Walsh Ryan, Fennessy Tracy, Pauw Emily, Lajeunesse Michael, Couperus Kyle
Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, USA.
Department of Emergency Medicine, Madigan Army Medical Center, Tacoma, USA.
Cureus. 2022 Jan 25;14(1):e21600. doi: 10.7759/cureus.21600. eCollection 2022 Jan.
Auricular hematoma drainage is a crucial skill that emergency medicine providers must be proficient in to prevent complications including permanent deformity of the ear. We aimed to develop and evaluate a cost-effective task trainer to allow emergency medicine (EM) residents to practice the key skills of auricular hematoma drainage and pressure dressing application. After creating a task trainer out of a bell pepper, we implemented this training during our EM simulation conference with a total of 20 PGY 1-3 EM residents. Prior to the simulation session, a survey of all 39 residents found a rated confidence level of auricular hematoma drainage as low on a five-point Likert scale (mean: 2.2 (standard deviation (SD): 1.08)). After the session, the 20 EM residents who participated were much more confident in their ability to perform this procedure (mean: 4.4 (SD: 0.6)). This low-cost, easy-to-create auricular hematoma drainage and repair task trainer was well received by our EM residents and led to an improved resident comfort level in performing this necessary EM procedure. This task trainer can be used by EM trainees of all levels as a tool to increase their skill and comfort level when performing the crucial procedure of auricular hematoma drainage and repair.
耳廓血肿引流是急诊医学从业者必须熟练掌握的一项关键技能,以预防包括耳部永久性畸形在内的并发症。我们旨在开发并评估一种经济高效的任务训练器,使急诊医学(EM)住院医师能够练习耳廓血肿引流和加压包扎应用的关键技能。在用甜椒制作出任务训练器后,我们在急诊医学模拟会议期间对总共20名1-3年级急诊医学住院医师进行了此项训练。在模拟课程之前,对所有39名住院医师进行的一项调查发现,在五分制李克特量表上,他们对耳廓血肿引流的信心评级较低(平均:2.2(标准差(SD):1.08))。课程结束后,参与的20名急诊医学住院医师对执行该操作的能力更有信心(平均:4.4(SD:0.6))。这种低成本、易于制作的耳廓血肿引流和修复任务训练器受到了我们急诊医学住院医师的好评,并提高了住院医师执行这项必要急诊操作的舒适度。该任务训练器可供各级急诊医学学员使用,作为提高他们在执行耳廓血肿引流和修复关键操作时的技能和舒适度的工具。