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An Innovative Inexpensive Portable Pulmonary Edema Intubation Simulator.

Joshua D Mastenbrook1, Neil C Hughes1, William D Fales1

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This summary is machine-generated.

This study introduces an inexpensive, realistic pulmonary edema intubation simulator for training medical professionals. The model effectively replicates frothy secretions, enhancing difficult airway management skills for paramedics and physicians.

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Area of Science:

  • Medical Simulation
  • Airway Management Education
  • Emergency Medicine Training

Background:

  • Acute pulmonary edema presents a significant challenge during endotracheal intubation due to frothy secretions obstructing the airway.
  • Existing simulation models for difficult airways often do not adequately replicate the specific conditions of pulmonary edema.
  • There is a need for a realistic, accessible, and portable simulator for training airway management in pulmonary edema.

Purpose of the Study:

  • To develop and evaluate an inexpensive, dynamic, and realistic pulmonary edema intubation simulator.
  • To enhance the training of medical students, residents, fellows, and pre-hospital personnel in managing airways with frothy secretions.
  • To provide a hands-on learning experience for successful endotracheal intubation in simulated pulmonary edema.

Main Methods:

  • Adapted a commercial airway task trainer using an aquarium pump, tubing, air stone, and endotracheal tube.
  • Created a simulated pulmonary edema solution using glycerin, dish soap, water, and simulated blood.
  • Implemented a didactic-practical session including case discussion, hands-on intubation with direct and video laryngoscopy, and debriefing.

Main Results:

  • The simulator was constructed for under $50 and has been used by 226 emergency medicine residents since 2016-2017.
  • Qualitative feedback indicated the model is well-received and perceived as realistic by both learners and instructors.
  • The simulator effectively addresses ACGME Emergency Medicine and EMS Milestones for procedural and airway management skills.

Conclusions:

  • This pulmonary edema intubation simulator offers a cost-effective, portable, and realistic solution for airway management training.
  • The model successfully mimics the dynamic pathophysiological process of frothy secretions, improving intubation training.
  • The simulator is adaptable and valuable for enhancing the skills of various medical professionals in managing complex airways.