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Pelvic Compression Device (Binder) Application Training in Medical Students: A Manikin Study
Zafer Beşer1, Ahmet Burak Oğuz, Ayça Koca
1Department of Emergency Medicine, Yenimahalle Education and Training Hospital, Ankara, Turkey (Mr Beşer); and Department of Emergency Medicine, Ankara University School of Medicine Ankara, Turkey (Messrs Oğuz and Erdurmuş, Drs Polat and Genç, and Ms Koca).
Medical students need at least eight practice applications to correctly and efficiently use pelvic compression devices for hemorrhage control in trauma patients. This simulation training improves proficiency in applying these critical devices.
Area of Science:
- Emergency Medicine
- Trauma Surgery
- Medical Education
Background:
- External pelvic compression devices (binders) are vital for hemorrhage control in multitrauma patients with suspected pelvic fractures.
- Current medical education lacks standardized practical training for pelvic compression device application.
Purpose of the Study:
- To evaluate simulation training effectiveness for medical students applying pelvic compression devices.
- To determine the number of applications needed to achieve proficiency in correct application and timeliness.
Main Methods:
- Observational, cross-sectional study of 132 senior medical students.
- 30-minute theoretical and simulation training session.
- 10 consecutive device applications with feedback, assessed for accuracy and timing.
Main Results:
- Initial application correct rate was 42.4% (average 92s).
- Proficiency (97% correct application, average 87s) was achieved by the eighth application.
- Statistical significance (p < .001) noted for improved accuracy.
Conclusions:
- At least eight manikin applications are necessary for medical students to achieve proficiency in pelvic compression device application.
- Simulation training is effective in improving skill acquisition for critical trauma interventions.
