Development and Evaluation of a Three-Dimensional-Printed Pediatric Intraosseous Infusion Simulator To Enhance Medical Training

Abstract

Vascular access is an essential and rate-limiting step during pediatric resuscitation efforts. Intraosseous (IO) access, an effective resuscitative strategy, remains underutilized in emergency departments. Many medical graduates report never performing the procedure before graduation, and it has been recommended that continuing education and in-servicing programs be implemented to increase the use and familiarity of IO access. The goal of this technical report is to describe the development and evaluation of a threedimensional (3D)-printed Pediatric IO Infusion Model for simulation-based medical education. The simulator was designed by combining open-source models of a human skeleton and a lower leg surface scan in Blender (Blender Foundation, Amsterdam, Netherlands; www.blender.org), scaled to a pediatric size, and manipulated further using a JavaScript program. Polylactic acid was used to simulate bone while silicone molds were used as skin and soft tissue. Two trainers were produced and evaluated by seven emergency medicine physicians, two family medicine residents, and three medical students.Overall, the simulator was positively received with all participants indicating they would recommend it to assist in the training of others. Suggestions focused on enhancing the anatomical representations of both the skin and bones to enhance the learner experience. The content and outcomes of this report support the use of this simulator as part of simulation-based medical education.

Hacking Intraosseous Infusion Skills Training With 3D Printing: maxSIMIO Drilling System

“…Alternative do-ityourself (DIY) IO simulators, such as animal bones, lack human anatomical features necessary for optimal learning and pose logistical and ethical concerns related to practicing on animals [6]. To resolve these concerns, additive manufacturing (AM) techniques using three-dimensional (3D) printing and silicone allow for the creation of cost-effective and anatomically realistic simulators for practicing IO infusion in situations where existing IO simulators are difficult to access [6,10,11]. Previously, the development and validation steps of several 3D-printed and silicone-based IO simulators that can be used for this type of training have been described [6].…”