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Emergency Department Thoracotomy: A Cost-Effective Model for Simulation Training.

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This study presents a low-cost, realistic model for practicing emergency department thoracotomy (EDT) using a modified mannequin. The simulation model effectively enhances resident confidence and provides crucial practice for this high-stakes procedure.

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Area of Science:

  • Medical Simulation
  • Surgical Training
  • Emergency Medicine

Background:

  • Simulation offers a safe environment for practicing infrequent, high-risk procedures like emergency department thoracotomy (EDT).
  • Realistic EDT training models are often costly and inaccessible.
  • There is a need for affordable and reproducible simulation tools for EDT.

Purpose of the Study:

  • To develop and describe a cost-effective, realistic, reproducible, and reusable model for emergency department thoracotomy (EDT) simulation training.
  • To provide a practical solution for training healthcare professionals in EDT.

Main Methods:

  • A commercial clothes mannequin torso was modified to create an open chest and abdominal cavity.
  • Internal structures were simulated using a plastic skeleton, tubing for vessels, and readily available materials for organs and tissues.
  • Yoga mats and tape were utilized to replicate anatomical layers such as muscles and the pleural cavity.

Main Results:

  • The developed EDT model was piloted with Emergency Medicine residents during a simulation session.
  • Survey feedback indicated that the model was a valuable educational tool.
  • Residents reported increased confidence in performing the procedure after using the model.

Conclusions:

  • The created emergency department thoracotomy (EDT) model offers a valuable and accessible teaching opportunity for residents.
  • The model effectively improves resident confidence and provides essential practice for a low-frequency, high-stakes procedure.
  • This simulation tool addresses the need for realistic and affordable EDT training.