位置以确保效果并减少并发症。我们描述了一种使用侧位NT地标装置SAM ThoraSite的新型紧急医疗服务（EMS）培训，并报告了提供者对培训的反馈。方法：对EMS提供人员进行90分钟的培训。提供者完成了培训前和培训后的调查，包括对手术表现的信心、对并发症的担忧和总体教育经历。结果：总有效率为79.4%。训练后对正确执行NT的信心显著增加（7.1 vs 9.0, P < 0.001）。与先前的开胸针教育相比，参与者也报告了更高的培训满意度（6.9 vs 9.3， P）。结论：采用ThoraSite标志性装置的新型EMS教育课程提高了提供者对NT表现的信心，提高了培训满意度。

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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WMJ : official publication of the State Medical Society of Wisconsin

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