Emergency Medicine Cases in Underwater and Hyperbaric Environments: The Use of in situ Simulation as a Learning Technique
IntroductionHyperbaric chambers and underwater environments are challenging and at risk of serious accidents. Personnel aiming to assist patients and subjects should be appropriately trained, and several courses have been established all over the world. In healthcare, simulation is an effective lear...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-05-01
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| Series: | Frontiers in Physiology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fphys.2021.666503/full |
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| author | Matteo Paganini Matteo Paganini Giulia Mormando Sandro Savino Giacomo Garetto Giacomo Garetto Giacomo Garetto Giacomo Garetto Giulia Tiozzo Enrico M. Camporesi Enrico M. Camporesi Enrico M. Camporesi Enrico M. Camporesi Enrico M. Camporesi Fabrizio Fabris Gerardo Bosco |
| author_facet | Matteo Paganini Matteo Paganini Giulia Mormando Sandro Savino Giacomo Garetto Giacomo Garetto Giacomo Garetto Giacomo Garetto Giulia Tiozzo Enrico M. Camporesi Enrico M. Camporesi Enrico M. Camporesi Enrico M. Camporesi Enrico M. Camporesi Fabrizio Fabris Gerardo Bosco |
| author_sort | Matteo Paganini |
| collection | DOAJ |
| description | IntroductionHyperbaric chambers and underwater environments are challenging and at risk of serious accidents. Personnel aiming to assist patients and subjects should be appropriately trained, and several courses have been established all over the world. In healthcare, simulation is an effective learning technique. However, there have been few peer-reviewed articles published in the medical literature describing its use in diving and hyperbaric medicine.MethodsWe implemented the curriculum of the Master’s degree in hyperbaric and diving medicine held at the University of Padova with emergency medicine seminars created by the faculty and validated by external experts. These seminars integrated traditional lectures and eight in situ simulation scenarios.ResultsFor the hyperbaric medicine seminar, simulations were carried out inside a real hyperbaric chamber at the ATIP Hyperbaric Treatment Centre, only using air and reproducing compression noise without pressurization to avoid damages to the manikins. The four scenarios consisted of hyperoxic seizures, pneumothorax, hypoglycemia, and sudden cardiac arrest. Furthermore, we added a hands-on session to instruct participants to prepare an intubated patient undergoing hyperbaric oxygen treatment with a checklist and simulating the patient transfer inside and outside the hyperbaric chamber. The diving medicine seminar was held at the Y-40 The Deep Joy pool in Montegrotto Terme (Italy), also involving SCUBA/breath-hold diving (BHD) instructors to rescue subjects from the water. These diving medicine scenarios consisted of neurologic syndrome (“taravana/samba”) in BHD, drowning of a breath-hold diver, pulmonary barotrauma in BHD, and decompression illness in a SCUBA diver.ConclusionWith this experience, we report the integration of simulation in the curriculum of a teaching course in diving and hyperbaric medicine. Future studies should be performed to investigate learning advantages, concept retention, and satisfaction of participants. |
| first_indexed | 2024-12-21T15:47:58Z |
| format | Article |
| id | doaj.art-c7603bb341da4dc7acf3dae6cb22b1b7 |
| institution | Directory Open Access Journal |
| issn | 1664-042X |
| language | English |
| last_indexed | 2024-12-21T15:47:58Z |
| publishDate | 2021-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Physiology |
| spelling | doaj.art-c7603bb341da4dc7acf3dae6cb22b1b72022-12-21T18:58:19ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2021-05-011210.3389/fphys.2021.666503666503Emergency Medicine Cases in Underwater and Hyperbaric Environments: The Use of in situ Simulation as a Learning TechniqueMatteo Paganini0Matteo Paganini1Giulia Mormando2Sandro Savino3Giacomo Garetto4Giacomo Garetto5Giacomo Garetto6Giacomo Garetto7Giulia Tiozzo8Enrico M. Camporesi9Enrico M. Camporesi10Enrico M. Camporesi11Enrico M. Camporesi12Enrico M. Camporesi13Fabrizio Fabris14Gerardo Bosco15Environmental and Respiratory Physiology Laboratory and Master Level II in Diving and Hyperbaric Medicine, Department of Biomedical Sciences, University of Padova, Padua, ItalyEmergency Medicine, Department of Medicine (DIMED), University of Padova, Padua, ItalyEmergency Medicine, Department of Medicine (DIMED), University of Padova, Padua, ItalyDepartment of Medicine (DIMED), University of Padova, Padua, ItalyEnvironmental and Respiratory Physiology Laboratory and Master Level II in Diving and Hyperbaric Medicine, Department of Biomedical Sciences, University of Padova, Padua, ItalyEmergency Medicine, Department of Medicine (DIMED), University of Padova, Padua, ItalyDepartment of Medicine (DIMED), University of Padova, Padua, ItalyATIP Center for Hyperbaric Medicine, Padua, ItalyEmergency Medicine, Department of Medicine (DIMED), University of Padova, Padua, ItalyEnvironmental and Respiratory Physiology Laboratory and Master Level II in Diving and Hyperbaric Medicine, Department of Biomedical Sciences, University of Padova, Padua, ItalyEmergency Medicine, Department of Medicine (DIMED), University of Padova, Padua, ItalyDepartment of Medicine (DIMED), University of Padova, Padua, ItalyATIP Center for Hyperbaric Medicine, Padua, ItalyTEAMHealth Research Institute, Tampa General Hospital, Tampa, FL, United StatesDepartment of Medicine (DIMED), University of Padova, Padua, ItalyEnvironmental and Respiratory Physiology Laboratory and Master Level II in Diving and Hyperbaric Medicine, Department of Biomedical Sciences, University of Padova, Padua, ItalyIntroductionHyperbaric chambers and underwater environments are challenging and at risk of serious accidents. Personnel aiming to assist patients and subjects should be appropriately trained, and several courses have been established all over the world. In healthcare, simulation is an effective learning technique. However, there have been few peer-reviewed articles published in the medical literature describing its use in diving and hyperbaric medicine.MethodsWe implemented the curriculum of the Master’s degree in hyperbaric and diving medicine held at the University of Padova with emergency medicine seminars created by the faculty and validated by external experts. These seminars integrated traditional lectures and eight in situ simulation scenarios.ResultsFor the hyperbaric medicine seminar, simulations were carried out inside a real hyperbaric chamber at the ATIP Hyperbaric Treatment Centre, only using air and reproducing compression noise without pressurization to avoid damages to the manikins. The four scenarios consisted of hyperoxic seizures, pneumothorax, hypoglycemia, and sudden cardiac arrest. Furthermore, we added a hands-on session to instruct participants to prepare an intubated patient undergoing hyperbaric oxygen treatment with a checklist and simulating the patient transfer inside and outside the hyperbaric chamber. The diving medicine seminar was held at the Y-40 The Deep Joy pool in Montegrotto Terme (Italy), also involving SCUBA/breath-hold diving (BHD) instructors to rescue subjects from the water. These diving medicine scenarios consisted of neurologic syndrome (“taravana/samba”) in BHD, drowning of a breath-hold diver, pulmonary barotrauma in BHD, and decompression illness in a SCUBA diver.ConclusionWith this experience, we report the integration of simulation in the curriculum of a teaching course in diving and hyperbaric medicine. Future studies should be performed to investigate learning advantages, concept retention, and satisfaction of participants.https://www.frontiersin.org/articles/10.3389/fphys.2021.666503/fulldiving medicinehyperbaric medicinesimulationemergency medicineSCUBA divingbreath-hold diving |
| spellingShingle | Matteo Paganini Matteo Paganini Giulia Mormando Sandro Savino Giacomo Garetto Giacomo Garetto Giacomo Garetto Giacomo Garetto Giulia Tiozzo Enrico M. Camporesi Enrico M. Camporesi Enrico M. Camporesi Enrico M. Camporesi Enrico M. Camporesi Fabrizio Fabris Gerardo Bosco Emergency Medicine Cases in Underwater and Hyperbaric Environments: The Use of in situ Simulation as a Learning Technique Frontiers in Physiology diving medicine hyperbaric medicine simulation emergency medicine SCUBA diving breath-hold diving |
| title | Emergency Medicine Cases in Underwater and Hyperbaric Environments: The Use of in situ Simulation as a Learning Technique |
| title_full | Emergency Medicine Cases in Underwater and Hyperbaric Environments: The Use of in situ Simulation as a Learning Technique |
| title_fullStr | Emergency Medicine Cases in Underwater and Hyperbaric Environments: The Use of in situ Simulation as a Learning Technique |
| title_full_unstemmed | Emergency Medicine Cases in Underwater and Hyperbaric Environments: The Use of in situ Simulation as a Learning Technique |
| title_short | Emergency Medicine Cases in Underwater and Hyperbaric Environments: The Use of in situ Simulation as a Learning Technique |
| title_sort | emergency medicine cases in underwater and hyperbaric environments the use of in situ simulation as a learning technique |
| topic | diving medicine hyperbaric medicine simulation emergency medicine SCUBA diving breath-hold diving |
| url | https://www.frontiersin.org/articles/10.3389/fphys.2021.666503/full |
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