Effectiveness of a Low Fidelity Cast Removal Module in Orthopaedic Surgical Simulation.

Autor: Ruder JA; Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, North Carolina., Brighton BK; Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, North Carolina., Vander Have KL; Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, North Carolina., Turvey BR; Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, North Carolina., Hsu JR; Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, North Carolina., Scannell BP; Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, North Carolina. Electronic address: Brian.scannell@carolinas.org.
Jazyk: angličtina
Zdroj: Journal of surgical education [J Surg Educ] 2018 Sep - Oct; Vol. 75 (5), pp. 1329-1332. Date of Electronic Publication: 2018 Feb 23.
DOI: 10.1016/j.jsurg.2018.01.020
Abstrakt: Objective: The purpose of this study is to determine if an educational model during a surgical skills laboratory results in a significant reduction in cast saw blade temperatures generated during cast removal.
Design: As part of an orthopedic resident surgical skills laboratory an Institutional Review Board-approved study was performed. A total of 17 study subjects applied a short arm cast. Everyone removed 1 short arm cast with temperatures recorded on the saw blade. Following cast removal, an educational session was conducted on proper cast removal and blade cooling techniques. Everyone then removed a second cast. Blade temperatures were recorded. To assess reproducibility, the 5 PGY-1 orthopedic residents removed a short arm cast 3 months later.
Setting: Carolinas Medical Center, Charlotte, NC, tertiary care center PARTICIPANTS: A total of 17 study subjects with minimal casting experience (5 PGY-1 orthopedic residents and 12 senior medical students) applied a short arm cast.
Results: Following the educational session there was a significant reduction in mean and mean maximum blade temperatures (p < 0.05). During the second round of cast removal assessment of blade temperatures and specific techniques to cool the blade were observed among all participants. At 3 months' time, the mean and mean maximum blade temperatures remained significantly lower than before the educational session (p < 0.05).
Conclusions: The intervention in this study reduced the maximum blade temperatures to levels below the threshold known to cause burns. This simple, low cost, and easily reproducible model can easily be disseminated across institutions and simulation laboratories.
(Copyright © 2018 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: