Skilled laboratory training human patient simulation for airway management - part of basic life support by ‘mannequin – simulation method’ – training for residents.

Authors:Sandhya Gujar, Pradnya Jagtap, Shirish Chavan
Int J Biol Med Res. 2014; 5(1): 3837-3840  |  PDF File

Abstract

Clinical skills on simplest levels are psychomotor skills, learned via reinforcement and require straight forward simple instruction. Clinical skills are easier to master because students tend to remember 90% of what they do and only 10% of they read. As medical field is advancing fast it is very difficult for teacher to stay current in curriculum Patients are becoming more concerned day by day that student and residents are practicing on them and at the same time because of medico-legal issues students feel that they are not allowed adequate hands on practice for clinical skills like history taking, physical examination, diagnosis and management of patient. As medical educators, we have tremendous responsibility to our students, patients and society as a whole. We must help our students to develop ability to manage complications, rare events which occur in medical fields. Simulation is tremendous tool as it allows our students to achieve their goals without our patients being put at risk. Simulation based training has showed improvement in mainly two areas such as laparoscopic training and advanced cardiac life support protocol simulation, based than those who received standard training of cardiac arrest treatment. In our institute, skill laboratory with mannequin being available, we have conducted study of training for intubation by direct laryngoscopy as a part of basic life support which is important factor in saving lives of patients .All residents from various fields such as anaesthesiology and surgery, gynaecology and obstetrics , pathology and microbiology and medicine were included in study . Charts of basic life support and direct laryngoscopy pictures were displayed. Small instructive power point presentation was made on basic life support protocols and video showing direct laryngoscopy for intubation was used as a part of training programme. Students were given repeated attempts for face mask ventilation and endotracheal intubation and ease of intubation was assessed after repeated attempts. For anaesthesiology students, senior anaesthesiologists were asked about performance of students in OT after training on mannequin which showed definite improvement in quality of skills of students and students rated that their experience of laryngoscopy was much easier and took less time. It is likely that role of simulation will only grow in the field of anaesthesiology, in which rare events and resource management training is so essential and so crucial.