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Design and Implementation of a Low-Cost Priapism Reduction Task Trainer
Andrew Eyre1,2, Valerie Dobiesz1,2
1Brigham and Women's Hospital/Harvard Medical School, Department of Emergency Medicine, Boston, MA.
Journal of Education & Teaching in Emergency Medicine
|July 19, 2023
Summary
Emergency medicine residents can now practice priapism reduction techniques using a new, low-cost simulation trainer. This tool significantly improves their confidence and skills in managing this urologic emergency.
Area of Science:
- Medical Education
- Urology
- Emergency Medicine
Background:
- Priapism is a urologic emergency requiring prompt diagnosis and treatment by emergency physicians to prevent permanent damage.
- Current training options for priapism reduction are limited, especially low-cost, easily reproducible simulation models.
- Simulation offers a safe environment for practicing invasive procedures like priapism management.
Purpose of the Study:
- To develop and evaluate an inexpensive, reusable task trainer for priapism reduction.
- To enhance emergency medicine residents' skills in diagnosing and treating priapism.
- To provide hands-on practice for penile ring blocks, cavernosal aspiration, and injection.
Main Methods:
- A low-cost, partial task trainer was created using common materials.
- Emergency medicine residents (PGY 1-4) participated in a didactic session followed by hands-on practice with the trainer.
- Post-session surveys assessed the educational value and impact on participant confidence.
Main Results:
- The trainer successfully facilitated practice of local anesthesia, medication injection, and cavernosal aspiration.
- Participant comfort managing priapism increased from 1.76 to 3.76 (on a 5-point scale) post-session.
- The model was rated highly useful (4.64/5) for teaching priapism reduction techniques.
Conclusions:
- An inexpensive and effective priapism reduction task trainer was developed.
- The simulation model significantly increased resident confidence and competence in managing priapism.
- This trainer addresses a gap in practical skills training for a critical urologic emergency.

