A Novel, Reusable, Ultrasound-Guided Pericardiocentesis Simulation Model

Area of Science:

• Medical Simulation
• Emergency Medicine
• Ultrasound-Guided Procedures

Background:

• Emergency pericardiocentesis is a rare procedure, necessitating dedicated efforts to maintain physician proficiency.
• Competence in emergency procedures is crucial for patient outcomes.

Purpose of the Study:

• To describe the development of a low-cost, reusable, high-fidelity simulation model for ultrasound-guided pericardiocentesis.
• To evaluate the efficacy of this simulation model in enhancing emergency medicine residents' skills and confidence.

Main Methods:

• A low-cost, reusable, high-fidelity simulation model for pericardiocentesis was constructed.
• Sixteen emergency medicine residents participated in a procedure lab utilizing the simulation model.
• A survey was administered to evaluate the model's usability and impact on competency.

Main Results:

• The majority of participants found the simulation model easy to use.
• Participants reported increased competency in performing pericardiocentesis after using the model.
• A statistically significant increase in self-reported confidence was observed pre- and post-simulation (1.63 to 3.81; P < .001).

Conclusions:

• The developed simulation model is an effective tool for training emergency medicine residents in ultrasound-guided pericardiocentesis.
• This low-cost, high-fidelity model can help maintain physician competence in this critical, infrequently performed procedure.