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Lessons Learned: Large-Scale Perfused Cadaver Training in Three Different Curricular Environments.

Alex Y Koo1,2, David K Rodgers3, Marc H Hohman2,4

  • 1Department of Emergency Medicine, Georgetown University, Washington, DC 20010, USA.

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|March 30, 2024
PubMed
Summary

Perfused cadavers offer realistic surgical skills training, especially for hemorrhage control in diverse settings. While valuable, logistical planning and costs are key considerations for effective implementation.

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Area of Science:

  • Medical Education
  • Surgical Simulation
  • Anatomical Training

Background:

  • Perfused cadavers enhance surgical skills training by simulating vascular anatomy, dissection, and tissue handling with high fidelity.
  • They offer potential benefits for military medical training, particularly in hemorrhage control and vascular access procedures.

Purpose of the Study:

  • To design and evaluate a large-scale training exercise utilizing perfused cadavers across three distinct environments.
  • To share the curriculum design and gather feedback on the effectiveness and practicality of perfused cadaver training.

Main Methods:

  • A 4-day simulation exercise involved 13 perfused cadavers in hospital, austere, and tent settings for hemorrhage control and needle decompression.
  • Feedback was collected via anonymous online surveys and after-action reviews, assessing advantages, disadvantages, costs, and comparisons to other training models.

Main Results:

  • 324 participants from various specialties trained on diverse procedures and surgical skills using perfused cadavers.
  • Respondents reported realistic arterial bleeding simulation and effective bleeding control training, with enhanced realism for surgical skills.
  • Disadvantages included logistical challenges, cleanup, costs, and limited mobility of the training model.

Conclusions:

  • Perfused cadavers are effective for hemorrhage control, surgical skills, and austere environment training, provided logistical and planning needs are met.
  • A progressive curriculum, starting with hemorrhage control and advancing to invasive procedures, maximizes the training value of perfused cadavers.