High Risk, Low Volume: Evaluation of a Reusable Cricothyrotomy Model in a Paramedic Difficult Airway Training Course

Shaw, Matthew R.; Hughes, Kate

doi:10.1016/j.amj.2020.05.017

Cited by 4 publications

(1 citation statement)

References 16 publications

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“…Fittingly, 42.7% of Australian industrial paramedics surveyed reported having endotracheal intubation (n = 25) in their scope of practice, while 71.9% could perform chest needle decompression (n = 59) and 59.8% could gain intraosseous access (n = 49). ( 28) Skills associated with high acuity, low occurrence procedures and presentations are difficult to maintain (32) with paramedics subject to skill decay. (10) This can be partially mitigated with continuing professional development, including participating in simulation based medical education.…”

Section: Traumatic Presentationsmentioning

confidence: 99%

Clinical Presentations, Physician Consultations and Patient Transport Options for Australian Remote and Industrial Paramedics

Johnston

Acker

2022

Australasian Journal of Paramedicine

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Introduction The aim of this study was to provide a snapshot of Australian remote and industrial paramedics’ patient clinical presentations, experience with physician consultations and options for patient transport to tertiary care. Methods This exploratory, cross-sectional descriptive study employed a purpose-built online survey. Participants were 78 paramedics working in Australian rural and remote industrial settings recruited in 2015 using web-based, respondent-driven sampling. In addition to a series of closed ended questions, respondents were asked to recall the number of times they encountered specific clinical presentations during the past year. Data were analysed using descriptive statistics and modes were calculated for ordinal data associated with clinical presentations. Results The traumatic presentations that participants recalled encountering at least 10 times the preceding year included back pain (39.7%), minor lacerations (38.5%), joint (36.4%) and hand (30.8%) injuries. Respondents selected headache (64.1%), nausea, vomiting or diarrhoea (52.6%), respiratory infections (50%), ear, nose or throat problems (43.6%) and localised infections or rash (39.7%) as the most common medical presentations. Of the respondents, 38.4% managed patients with mental health presentations a minimum of six times in the preceding year, and 45.3% treated at least one patient in cardiac arrest. While 94.8% of participants said topside support was available, over half described consulting physicians infrequently and if they did, it was typically by telephone. Most respondents (61%) indicated that their worksite was located over 100 km from a hospital. Conclusion Survey findings indicate that paramedic participants recall encountering a wide range of clinical presentations and managing low acuity illnesses more commonly than traumatic injuries. Most respondents were located at least 100 km from the nearest hospital and although almost all had access to topside support, over half stated they consulted physicians infrequently.

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Section: Traumatic Presentationsmentioning

confidence: 99%

Clinical Presentations, Physician Consultations and Patient Transport Options for Australian Remote and Industrial Paramedics

Johnston

Acker

2022

Australasian Journal of Paramedicine

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Prehospital Cricothyrotomy: A Narrative Review of Technical, Educational, and Operational Considerations for Procedure Optimization

Lacy,

Kim,

et al. 2024

The Journal of Emergency Medicine

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Evaluation of Cadaver- and Manikin-Based Surgical Airway Simulation Training in Emergency Medicine Resident Doctors

Altintas,

Beser,

Abbasoglu

2024

Preprint

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Introduction: Endotracheal intubation may not always be possible. Therefore, in rare cases where endotracheal intubation is not possible, surgical airway interventions may be needed. In this context, we aimed to evaluate and compare manikin- and cadaver-based surgical airway simulation training programs developed using the ADDIE (Analyze, Design, Develop, Implement, and Evaluate) model for emergency medicine resident doctors (EMRDs). Materials & Methods Thirty-one EMRDs included in the study were first administered a pretest and they were divided into a manikin-based surgical airway simulation training group (group M) and a cadaver-based surgical airway simulation training group (group C), depending on whether they had less or more than two years of experience and based on their pretest scores.16 EMRDs practiced the skill on the whole body cadaver and 15 EMRDs practiced the skill on the 3D printed cricothyrotomy model. An evaluation was made based on the first two levels of the Kirkpatrick model.1stLevel - Reaction: EMRDs’ reactions were evaluated with a 5-point Likert-type surgical airway simulation training program satisfaction survey. 2ndLevel- Learning: EMRDs’ learning levels were evaluated via the cricothyrotomy skill assessment guide at baseline and one month later. 5 participants in each group left the study during the skill assessment 1 month later. Results The average of the satisfaction survey scores of the Group C was 4.85 ± 0.16, and the average of the satisfaction survey scores of the Group M was 4.82 ± 0.20. There was no statistical difference between the average satisfaction survey scores of both groups (p = 0.623). More than half of the EMRDs in both groups successfully performed the cricothyrotomy procedure at first application (Group C success rate %56.3, Group M success rate %73.3).Yet, the EMRDs in group M were significantly more successful than those in group C (p < 0.01). One month later, all EMRDs in both groups completed the procedure successfully. Conclusions The average of the satisfaction survey scores of the Group C was 4.85 ± 0.16, Group M was 4.82 ± 0.20. In the first application of cricothyrotomy, the success rate of Group C was 56.3%, the success rate of Group M was 73.3%, and in the application 1 month later, the success rate of both groups was determined as 100.

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High Risk, Low Volume: Evaluation of a Reusable Cricothyrotomy Model in a Paramedic Difficult Airway Training Course

Cited by 4 publications

References 16 publications

Clinical Presentations, Physician Consultations and Patient Transport Options for Australian Remote and Industrial Paramedics

Clinical Presentations, Physician Consultations and Patient Transport Options for Australian Remote and Industrial Paramedics

Prehospital Cricothyrotomy: A Narrative Review of Technical, Educational, and Operational Considerations for Procedure Optimization

Evaluation of Cadaver- and Manikin-Based Surgical Airway Simulation Training in Emergency Medicine Resident Doctors

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