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Practice makes perfect? Evaluation of cricoid pressure task training for use within the algorithm for rapid sequence
Peter May1, Christopher Trethewy
1Department of Emergency Medicine and Critical Care, Tamworth Base Hospital, Tamworth, New South Wales, Australia. peter.may@hnehealth.nsw.gov.au
Emergency Medicine Australasia : EMA
|June 15, 2007
Summary
A brief training session significantly improved critical care staff
Area of Science:
- Emergency Medicine
- Anesthesiology
- Critical Care
Background:
- Cricoid pressure is crucial for rapid sequence induction.
- Proper application is essential to prevent regurgitation.
- Current training methods may be insufficient.
Purpose of the Study:
- To evaluate a simple task trainer for cricoid pressure application.
- To assess its suitability for rapid sequence induction protocols.
- To improve staff proficiency in cricoid force application.
Main Methods:
- Prospective observational study with 110 critical care staff.
- Participants applied cricoid force to a model before and after brief practice.
- Force was measured using a weighing scale.
Main Results:
- Initial correct application increased from 20% to 52% post-training.
- Significant improvements were observed in both nursing and medical staff.
- Force sufficient to prevent regurgitation (≥30 N) increased from 65% to 88%.
Conclusions:
- A simple 3-minute task trainer significantly enhances cricoid pressure application.
- This training is suitable for integration into rapid sequence induction algorithms.
- Improved technique enhances patient safety during induction.
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