Associate Consultant, Department of Emergency Medicine, Tan Tock Seng Hospital.
Co-primary author.
MedEdPORTAL. 2024 Oct 3;20:11452. doi: 10.15766/mep_2374-8265.11452. eCollection 2024.
Simulation-based learning is essential for health care providers to prepare for rare obstetric emergencies, such as severe trauma and maternal cardiac arrest. These situations demand rapid and prompt actions, often testing the skill of emergency physicians. Resuscitative hysterotomy (RH), a critical procedure in maternal cardiac arrest, requires technical expertise, coordination, and anatomical knowledge. The high cost of commercial trainers and complex existing models restricts accessibility. This resource introduces a low-cost anatomically accurate RH task trainer and assesses its effectiveness in improving skills and confidence among trainee emergency physicians.
A 20-minute-long case scenario depicted the resuscitation of a pregnant trauma patient with tension pneumothorax and uterine rupture, culminating in maternal cardiac arrest necessitating RH. Residents performed RH on the task trainer under faculty guidance. Feedback followed the Pendleton model, and an online questionnaire gauged the residents' experiences.
Thirty emergency medicine residents participated in the simulation. The questionnaire revealed positive responses, confirming the session's relevance and enhancement of clinical skills and confidence.
Our results underscore the RH task trainer's critical role in improving residents' skills and confidence during obstetric trauma simulations. Its realism and effectiveness were notably well received. Future refinements aim to augment fidelity while preserving affordability and integrating regular reinforcement sessions. This innovative educational approach equips health care professionals to respond adeptly to rare and challenging obstetric emergencies, ultimately elevating outcomes for mothers and infants during critical situations.
模拟学习对于医疗保健提供者来说至关重要，他们需要为罕见的产科急症做好准备，如严重创伤和产妇心搏骤停。这些情况需要快速而果断的行动，这往往考验着急诊医生的技能。子宫切开术（RH）是产妇心搏骤停的关键程序，需要技术专长、协调和解剖知识。商业培训师成本高昂，且现有的模型复杂，这限制了其可及性。本资源介绍了一种低成本、解剖准确的 RH 任务培训器，并评估了其在提高急诊住院医师技能和信心方面的效果。
一个 20 分钟长的案例场景描绘了一位患有张力性气胸和子宫破裂的创伤孕妇的复苏过程，最终导致产妇心搏骤停，需要进行 RH。住院医师在教员的指导下在任务培训器上进行 RH。反馈遵循彭德尔顿模型，并且在线问卷调查了住院医师的经验。
30 名急诊医学住院医师参加了模拟。问卷调查结果显示出积极的反应，证实了该课程的相关性，以及对临床技能和信心的增强。
我们的结果强调了 RH 任务培训器在改善住院医师在产科创伤模拟中的技能和信心方面的关键作用。其真实性和有效性得到了很好的认可。未来的改进旨在提高保真度，同时保持可负担性并整合定期强化课程。这种创新的教育方法使医疗保健专业人员能够熟练应对罕见且具有挑战性的产科急症，最终在危急情况下提高母亲和婴儿的结局。
