ICU Emergencies Simulation Curriculum for Critical Care Fellows: The Difficult Airway
Introduction Management of airway emergencies is a core skill for critical care fellows. There is no standardized training mechanism for difficult airway management among critical care fellowships, although fellows frequently cite management of airway catastrophes as an area of educational need. Met...
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| Format: | Article |
| Language: | English |
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Association of American Medical Colleges
2018-08-01
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| Series: | MedEdPORTAL |
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| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.10744 |
| _version_ | 1830453587362185216 |
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| author | Jonathan M. Keller Trevor C. Steinbach Rosemary Adamson David J. Carlbom Nicholas J. Johnson Jennifer Clark Patricia A. Kritek Başak Çoruh |
| author_facet | Jonathan M. Keller Trevor C. Steinbach Rosemary Adamson David J. Carlbom Nicholas J. Johnson Jennifer Clark Patricia A. Kritek Başak Çoruh |
| author_sort | Jonathan M. Keller |
| collection | DOAJ |
| description | Introduction Management of airway emergencies is a core skill for critical care fellows. There is no standardized training mechanism for difficult airway management among critical care fellowships, although fellows frequently cite management of airway catastrophes as an area of educational need. Methods Three simulation cases that are each approximately 15 minutes in length are presented. The cases represent airway emergencies encountered in the intensive care unit consisting of angioedema, endotracheal tube dislodgement, and endotracheal tube occlusion. Incorporated into the scenarios are planned incidents of interpersonal conflict requiring negotiation by the learner during a crisis event. The case descriptions are complete, with learning objectives and critical actions as well as all necessary personnel briefs and required equipment. Results The cases were completed over multiple simulation sessions on different days by 11 first-year critical care fellows during the 2016–2017 academic year. All participants demonstrated improvement in self-perceived confidence in airway management skills. Discussion The cases were felt to be realistic and beneficial and led to perceived improvement in management of airway emergencies and leadership during crisis scenarios. |
| first_indexed | 2024-12-21T09:10:02Z |
| format | Article |
| id | doaj.art-ac88df6395464ea9ad64ee57294d1dac |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-12-21T09:10:02Z |
| publishDate | 2018-08-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-ac88df6395464ea9ad64ee57294d1dac2022-12-21T19:09:14ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652018-08-011410.15766/mep_2374-8265.10744ICU Emergencies Simulation Curriculum for Critical Care Fellows: The Difficult AirwayJonathan M. Keller0Trevor C. Steinbach1Rosemary Adamson2David J. Carlbom3Nicholas J. Johnson4Jennifer Clark5Patricia A. Kritek6Başak Çoruh7Fellow, Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of Washington School of MedicineFellow, Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of Washington School of MedicineAssistant Professor, Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of Washington School of Medicine; Staff Physician, Pulmonary and Critical Care Medicine, Veterans Affairs Puget Sound Health Care SystemAssociate Professor, Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of Washington School of MedicineAssistant Professor, Department of Emergency Medicine, University of Washington School of MedicineRespiratory Therapist, Department of Respiratory Therapy, Harborview Medical CenterProfessor, Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of Washington School of MedicineAssistant Professor, Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of Washington School of MedicineIntroduction Management of airway emergencies is a core skill for critical care fellows. There is no standardized training mechanism for difficult airway management among critical care fellowships, although fellows frequently cite management of airway catastrophes as an area of educational need. Methods Three simulation cases that are each approximately 15 minutes in length are presented. The cases represent airway emergencies encountered in the intensive care unit consisting of angioedema, endotracheal tube dislodgement, and endotracheal tube occlusion. Incorporated into the scenarios are planned incidents of interpersonal conflict requiring negotiation by the learner during a crisis event. The case descriptions are complete, with learning objectives and critical actions as well as all necessary personnel briefs and required equipment. Results The cases were completed over multiple simulation sessions on different days by 11 first-year critical care fellows during the 2016–2017 academic year. All participants demonstrated improvement in self-perceived confidence in airway management skills. Discussion The cases were felt to be realistic and beneficial and led to perceived improvement in management of airway emergencies and leadership during crisis scenarios.http://www.mededportal.org/doi/10.15766/mep_2374-8265.10744SimulationICUCritical CareAirwayIntensive Care Unit |
| spellingShingle | Jonathan M. Keller Trevor C. Steinbach Rosemary Adamson David J. Carlbom Nicholas J. Johnson Jennifer Clark Patricia A. Kritek Başak Çoruh ICU Emergencies Simulation Curriculum for Critical Care Fellows: The Difficult Airway MedEdPORTAL Simulation ICU Critical Care Airway Intensive Care Unit |
| title | ICU Emergencies Simulation Curriculum for Critical Care Fellows: The Difficult Airway |
| title_full | ICU Emergencies Simulation Curriculum for Critical Care Fellows: The Difficult Airway |
| title_fullStr | ICU Emergencies Simulation Curriculum for Critical Care Fellows: The Difficult Airway |
| title_full_unstemmed | ICU Emergencies Simulation Curriculum for Critical Care Fellows: The Difficult Airway |
| title_short | ICU Emergencies Simulation Curriculum for Critical Care Fellows: The Difficult Airway |
| title_sort | icu emergencies simulation curriculum for critical care fellows the difficult airway |
| topic | Simulation ICU Critical Care Airway Intensive Care Unit |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.10744 |
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