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Training model for nasal packing

P M Sugarman1, D J Alderson

  • 1Department of Anatomy, University of Leeds, UK.

Journal of Accident & Emergency Medicine
|December 1, 1995
PubMed
Summary
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A novel nasal packing model significantly improved accident and emergency doctors' confidence and technique for treating nosebleeds (epistaxis). This practical training tool enhances patient care by improving the standard of nasal packing.

Area of Science:

  • Otolaryngology
  • Medical Education
  • Surgical Simulation

Background:

  • Epistaxis (nosebleeds) management requires effective nasal packing techniques.
  • Current standards of nasal packing by accident and emergency (A&E) doctors are often suboptimal.
  • A practical and accessible training method is needed to improve nasal packing skills.

Purpose of the Study:

  • To develop and evaluate a realistic model for practicing nasal packing with ribbon gauze.
  • To assess the impact of this training model on the confidence and skills of A&E doctors.

Main Methods:

  • A nasal packing model was created using precise casts of a cadaveric nasal cavity.
  • A trial involving 15 A&E doctors was conducted to evaluate the model's effectiveness.
  • Participants were assessed on their confidence, gauze packing amount, and pack appearance post-training.

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Main Results:

  • Significant improvements were observed in doctors' confidence levels after using the model.
  • The amount and visual quality of the packed gauze showed marked improvement.
  • The model proved to be a valuable practical teaching aid.

Conclusions:

  • The developed nasal packing model is effective in enhancing the skills of A&E doctors.
  • Implementing this model can lead to a higher standard of care for epistaxis patients.
  • This simulation tool addresses the need for improved practical training in emergency medicine.