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Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
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Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
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Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

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Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
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Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

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Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
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Related Experiment Video

Updated: Jul 23, 2025

Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

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Low Fidelity Trainer for Fiberoptic Scope Use in the Emergency Department.

Garren Giles1, Dominic Diprinzio1, Jordana Haber1

  • 1University of Nevada, Las Vegas School of Medicine, Department of Emergency Medicine, Las Vegas, NV.

Journal of Education & Teaching in Emergency Medicine
|July 19, 2023
PubMed
Summary
This summary is machine-generated.

This study developed a low-fidelity fiberoptic intubation trainer to improve emergency medicine resident skills. The simulation model successfully increased learner confidence and familiarity with fiberoptic scope manipulation for airway management.

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Area of Science:

  • Medical Education
  • Simulation in Healthcare
  • Emergency Medicine

Background:

  • Fiberoptic intubation is a critical skill for emergency medicine (EM) providers, yet rarely encountered in clinical practice.
  • Low success rates and limited training opportunities highlight the need for effective educational tools.
  • Simulation offers a practical solution for developing proficiency in seldom-performed procedures.

Purpose of the Study:

  • To develop and evaluate a low-fidelity training model for fiberoptic scope use in emergency medicine residents and medical students.
  • To enhance learners' confidence and skills in performing fiberoptic intubations.
  • To provide a practical simulation for managing difficult airways.

Main Methods:

  • A low-fidelity trainer was constructed using polyvinyl chloride (PVC) pipes within a tote, simulating various airway pathways and mazes.
  • Emergency medicine residents and medical students participated in a brief lecture and hands-on practice with the trainer.
  • Surveys were administered before and after the training to assess changes in knowledge and confidence.

Main Results:

  • The fiberoptic trainer successfully increased learners' familiarity and confidence with scope manipulation.
  • Significant increases in confidence were observed, particularly among PGY-I residents in identifying airway landmarks.
  • Confidence in performing the procedure without supervision and identifying correct supplies also improved for most participants.

Conclusions:

  • The low-fidelity fiberoptic trainer is an effective tool for improving EM learners' confidence and skills in managing emergency airways.
  • Simulation, even with a low-fidelity model, can enhance proficiency in rarely performed procedures.
  • Future research could compare low-fidelity with high-fidelity models and incorporate simulated secretions for enhanced realism.