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Using interactive videodisc to test advanced airway management skills.

A J Rubens1, W Stoy, G Piane

  • 1Public Health Program, School of Allied Health Professions, Northern Illinois University, DeKalb 60115-2854, USA.

Prehospital and Disaster Medicine
|September 5, 1995
PubMed
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The Actronics Interactive Learning System effectively taught esophageal obturator airway insertion skills to initial American Heart Association, advanced cardiac life support certification students. However, no significant differences were found for endotracheal intubation skills.

Area of Science:

  • Medical Education
  • Simulation-based Learning
  • Emergency Medicine Training

Background:

  • Advanced airway management is a critical skill in emergency medicine.
  • Traditional teaching methods may not fully address the psychomotor demands of these procedures.
  • Interactive videodisc (IVD) technology offers a novel approach to skills acquisition.

Purpose of the Study:

  • To compare the effectiveness of the Actronics Interactive Learning System (IVD) versus traditional lecture/demonstration for teaching advanced airway management psychomotor skills.
  • To evaluate the impact on endotracheal (ET) intubation and esophageal obturator airway (EOA) insertion proficiency.

Main Methods:

  • A nonrandomized, nonequivalent comparison group design was employed.
  • 86 American Heart Association (AHA) advanced cardiac life support (ACLS) students were divided into IVD (n=41) and traditional (n=45) groups.

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  • Performance was assessed by the number of attempts for successful ET intubation and EOA insertion.

    • Main Results:

    • No significant difference in ET intubation success rates between IVD and traditional methods.
    • IVD method showed a significant positive treatment effect for initial EOA insertion certification (p=0.004).
    • This effect was not observed for recertification or ET intubation, and students desired instructor availability.

    Conclusions:

    • Interactive videodisc technology plays a valuable role in teaching complex advanced airway management skills.
    • IVD may be particularly beneficial for initial learning of specific airway devices like the EOA.
    • Further research could explore optimal integration of IVD with human instruction.