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Development of a Low-Cost, High-Fidelity, Reusable Model to Simulate Clamshell Thoracotomy.

Ethan Clifford¹, Frederick Stourton², Johann Willers²

¹Brighton and Sussex Medical School, Brighton, UK.

Surgical Innovation

|October 25, 2023

Summary

This summary is machine-generated.

A new low-cost, high-fidelity simulation model effectively teaches emergency physicians clamshell thoracotomy (CST), improving confidence and preparedness for this critical emergency procedure.

Keywords:

acute care surgery simulation surgical education

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Area of Science:

Medical Simulation
Emergency Medicine Training
Surgical Skills Development

Background:

Clamshell thoracotomy (CST) is a critical emergency procedure for traumatic cardiac arrest.
Physician preparedness for CST is often suboptimal due to its low occurrence rate.
Current training methods rely on expensive simulators or inaccurate animal models.

Purpose of the Study:

To design, produce, and evaluate a low-cost, high-fidelity simulation model for teaching CST.
To provide an accessible and effective training tool for emergency physicians and surgeons.

Main Methods:

Developed a novel, inexpensive CST model using commercially available materials and ADAMgel tissue analogue.
Assessed the model's efficacy through testing with 19 physicians (consultants and registrars).
Utilized modified Likert scale questionnaires to evaluate prior knowledge, anatomical realism, and teaching benefits.

Main Results:

89.47% of participants found the model a reasonable substitute for practice.
100% agreed it was a valuable training aid for inexperienced trainees.
The model demonstrated high anatomical realism and significant teaching benefits.

Conclusions:

The developed low-cost, high-fidelity model is a successful teaching tool for CST.
It significantly improves physicians' knowledge and confidence in performing the procedure.
This simulation offers a high standard of training for an essential emergency procedure.