An Inexpensive Conceptual Training Model for Transvenous Pacemaker Placement.

Autor: Young TP; Loma Linda University School of Medicine, Medical Simulation Center, Loma Linda, California. Loma Linda University Medical Center and Children's Hospital, Department of Emergency Medicine, Loma Linda, California., Tango JM; Loma Linda University School of Medicine, Medical Simulation Center, Loma Linda, California. Loma Linda University Medical Center and Children's Hospital, Department of Emergency Medicine, Loma Linda, California., Toomasian CJ; Loma Linda University School of Medicine, Medical Simulation Center, Loma Linda, California. Loma Linda University Medical Center and Children's Hospital, Department of Emergency Medicine, Loma Linda, California., Kendric KJ; Loma Linda University School of Medicine, Medical Simulation Center, Loma Linda, California. Loma Linda University Medical Center and Children's Hospital, Department of Emergency Medicine, Loma Linda, California., Bengiamin DI; Loma Linda University School of Medicine, Medical Simulation Center, Loma Linda, California. Loma Linda University Medical Center and Children's Hospital, Department of Emergency Medicine, Loma Linda, California.
Jazyk: angličtina
Zdroj: The western journal of emergency medicine [West J Emerg Med] 2019 Dec 19; Vol. 21 (1), pp. 180-183. Date of Electronic Publication: 2019 Dec 19.
DOI: 10.5811/westjem.2019.12.44366
Abstrakt: Introduction: Emergent transvenous (TV) pacemaker placement can be life-saving, but it has associated complications. Emergency medicine (EM) educators must be able to teach this infrequent procedure to trainees.
Methods: We constructed a conceptually-focused, inexpensive training model made from polyvinyl chloride pipes and connectors, vinyl tubing, and a submersible pump. Cost of the model was $51. We tested the model with a group of 15 EM residents. We then asked participants to complete a survey reporting confidence with the procedure before and after the session. Confidence was compared using a Wilcoxon matched-pairs test.
Results: Confidence improved after the session, with a median confidence before the session of 2 (minimally confident; interquartile range [IQR] 1-3) and a median confidence after the session of 4 (very confident; IQR 3-4, p=0.001). All residents agreed that the model helped them to understand the process of placing a TV pacemaker.
Conclusion: Our TV pacemaker placement model was inexpensive and allowed for practice of a complex emergency procedure with direct visualization. It improved trainee confidence.
Databáze: MEDLINE
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