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Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
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Author Spotlight: Evaluating the Therapeutic Efficacy of Moving Cupping Along Meridians for Acute Exacerbation of COPD
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Acute Exacerbation of COPD.

Dominic Pappas1, Amrita Vempati1

  • 1Creighton University School of Medicine Phoenix Program, Valleyhealth Medical Center, Department of Emergency Medicine, Phoenix, AZ.

Journal of Education & Teaching in Emergency Medicine
|July 19, 2023
PubMed
Summary

This simulation effectively trains emergency medicine residents in managing severe acute exacerbations of chronic obstructive pulmonary disease (AECOPD), including critical skills like intubation and chest tube placement.

Area of Science:

  • Medical Education
  • Emergency Medicine
  • Pulmonology

Background:

  • Shortness of breath is a common emergency department complaint, with acute exacerbations of chronic obstructive pulmonary disease (AECOPD) being a frequent cause.
  • Severe AECOPD management requires advanced skills, including non-invasive positive pressure ventilation (NIPPV) and intubation, posing challenges for emergency physicians.

Purpose of the Study:

  • To evaluate a high-fidelity simulation designed to enhance emergency medicine residents' management of severe AECOPD.
  • To assess residents' ability to handle clinical deterioration, airway interventions, ventilator management, and procedural skills.

Main Methods:

  • A simulation using high-fidelity and low-fidelity mannequins was conducted with 16 PGY-1 residents.
  • Participants practiced managing severe AECOPD, including NIPPV, intubation, ventilator settings, and chest tube thoracostomy.

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  • A Likert scale survey assessed the realism, complexity, and educational value of the simulation.

    • Main Results:

    • 100% of respondents found the simulation realistic and challenging, expanding their medical knowledge.
    • All participants agreed the simulation improved their confidence in diagnosing and treating AECOPD.
    • Learners reported enhanced procedural skills and confidence in managing NIPPV, intubation, and ventilator settings.

    Conclusions:

    • The simulation effectively integrates clinical knowledge and procedural skills for severe AECOPD management.
    • It challenges residents to address clinical deterioration, escalate care, and manage complex airway interventions.
    • The simulation highlighted and addressed gaps in residents' knowledge and skills regarding ventilator management and escalation of care.