A108采用高保真部分任务模型替代动物模型加强急诊医学开胸训练

Lisa Stevens, Sini John, Saleel Latheef
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摘要

自2018年以来,当地开设了一门课程,提供急诊医学学员可能需要执行的罕见、时间紧迫的救生程序培训,包括紧急侧胸开胸术。在此课程中,以前曾使用猪胸来进行开胸训练。2022年,购买了部分任务模型用于开胸训练,以取代该模型。我们将其与动物模型的使用进行比较,以提供该技能的模拟教学。动物模型是有用的,因为可用性,低成本,并为学习者提供实践经验。然而,将动物用于教育目的存在伦理、宗教和心理上的限制。它们可能不太准确地代表人体解剖和病理。它们的及时获取会对除霜要求和可变条件构成挑战,从而影响培训质量。由于液体泄漏,相关的难闻气味和动物产品需要焚烧处理,存在感染风险。高保真部分任务模型可以在解剖学和生理学上复制开胸经验,提供真实的模拟训练。人体模型配备了逼真的人体外部特征和内部器官解剖结构,包括跳动的热量和血液,以提供身临其境的训练体验。它是可重复使用的修复,这可能是长期的成本效益和更环保。该模型使开胸术在安全、可控的环境中进行,没有感染风险。另一个优点是能够提供标准化的训练,更好地对表现进行客观评估,这在动物模型中是具有挑战性的。该模型(我们使用的沉浸式侧边开胸模型,完全可修复,可以多次使用,以获得真实的学习者体验)对于科室来说,使用该模型存在缺点,但整体的学习体验和可持续性优于动物模型,用于紧急开胸训练。作者确认已符合研究行为和传播的所有相关伦理标准。提交作者确认已获得相关的伦理批准(如适用)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A108 Using a high-fidelity part-task model as a replacement for animal models to enhance emergency medicine thoracotomy training
A local course has been delivered since 2018 to provide training in rare, time-critical, life-saving procedures that emergency medicine trainees may need to perform, including emergency lateral thoracotomy. Previously pig thoraxes have been used to provide thoracotomy training in this course. In 2022 a part-task model was purchased for thoracotomy training to replace this. We compare the use of this to animal models in our provision of simulation teaching of this skill. Animal models are useful due to availability, low cost, and provision of hands-on experience for learners. However, there are associated ethical, religious, psychological limitations with using animals for educational purposes. They may less accurately represent human anatomy and pathology. Their timely acquisition can pose a challenge with defrosting requirements and variable condition which can impact on the quality of training. There are infection risks due to fluid leakage, associated unpleasant odour and animal products require incineration for disposal. The high-fidelity part-task mannequin can anatomically and physiologically replicate the thoracotomy experience to provide realistic simulation training. The mannequin is equipped with realistic external human features and internal organ anatomy, including a beating heat and blood, to provide an immersive training experience. It is reusable with repair, which could be cost-effective long term and more environmentally-friendly. This model enables thoracotomy skill practice in a safe, controlled environment without infection risk. Another advantage is the ability to provide standardized training, better allowing for objective evaluation of performance which can be challenging with animal models. This model ( The immersive lateral thoracotomy model we are using, which is fully repairable to be used multiple times for authentic learner experience There are disadvantages to use of this model for the department, but the overall learning experience and sustainability is felt to be superior to animal models for training in emergency thoracotomy. Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
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