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The effectiveness of a novel, algorithm-based difficult airway curriculum for air medical crews using human patient simulators.

机译：一种新颖的，基于算法的空中医务人员使用人类患者模拟器的困难气道课程的有效性。

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INTRODUCTION: Airway management is one of the most important skills possessed by flight crews. However, few data exist about the efficacy of various educational approaches. Traditional models for airway training, including cadaver labs, operating room exposure, and clinical apprenticeships, are scarce and offer variable educational quality. The objective of this analysis was to evaluate the effectiveness of a simulator-based difficult airway curriculum in a large, aeromedical company. METHODS: Simulation training was integrated into existing airway training for all crew members; an original difficult airway algorithm was used to guide scenarios. To evaluate its effectiveness, rapid sequence intubation (RSI) success before and after curriculum implementation was determined. In addition, crew members rated their confidence with various aspects of airway management before and after exposure to the airway workshops. RESULTS: First attempt and overall ETI success improved from 71.3% and 89.3% before (n=261)to 87.5% and 94.6% after (n=504) implementation of the algorithm and simulation training, whereas the incidence of hypoxic arrests during RSI decreased from 2.7% to 0.2% (p<0.01 for all comparisons). Crew members reported improvements in confidence with regard to all aspects of airway management following participation in the simulation workshops. CONCLUSIONS: A novel, integrated airway management curriculum using treatment algorithms and simulation appeared to be effective for improving RSI success among air medical crews in this program.
机译：简介：气道管理是机组人员拥有的最重要技能之一。但是，关于各种教育方法的功效的数据很少。气管训练的传统模型（包括尸体实验室，手术室暴露和临床学徒制）很稀缺，并且提供了可变的教育质量。该分析的目的是评估大型航空医疗公司基于模拟器的困难气道课程的有效性。方法：模拟训练已被纳入所有机组人员的现有气道训练中。原始的困难气道算法用于指导情景。为了评估其有效性，确定了在实施课程之前和之后快速序列插管（RSI）成功的方法。此外，机组人员在接触气道车间之前和之后对气道管理各个方面的信心进行了评估。结果：首次尝试和整体ETI成功率从算法和模拟训练实施前的71.3％和n9.3的89.3％分别提高到实施n504以后的87.5％和94.6％，而RSI期间低氧停搏的发生率却下降了从2.7％到0.2％（对于所有比较，p <0.01）。参加模拟研讨会后​​，机组成员报告在气道管理各个方面的信心得到了改善。结论：采用治疗算法和模拟的新颖，综合的气道管理课程看来对提高该计划中的空中医疗人员的RSI成功率是有效的。

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