Invasive Airway Breathing Circulation Disability: A Comprehensive Course for Emergency Physicians

Background The invasive airway, breathing, circulation, and disability workshop was aimed at enhancing the competency of emergency physicians in life-saving procedures, crucial in the emergency room during resuscitation.  Objectives The primary objective was to assess the improvement in the participants' knowledge before and after the workshop. The secondary objective was to assess the confidence level of the participants based on their feedback. Method A pre-test and post-test were conducted for the participants. Initial didactic lectures followed by hands-on skills practice were carried out. The participants were allocated into eight groups. Each group had to rotate every half an hour so that each participant could get adequate time for practice on the cadaver or manikin. A faculty/facilitator expert in the respective field supervised each skill station. Structured feedback was obtained from the participants after the workshop. Results Thirty-seven participants attended the workshop. The median pre-test score was 8 (IQR 6-9), and the post-test score was 13 (IQR 12-14). There was a significant increase in the knowledge level of the participants (p <0.001). The participants' confidence in performing fibreoptic intubation, cricothyroidotomy, pericardiocentesis, chest tube insertion, central line, and external ventricular drain was increased significantly (p<0.001). Conclusion This teaching and training program on invasive procedural skills has increased the knowledge and confidence of the participants.