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that the obese synthetic manikin was equivocally realistic, in that the landmarks were equally difficult to palpate and because it simulated bleeding.Our study demonstrates that this novel 'obese neck' synthetic model reproduces many of the difficulties encountered when performing an eFONA in an obese patient: it performed in a similar fashion to an obese meat-modified model and was more challenging than a traditional 'slim neck' manikin, while avoiding the practical hygiene issues associated with using pork belly to modify manikins. Such synthetic manikins may be useful tools for improving eFONA training in the future.

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