Shin Kyu Chul, Ha Young Rock, Lee Seong-Joon, Ahn Jung Hwan
Department of Emergency Medicine, Ajou University School of Medicine, Suwon 16499, Gyeonggi-do, South Korea.
Department of Emergency Medicine, Bundang Jesaeng Hospital, Seongnam-si 13590, South Korea.
World J Clin Cases. 2020 Oct 6;8(19):4286-4302. doi: 10.12998/wjcc.v8.i19.4286.
Point-of-care ultrasound (POCUS) is a powerful diagnostic tool and provides treatment guidelines in acute critical settings. However, the limitation of using POCUS is operator dependent. Appropriate and validated training for acquiring and using skills in practice must be conducted before using POCUS in clinical settings in order to keep patients safe. Simulation education models have been introduced as a way to solve and overcome these concerns. However, the commercial simulator with sufficiently secured fidelity is expensive and not always available. This review focused on the inexpensive and easily made simulators for education on POCUS in critical specific situations related to the airway, breathing, circulation, and disability. We introduced the simulators that used non-infectious materials, with easily transportable features, and that had a sonographic appearance reproducibility similar to human tissue. We also introduced the recipe of each simulator in two parts: Materials surrounding disease simulators (surrounding materials) and specific disease simulators themselves (target simulators). This review article covered the following: endotracheal or oesophageal intubation, lung (A-lines, B-lines, lung sliding, and pleural effusions such as hemothorax), central vein access, pericardial fluid (cardiac tamponade), the structure related to the eyes, soft tissue abscess, nerve (regional nerve block), and skull fracture simulators.
床旁超声(POCUS)是一种强大的诊断工具,可在急性危急情况下提供治疗指南。然而,使用POCUS的局限性在于依赖操作者。在临床环境中使用POCUS之前,必须进行适当且经过验证的培训,以培养在实践中获取和使用相关技能,从而确保患者安全。模拟教育模型已被引入,作为解决和克服这些问题的一种方式。然而,具有足够保真度的商业模拟器价格昂贵且并非总是可用。本综述聚焦于用于气道、呼吸、循环和残疾等关键特定情况下POCUS教育的廉价且易于制作的模拟器。我们介绍了使用非传染性材料、具有易于运输的特点且超声图像外观与人体组织相似的模拟器。我们还分两部分介绍了每个模拟器的制作方法:疾病模拟物周围的材料(周边材料)和特定疾病模拟物本身(目标模拟物)。这篇综述文章涵盖了以下内容:气管内或食管插管、肺部(A线、B线、肺滑动以及血胸等胸腔积液)、中心静脉穿刺、心包积液(心脏压塞)、眼部相关结构、软组织脓肿、神经(区域神经阻滞)以及颅骨骨折模拟器。