Doc, I Think I Got Something Stuck

Abstract Introduction One mantra of emergency care is “no airway, no patient.” However, when teaching basic life support and advanced cardiovascular life support (ACLS) management of critical patients, the cardiac support is often emphasized over the airway management. Given the importance of the sp...

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Main Authors: Michael Waldrop, Matthew Sarsfield, Elliot Rodriguez
Format: Article
Language:English
Published: Association of American Medical Colleges 2015-09-01
Series:MedEdPORTAL
Subjects:
Online Access:http://www.mededportal.org/doi/10.15766/mep_2374-8265.10204
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author Michael Waldrop
Matthew Sarsfield
Elliot Rodriguez
author_facet Michael Waldrop
Matthew Sarsfield
Elliot Rodriguez
author_sort Michael Waldrop
collection DOAJ
description Abstract Introduction One mantra of emergency care is “no airway, no patient.” However, when teaching basic life support and advanced cardiovascular life support (ACLS) management of critical patients, the cardiac support is often emphasized over the airway management. Given the importance of the specific skill of airway management, this simulation focuses on airway management using high-fidelity adult simulation mannequins. Methods This simulation case is designed to last approximately 15-20 minutes. During this time participants must assess the patient and collect a medical history, recognize the presence of a critical airway threat, and take appropriate steps to reclaim the airway. Results This case has had three trial runs with a total of seven medical students. In general the reception from these medical student learners was positive. Overall, they endorsed that the case enhanced their future clinical practice. In response to the question “One thing I learned that I can use to improve my clinical practice,” one participant reported “The fact that McGill forcepts exist [sic]” and another stated “…Also the McGill forceps were helpful to see [sic].” Discussion Initially it was our intention to create this simulation for a pediatric patient, but the overly narrow tracheal and laryngeal diameter of our facility's pediatric mannequin precluded this possibility. The case could be adapted to a child with only minor changes, such as: beginning with a pediatric high-fidelity mannequin and then switching to an airway task trainer or adult high-fidelity mannequin for the steps of airway management; modifying the historical and social factors to be age appropriate.
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spelling doaj.art-60ada92bf5ce42358d8fc5a5a185aae82022-12-22T04:03:27ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652015-09-011110.15766/mep_2374-8265.10204Doc, I Think I Got Something StuckMichael Waldrop0Matthew Sarsfield1Elliot Rodriguez21 State University of New York Upstate Medical University2 State University of New York Upstate Medical University3 State University of New York Upstate Medical UniversityAbstract Introduction One mantra of emergency care is “no airway, no patient.” However, when teaching basic life support and advanced cardiovascular life support (ACLS) management of critical patients, the cardiac support is often emphasized over the airway management. Given the importance of the specific skill of airway management, this simulation focuses on airway management using high-fidelity adult simulation mannequins. Methods This simulation case is designed to last approximately 15-20 minutes. During this time participants must assess the patient and collect a medical history, recognize the presence of a critical airway threat, and take appropriate steps to reclaim the airway. Results This case has had three trial runs with a total of seven medical students. In general the reception from these medical student learners was positive. Overall, they endorsed that the case enhanced their future clinical practice. In response to the question “One thing I learned that I can use to improve my clinical practice,” one participant reported “The fact that McGill forcepts exist [sic]” and another stated “…Also the McGill forceps were helpful to see [sic].” Discussion Initially it was our intention to create this simulation for a pediatric patient, but the overly narrow tracheal and laryngeal diameter of our facility's pediatric mannequin precluded this possibility. The case could be adapted to a child with only minor changes, such as: beginning with a pediatric high-fidelity mannequin and then switching to an airway task trainer or adult high-fidelity mannequin for the steps of airway management; modifying the historical and social factors to be age appropriate.http://www.mededportal.org/doi/10.15766/mep_2374-8265.10204Airway ManagementACLSAirwayFBAO
spellingShingle Michael Waldrop
Matthew Sarsfield
Elliot Rodriguez
Doc, I Think I Got Something Stuck
MedEdPORTAL
Airway Management
ACLS
Airway
FBAO
title Doc, I Think I Got Something Stuck
title_full Doc, I Think I Got Something Stuck
title_fullStr Doc, I Think I Got Something Stuck
title_full_unstemmed Doc, I Think I Got Something Stuck
title_short Doc, I Think I Got Something Stuck
title_sort doc i think i got something stuck
topic Airway Management
ACLS
Airway
FBAO
url http://www.mededportal.org/doi/10.15766/mep_2374-8265.10204
work_keys_str_mv AT michaelwaldrop docithinkigotsomethingstuck
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AT elliotrodriguez docithinkigotsomethingstuck