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Tube thoracostomy training with a medical simulator is associated with faster, more successful performance of the procedure

 Tae Nyoung Chung  ;  Sun Wook Kim  ;  Je Sung You  ;  Hyun Soo Chung 
 Clinical and Experimental Emergency Medicine, Vol.3(1) : 16-19, 2016 
Journal Title
 Clinical and Experimental Emergency Medicine 
Issue Date
Cadaver ; Chest tubes ; Education ; Simulation training
OBJECTIVE: Tube thoracostomy (TT) is a commonly performed intensive care procedure. Simulator training may be a good alternative method for TT training, compared with conventional methods such as apprenticeship and animal skills laboratory. However, there is insufficient evidence supporting use of a simulator. The aim of this study is to determine whether training with medical simulator is associated with faster TT process, compared to conventional training without simulator. METHODS: This is a simulation study. Eligible participants were emergency medicine residents with very few (≤3 times) TT experience. Participants were randomized to two groups: the conventional training group, and the simulator training group. While the simulator training group used the simulator to train TT, the conventional training group watched the instructor performing TT on a cadaver. After training, all participants performed a TT on a cadaver. The performance quality was measured as correct placement and time delay. Subjects were graded if they had difficulty on process. RESULTS: Estimated median procedure time was 228 seconds in the conventional training group and 75 seconds in the simulator training group, with statistical significance (P=0.040). The difficulty grading did not show any significant difference among groups (overall performance scale, 2 vs. 3; P=0.094). CONCLUSION: Tube thoracostomy training with a medical simulator, when compared to no simulator training, is associated with a significantly faster procedure, when performed on a human cadaver.
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1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
Yonsei Authors
유제성(You, Je Sung) ORCID logo https://orcid.org/0000-0002-2074-6745
정현수(Chung, Hyun Soo) ORCID logo https://orcid.org/0000-0001-6110-1495
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