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05/10/2016

Conio: Apprendre 1 h, mieux que rien mais pas assez

Self-directed simulation-based training of emergency cricothyroidotomy: a route to lifesaving skills.

Melchiors J et Al. Eur Arch Otorhinolaryngol. 2016 Jul 5. [Epub ahead of print]
 
 
 
The emergency cricothyroidotomy (EC) is a critical procedure. The high cost of failures increases the demand for evidence-based training methods. The aim of this study was to present and evaluate self-directed video-guided simulation training. Novice doctors were given an individual 1-h simulation training session. One month later, an EC on a cadaver was performed. All EC's were video recorded. An assessment tool was used to rate performance. Performance was compared with a pass/fail level for the EC. We found a high reliability, based on Pearson's r (0.88), and a significant progression of skill during training (p < 0.001). Eleven out of 14 succeeded in creating an airway on the cadaver in 64 s (median, range 39-86 s), but only four achieved a passing score. Our 1-h training protocol successfully raised the competence level of novice doctors; however, the training did not ensure that all participants attained proficiency.

| Tags : airway

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