Walsh Ryan, Black Chelsie, Krieger Joshua
Department of Emergency Medicine, Vanderbilt University Medical Center, 1211 Medical Center Drive, Nashville, TN.
Department of Critical Care, Walter Reed Military Medical Center, 8901 Rockville Pike, Bethesda, MD.
Mil Med. 2019 Mar 1;184(Suppl 1):326-328. doi: 10.1093/milmed/usy278.
With damage control surgery and resuscitation teams, the military is bringing surgical as well as intensive care far forward to areas where mass casualty events are an ever-present threat. One procedure that the team is required to be proficient in is arterial line insertion and transducing. To our knowledge, there are no previously described field arterial line simulation models. We present an arterial line insertion and transducer simulator created using medium resistance Thera-band tubing, saline, Coban, and a SAM splint. Ten deployed members of a damage control surgical team received 30 minutes of instruction on how to properly insert an arterial line and how to set up the transducer equipment. All participants were able to show proficiency in radial artery line insertion and transducer setup despite 8 of the 10 participants having never inserted or setup an arterial line. We describe, to our knowledge, the first arterial line insertion and transducing model utilizing only items found in the deployed environment. This model can be easily made and utilized to train medical personnel of all skill levels to augment the capabilities of medical units in areas where mass casualty events are likely.
借助损伤控制手术和复苏团队，军方正在将外科手术以及重症监护大幅推进到大规模伤亡事件始终构成威胁的地区。该团队必须熟练掌握的一项操作是动脉置管和换能。据我们所知，此前尚无已描述的野战动脉置管模拟模型。我们展示了一种使用中等阻力弹力带管、生理盐水、弹力绷带和SAM夹板制作的动脉置管和换能模拟器。十名损伤控制手术团队的现役成员接受了30分钟关于如何正确进行动脉置管以及如何设置换能设备的指导。尽管10名参与者中有8人从未进行过动脉置管或设置过换能设备，但所有参与者都能够熟练进行桡动脉置管和换能器设置。据我们所知，我们描述了首个仅利用部署环境中可找到的物品制作的动脉置管和换能模型。该模型制作简便，可用于培训各级技能水平的医务人员，以增强可能发生大规模伤亡事件地区医疗单位的能力。
