Simulation of Urgent Airway Management in a Postthyroidectomy Hematoma
Introduction An expanding neck hematoma following thyroidectomy is a rare complication requiring urgent airway management and potential bedside evacuation before definitive surgical intervention. Due to its rare occurrence and life-threatening consequences, appropriate crisis resource management and...
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| Format: | Article |
| Language: | English |
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Association of American Medical Colleges
2019-02-01
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| Series: | MedEdPORTAL |
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| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.10802 |
| _version_ | 1818964412687450112 |
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| author | Kitty Wu Stephanie Kim Shihan J. Rajasingham Ida Bruni Kevin Fung Kathryn E. Roth |
| author_facet | Kitty Wu Stephanie Kim Shihan J. Rajasingham Ida Bruni Kevin Fung Kathryn E. Roth |
| author_sort | Kitty Wu |
| collection | DOAJ |
| description | Introduction An expanding neck hematoma following thyroidectomy is a rare complication requiring urgent airway management and potential bedside evacuation before definitive surgical intervention. Due to its rare occurrence and life-threatening consequences, appropriate crisis resource management and a systematic approach are critical for patient safety. Methods In this simulation scenario using a high-fidelity mannequin, a 68-year-old male presented with an expanding cervical hematoma 2 hours after a total thyroidectomy. The target audience was junior residents (PGY 1, PGY 2) in otolaryngology–head and neck surgery. Residents were given a case stem to encourage active information gathering through history and physical examination. Setup and flow of the scenario were designed for residents to prioritize establishing an airway through bedside decompression of the hematoma prior to making operating room arrangements for definitive management. Standardized patients playing a ward nurse and patient family member added complexity to the case. Results Since 2012, the simulation has been used with a total of 96 residents as part of an annual boot camp. Surveys conducted after the boot camp verified the effectiveness of simulations in learning and, specifically, the usefulness of this scenario. Discussion Simulation-based training is an effective learning modality for critical cases in health care disciplines involving emergency airway management. A well-developed simulation that closely resembles a real-life scenario is essential in creating a rich learning environment for trainees. Our scenario can be a valuable resource for other institutions implementing simulation-based training as part of their medical education. |
| first_indexed | 2024-12-20T13:00:42Z |
| format | Article |
| id | doaj.art-6dc25c560b424bb0b52194ffb6899bbd |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-12-20T13:00:42Z |
| publishDate | 2019-02-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-6dc25c560b424bb0b52194ffb6899bbd2022-12-21T19:39:55ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652019-02-011510.15766/mep_2374-8265.10802Simulation of Urgent Airway Management in a Postthyroidectomy HematomaKitty Wu0Stephanie Kim1Shihan J. Rajasingham2Ida Bruni3Kevin Fung4Kathryn E. Roth51 Third-Year Resident, Department of Plastic and Reconstructive Surgery, Schulich School of Medicine and Dentistry, Western University2 Third-Year Medical Student, Schulich School of Medicine and Dentistry, Western University3 First-Year Resident, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University4 Assistant Professor, Department of Anesthesiology and Perioperative Medicine, Schulich School of Medicine and Dentistry, Western University5 Chief, Department of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University; Professor, Department of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University6 Assistant Professor, Department of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western UniversityIntroduction An expanding neck hematoma following thyroidectomy is a rare complication requiring urgent airway management and potential bedside evacuation before definitive surgical intervention. Due to its rare occurrence and life-threatening consequences, appropriate crisis resource management and a systematic approach are critical for patient safety. Methods In this simulation scenario using a high-fidelity mannequin, a 68-year-old male presented with an expanding cervical hematoma 2 hours after a total thyroidectomy. The target audience was junior residents (PGY 1, PGY 2) in otolaryngology–head and neck surgery. Residents were given a case stem to encourage active information gathering through history and physical examination. Setup and flow of the scenario were designed for residents to prioritize establishing an airway through bedside decompression of the hematoma prior to making operating room arrangements for definitive management. Standardized patients playing a ward nurse and patient family member added complexity to the case. Results Since 2012, the simulation has been used with a total of 96 residents as part of an annual boot camp. Surveys conducted after the boot camp verified the effectiveness of simulations in learning and, specifically, the usefulness of this scenario. Discussion Simulation-based training is an effective learning modality for critical cases in health care disciplines involving emergency airway management. A well-developed simulation that closely resembles a real-life scenario is essential in creating a rich learning environment for trainees. Our scenario can be a valuable resource for other institutions implementing simulation-based training as part of their medical education.http://www.mededportal.org/doi/10.15766/mep_2374-8265.10802SimulationAirwayThyroidectomyOtolaryngologySimulation-Based LearningEmergency Management |
| spellingShingle | Kitty Wu Stephanie Kim Shihan J. Rajasingham Ida Bruni Kevin Fung Kathryn E. Roth Simulation of Urgent Airway Management in a Postthyroidectomy Hematoma MedEdPORTAL Simulation Airway Thyroidectomy Otolaryngology Simulation-Based Learning Emergency Management |
| title | Simulation of Urgent Airway Management in a Postthyroidectomy Hematoma |
| title_full | Simulation of Urgent Airway Management in a Postthyroidectomy Hematoma |
| title_fullStr | Simulation of Urgent Airway Management in a Postthyroidectomy Hematoma |
| title_full_unstemmed | Simulation of Urgent Airway Management in a Postthyroidectomy Hematoma |
| title_short | Simulation of Urgent Airway Management in a Postthyroidectomy Hematoma |
| title_sort | simulation of urgent airway management in a postthyroidectomy hematoma |
| topic | Simulation Airway Thyroidectomy Otolaryngology Simulation-Based Learning Emergency Management |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.10802 |
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