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Impact of a Multidisciplinary Simulation-Based Training Program on the Multiple Techniques of Intraosseous Access: A
Rania Alkhalil1, Amina Ouersighni, Philippe Kenway
1From the Emergency Department and EMS (R.A., P.K.), University Hospital of Bichat, Paris, France; Emergency Medical Services (A.O.), University Hospital of Beaujon, AP-HP, Clichy, France; Anesthesiology Department (A.O.), University Hospital of Beaujon, AP-HP, Clichy, France; ABS Lab (C.B., D.O.), Anatomy and Simulation Center of Poitiers University, Poitiers, France; Pediatric Emergency Department (D.O.), University Hospital of Poitiers, Poitiers, France; Emergency Department and EMS (D.A.G.), University Hospital of Amiens, Amiens, France; and DREAMS - Department of Research in Emergency Medicine and Simulation (D.A.G.), University Hospital of Amiens, Amiens, France.
Simulation-based training significantly improved intraosseous (IO) access skills for all healthcare professionals, regardless of their experience or training location. This effective training enhances IO access performance and reduces procedure time.
Area of Science:
- Medical Education
- Emergency Medicine
- Surgical Skills Training
Background:
- Intraosseous (IO) access is a critical emergency procedure.
- Standardized training is essential for effective IO access placement.
- Assessing training effectiveness across diverse professional groups is important.
Purpose of the Study:
- To evaluate the impact of simulation-based training (SBT) on intraosseous (IO) access performance.
- To determine if professional status, experience, or training setting influences IO access skills.
- To assess trainee satisfaction with the SBT program.
Main Methods:
- Prospective, multicentric study involving physicians, nurses, and students.
- IO access performance assessed by independent observers before and after SBT.
- Interobserver reproducibility analyzed using intraclass correlation coefficient.
- Statistical analysis included t-tests, Mann-Whitney U, ANOVA, and Spearman correlation.
Main Results:
- Performance in IO access placement significantly improved post-SBT for both semiautomatic and manual devices.
- SBT significantly reduced the time required for IO access.
- No significant differences in performance were observed based on professional status or training setting.
- Trainee performance was not correlated with prior professional experience.
- All participants reported high satisfaction with the training.
Conclusions:
- Simulation-based training effectively enhances intraosseous (IO) access skills.
- The benefits of SBT for IO access are consistent across various professional roles and training environments.
- SBT is a valuable tool for improving critical procedural skills in diverse healthcare settings.
