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Novel Airway Training Tool that Simulates Vomiting: Suction-Assisted Laryngoscopy Assisted Decontamination (SALAD)
James DuCanto1, Karen D Serrano2, Ryan J Thompson3
1Aurora St. Luke's Medical Center, Department of Anesthesiology, Milwaukee, Wisconsin.
The Western Journal of Emergency Medicine
|January 25, 2017
Summary
The Suction-Assisted Laryngoscopy Assisted Decontamination (SALAD) simulation system effectively trains providers in managing challenging emergency airways. This novel tool significantly improved confidence and skills in handling vomiting or bleeding during intubation.
Area of Science:
- Medical Education
- Emergency Medicine
- Simulation Technology
Background:
- Emergency airways present dynamic challenges, including managing bodily fluids and hemorrhage.
- Current training methods may not fully replicate these complex scenarios.
Purpose of the Study:
- To introduce and evaluate the Suction-Assisted Laryngoscopy Assisted Decontamination (SALAD) simulation system.
- To assess the impact of the SALAD simulator on healthcare providers' confidence and skills in managing difficult airways with emesis or bleeding.
Main Methods:
- A difficult-airway mannequin was modified using accessible materials to simulate vomiting and hemorrhage.
- Pre- and post-simulation surveys using a 5-point Likert scale measured confidence and skill levels.
- Forty healthcare professionals across various disciplines participated in the training.
Main Results:
- Confidence in managing vomiting/hemorrhaging airways increased from 3.10 to 4.13.
- Self-perceived skill with suction techniques improved from 3.30 to 4.03.
- The simulator demonstrated high usefulness (4.68) and realism (4.65).
Conclusions:
- The SALAD simulation system enhances provider confidence and skills for managing complex emergency airways.
- This novel training tool effectively recreates challenging airway scenarios, showing promise for airway management education.
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