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Cricothyroidotomy Training Model Using Supplies in Austere Deployed Environment.

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This study presents an inexpensive, portable cricothyroidotomy training model made from common hospital supplies. The model effectively improved participants' confidence and speed in performing the lifesaving procedure, especially in deployed settings.

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Area of Science:

  • Emergency Medicine
  • Surgical Training
  • Medical Simulation

Background:

  • Cricothyroidotomy is a critical, though rarely performed, emergency procedure.
  • Effective training is essential for surgical teams, particularly in resource-limited or deployed environments.
  • Existing training models (cadaveric, animal, synthetic) are often unavailable in austere settings.

Purpose of the Study:

  • To develop and evaluate a simple, inexpensive, and reproducible cricothyroidotomy training model.
  • To assess the model's impact on healthcare professionals' confidence and proficiency in performing cricothyroidotomy.
  • To provide a practical training solution for deployed medical personnel.

Main Methods:

  • A cricothyroidotomy training model was constructed using readily available hospital supplies (spirometer tubing, tape, latex bandages).
  • A voluntary training session was conducted at a deployed military medical facility.
  • Participants completed pre- and post-training surveys assessing their experience, knowledge, and confidence, and performed timed cricothyroidotomies on the model.

Main Results:

  • Confidence in performing cricothyroidotomy significantly improved from a mean of 2.78 to 3.63 (P < .005).
  • Mean time to cannulation decreased from 101.6 seconds on the first attempt to 62.6 seconds on a second attempt 4 weeks later.
  • The model received a high usefulness rating (mean 4.77/5), indicating strong participant satisfaction.

Conclusions:

  • A simple, portable, and inexpensive cricothyroidotomy training model can be effectively constructed from common supplies.
  • This model enhances both confidence and procedural speed for cricothyroidotomy, proving valuable in deployed environments.
  • While realism is limited, the model serves as an adequate substitute when advanced training materials are unavailable.