Tube thoracostomy training with a medical simulator is associated with faster, more successful performance of the procedure.
- Author:
Tae Nyoung CHUNG
1
;
Sun Wook KIM
;
Je Sung YOU
;
Hyun Soo CHUNG
Author Information
- Publication Type:Original Article
- Keywords: Education; Chest tubes; Simulation training; Cadaver
- MeSH: Animals; Cadaver; Chest Tubes; Critical Care; Education; Emergency Medicine; Humans; Methods; Simulation Training; Thoracostomy*
- From: Clinical and Experimental Emergency Medicine 2016;3(1):16-19
- CountryRepublic of Korea
- Language:English
- Abstract: 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.
