Accepted Type
Dedicated Poster
Code
P3 - 05
Acceptance Declaration
Accept
Additional Information
I declare I have no actual or potential conflict of interest in relation to this program.
Was this work accepted for CCME 2020?
no
Category
General Call (Workshop, Oral Presentation, Poster Presentation)
Type
Poster
Sub Type
Education Innovation
Will the presenter be a:
Other
Presenter Other
Professor
Affiliation
Title
Procedural Simulation of Adult Surgical Cricothyrotomy for Anesthesiology and Acute Care Residents: Adapted for COVID-19
Length of Presentation
Background/Purpose
In a CICO (cannot intubate, cannot oxygenate) situation, anesthesiologists and acute care physicians must be able to perform an emergency cricothyrotomy (front-of-neck airway procedure). In COVID-19 airway management guidelines, bougie-assisted surgical cricothyrotomy is the recommended emergency strategy for CICO situations.
Summary of the Innovation
CICO are high-acuity situations with rare opportunities for safe practice. We designed a four-hour procedural simulation workshop for sixteen medical residents. They were given pre-requisite readings, a lecture, and videotaped demonstrations. Two clinical scenarios introduced deliberate practice on partial-task neck simulators and fresh cadavers. We surveyed thirty-two residents in anaesthesiology and emergency medicine who reported that the workshop was well structured, appropriate for their level, and authentic. Participants were confident that the workshop improved their technical skills. We analyzed narrative comments related to three domains: preparation for the procedure, performing the procedure, and maintaining the skills. Participants highlighted the importance of performing the procedure many times and mentioned the representativeness of fresh cadavers.
Conclusion
To complete an infrequently performed procedure within 60 seconds, participants must remember instantly its basic steps and pitfalls. To prevent cognitive overload, we provided a silent video demonstration. We segmented the procedure and asked participants to verbalize the five steps of the procedure on multiple occasions. Mental imagery, live video feeds, telesimulation and 3D printers can be used to adapt the workshop to physical distancing recommendations. In this case, we suggest allocating 30 minutes to each participant to allow the supervision of at least five successful procedures.
Keyword 1
Cricothyroidotomy
Keyword 2
Simulation-Based Education
Keyword 3
COVID-19
Level of Training
Post Graduate
Abstract Themes
Postgraduate
Additional Theme (First choice)
Patient Safety
Additional Theme (Second Choice)
Continuing Medical Education
Additional Theme (Third Choice)
Authors
Presenter
Mathieu Asselin
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes
