Agbonghae Christiana, Rushnell Chelsea, Lorenzo Brian, Ehlers John D, Scarboro Chad, Cruz Lia, Fox Sean, Wares Catherine, Magill Christyn, Bullard Mark J
Department of Emergency Medicine, Atrium Health, Carolinas Medical Center, Charlotte, NC, USA.
ApolloMD, Charlotte, NC, USA.
Adv Simul (Lond). 2025 Mar 28;10(1):16. doi: 10.1186/s41077-025-00347-1.
We designed, developed, and constructed a reusable, durable, low-cost resuscitative hysterotomy (RH) task trainer with functional and structural fidelity for repetitive practice and education for emergency medicine trainees. The availability of commercial caesarean task trainers is limited, and their high cost often poses a barrier to training. Although similar procedures, RH and traditional caesarean section are unique, and to the authors' knowledge there are currently no commercial task trainers specifically designed for RH. Current RH literature recommends completing the procedure within five minutes to improve the survival chances of both the fetus and the mother during active or imminent cardiac arrest. While RH is not a technically complex procedure relative to other procedures, it involves specific technical steps and requires clinicians to act decisively. Our RH task trainer was created using low-cost expired materials sourced from our hospital system and additional items purchased online. The RH task trainer was designed to be easily assembled, have minimal recurring material costs, and with quick set-up and clean-up for repetitive practice. When used within a simulation-based scenario, learners are also challenged with the decision to proceed with an RH; thus, providing experiential development of this decision-making step which is unparalleled in comparison to most traditional training formats. Overall, our RH trainer can be built for approximately 230 US dollars. The ability to create low-cost and easily accessible opportunities for repetitive practice of RH contributes to the limited pool of non-commercial RH task trainers, offering valuable experiential instruction for this unique, high-acuity, low-occurrence procedure. Brief description We developed a reusable, durable, low-cost resuscitative hysterotomy (RH) task trainer with functional and structural fidelity for repetitive practice and education for emergency medicine trainees at a tertiary care training hospital. Further, we aimed to create a task trainer that enhanced the cognitive and procedural skills required for performing RH within a high-stress clinical environment.
我们设计、开发并构建了一种可重复使用、耐用且低成本的复苏性子宫切开术（RH）任务训练器，它具有功能和结构逼真度，可供急诊医学实习生进行重复练习和培训。市面上剖腹产任务训练器的供应有限，其高昂的成本常常成为培训的障碍。尽管RH和传统剖腹产手术有相似之处，但RH是独特的，据作者所知，目前尚无专门为RH设计的商用任务训练器。当前的RH文献建议在五分钟内完成该手术，以提高胎儿和母亲在心脏骤停活动期或即将发生时的存活几率。虽然相对于其他手术，RH在技术上并不复杂，但它涉及特定的技术步骤，需要临床医生果断行动。我们的RH任务训练器是使用从医院系统获取的低成本过期材料以及在网上购买的其他物品制作而成的。该RH任务训练器设计得易于组装， recurring材料成本极低，并且能够快速设置和清理以便进行重复练习。在基于模拟的场景中使用时，学习者还会面临是否进行RH手术的决策挑战；因此，提供了这一决策步骤的体验式发展，这与大多数传统培训形式相比是无与伦比的。总体而言，我们的RH训练器的制作成本约为230美元。能够为RH的重复练习创造低成本且易于获得的机会，这在非商用RH任务训练器的有限资源中是有价值的，为这种独特、高风险、低发生率的手术提供了宝贵的体验式指导。简要描述：我们在一家三级护理培训医院开发了一种可重复使用、耐用且低成本的复苏性子宫切开术（RH）任务训练器，它具有功能和结构逼真度，可供急诊医学实习生进行重复练习和培训。此外，我们旨在创建一种任务训练器，以增强在高压力临床环境中进行RH所需的认知和程序技能。
