Skip to main content
SpringerLink
Log in

Simulation in Trauma/Advanced Cardiac Life Support

  • Chapter
  • First Online:
Comprehensive Healthcare Simulation: Anesthesiology

Part of the book series: Comprehensive Healthcare Simulation ((CHS))

  • 852 Accesses

Abstract

Anesthesiologists have limited exposure to low-frequency, high-acuity events such as unstable trauma or cardiac arrest, and may benefit from hands-on education that utilizes simulated scenarios. Part-task training focuses on the acquisition of individual skills such as chest tube placement and endotracheal intubation, while high-fidelity training incorporates realistic clinical scenarios. In addition to the acquisition of technical proficiency, anesthesiologists can utilize high-fidelity simulation as a tool to build and teach communication and team leadership skills in critical care scenarios. Both part-task and high-fidelity simulation are integral components of simulation training for ACLS and trauma preparedness.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Stirling ER, Lewis TL, Ferran NA. Surgical skills simulation in trauma and orthopaedic training. J Orthop Surg Res. 2014;9:126.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Crosson FJ, Leu J, Roemer BM, Ross MN. Gaps in residency training should be addressed to better prepare doctors for a twenty-first-century delivery system. Health Aff (Millwood). 2011;30:2142–8.

    Article  Google Scholar 

  3. Shukla A, Kline D, Cherian A, et al. A simulation course on lifesaving techniques for third-year medical students. Simul Healthc. 2007;2:11–5.

    Article  PubMed  Google Scholar 

  4. de Montbrun SL, Roberts PL, Lowry AC, et al. A novel approach to assessing technical competence of colorectal surgery residents: the development and evaluation of the Colorectal Objective Structured Assessment of Technical Skill (COSATS). Ann Surg. 2013;258:1001–6.

    Article  PubMed  Google Scholar 

  5. Reznick RK, MacRae H. Teaching surgical skills--changes in the wind. N Engl J Med. 2006;355:2664–9.

    Article  CAS  PubMed  Google Scholar 

  6. Sahu S, Lata I. Simulation in resuscitation teaching and training, an evidence based practice review. J Emerg Trauma Shock. 2010;3:378–84.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Garcia J, Coste A, Tavares W, Nuno N, Lachapelle K. Assessment of competency during orotracheal intubation in medical simulation. Br J Anaesth. 2015;115:302–7.

    Article  CAS  PubMed  Google Scholar 

  8. Low D, Healy D, Rasburn N. The use of the BERCI DCI video laryngoscope for teaching novices direct laryngoscopy and tracheal intubation. Anaesthesia. 2008;63:195–201.

    Article  CAS  PubMed  Google Scholar 

  9. Berg RA, Hemphill R, Abella BS, et al. Part 5: adult basic life support: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122:S685–705.

    Article  PubMed  Google Scholar 

  10. Schuerner P, Grande B, Piegeler T, et al. Hands-off time for endotracheal intubation during CPR is not altered by the use of the C-MAC video-laryngoscope compared to conventional direct laryngoscopy. A randomized crossover manikin study. PLoS One. 2016;11:e0155997.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  11. Kim JW, Park SO, Lee KR, et al. Video laryngoscopy vs. direct laryngoscopy: which should be chosen for endotracheal intubation during cardiopulmonary resuscitation? A prospective randomized controlled study of experienced intubators. Resuscitation. 2016;105:196–202.

    Article  PubMed  Google Scholar 

  12. Helm M, Hossfeld B, Schafer S, Hoitz J, Lampl L. Factors influencing emergency intubation in the pre-hospital setting – a multicentre study in the German Helicopter Emergency Medical Service. Br J Anaesth. 2006;96:67–71.

    Article  CAS  PubMed  Google Scholar 

  13. Pettineo CM, Vozenilek JA, Wang E, Flaherty J, Kharasch M, Aitchison P. Simulated emergency department procedures with minimal monetary investment: cricothyrotomy simulator. Simul Healthc. 2009;4:60–4.

    Article  PubMed  Google Scholar 

  14. Bourgeois SL Jr. Central venous access techniques. Atlas Oral Maxillofac Surg Clin North Am. 2015;23:137–45.

    Article  PubMed  Google Scholar 

  15. Madenci AL, Solis CV, de Moya MA. Central venous access by trainees: a systematic review and meta-analysis of the use of simulation to improve success rate on patients. Simul Healthc. 2014;9:7–14.

    Article  PubMed  Google Scholar 

  16. Ball RD, Scouras NE, Orebaugh S, Wilde J, Sakai T. Randomized, prospective, observational simulation study comparing residents’ needle-guided vs free-hand ultrasound techniques for central venous catheter access. Br J Anaesth. 2012;108:72–9.

    Article  CAS  PubMed  Google Scholar 

  17. Kurowski A, Timler D, Evrin T, Szarpak L. Comparison of 3 different intraosseous access devices for adult during resuscitation. Randomized crossover manikin study. Am J Emerg Med. 2014;32:1490–3.

    Article  PubMed  Google Scholar 

  18. Leidel BA, Kirchhoff C, Braunstein V, Bogner V, Biberthaler P, Kanz KG. Comparison of two intraosseous access devices in adult patients under resuscitation in the emergency department: a prospective, randomized study. Resuscitation. 2010;81:994–9.

    Article  PubMed  Google Scholar 

  19. Cooper JB, Taqueti VR. A brief history of the development of mannequin simulators for clinical education and training. Qual Saf Health Care. 2004;13(Suppl 1):i11–8.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Pozner CN, Almozlino A, Elmer J, Poole S, McNamara D, Barash D. Cardiopulmonary resuscitation feedback improves the quality of chest compression provided by hospital health care professionals. Am J Emerg Med. 2011;29:618–25.

    Article  PubMed  Google Scholar 

  21. Song Y, Oh J, Chee Y. A new chest compression depth feedback algorithm for high-quality CPR based on smartphone. Telemed J E Health. 2015;21:36–41.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Pavo N, Goliasch G, Nierscher FJ, et al. Short structured feedback training is equivalent to a mechanical feedback device in two-rescuer BLS: a randomised simulation study. Scand J Trauma Resusc Emerg Med. 2016;24:70.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Lipman SS, Wong JY, Arafeh J, Cohen SE, Carvalho B. Transport decreases the quality of cardiopulmonary resuscitation during simulated maternal cardiac arrest. Anesth Analg. 2013;116:162–7.

    Article  PubMed  Google Scholar 

  24. Zapletal B, Greif R, Stumpf D, et al. Comparing three CPR feedback devices and standard BLS in a single rescuer scenario: a randomised simulation study. Resuscitation. 2014;85:560–6.

    Article  PubMed  Google Scholar 

  25. Conlon LW, Rodgers DL, Shofer FS, Lipschik GY. Impact of levels of simulation fidelity on training of interns in ACLS. Hosp Pract (1995). 2014;42:135–41.

    Article  Google Scholar 

  26. Adams AJ, Wasson EA, Admire JR, et al. A comparison of teaching modalities and fidelity of simulation levels in teaching resuscitation scenarios. J Surg Educ. 2015;72:778–85.

    Article  PubMed  Google Scholar 

  27. O’Brien G, Haughton A, Flanagan B. Interns’ perceptions of performance and confidence in participating in and managing simulated and real cardiac arrest situations. Med Teach. 2001;23:389–95.

    Article  PubMed  Google Scholar 

  28. Rodgers DL, Securro S Jr, Pauley RD. The effect of high-fidelity simulation on educational outcomes in an advanced cardiovascular life support course. Simul Healthc. 2009;4:200–6.

    Article  PubMed  Google Scholar 

  29. Ko PY, Scott JM, Mihai A, Grant WD. Comparison of a modified longitudinal simulation-based advanced cardiovascular life support to a traditional advanced cardiovascular life support curriculum in third-year medical students. Teach Learn Med. 2011;23:324–30.

    Article  PubMed  Google Scholar 

  30. Wayne DB, Butter J, Siddall VJ, et al. Mastery learning of advanced cardiac life support skills by internal medicine residents using simulation technology and deliberate practice. J Gen Intern Med. 2006;21:251–6.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Wisborg T, Brattebo G, Brinchmann-Hansen A, Hansen KS. Mannequin or standardized patient: participants’ assessment of two training modalities in trauma team simulation. Scand J Trauma Resusc Emerg Med. 2009;17:59.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Esposito TJ, Sanddal TL, Reynolds SA, Sanddal ND. Effect of a voluntary trauma system on preventable death and inappropriate care in a rural state. J Trauma. 2003;54:663–9. discussion 9–70.

    Article  PubMed  Google Scholar 

  33. DeVita MA, Schaefer J, Lutz J, Wang H, Dongilli T. Improving medical emergency team (MET) performance using a novel curriculum and a computerized human patient simulator. Qual Saf Health Care. 2005;14:326–31.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Gaba DM, Howard SK, Flanagan B, Smith BE, Fish KJ, Botney R. Assessment of clinical performance during simulated crises using both technical and behavioral ratings. Anesthesiology. 1998;89:8–18.

    Article  CAS  PubMed  Google Scholar 

  35. Mudumbai SC, Gaba DM, Boulet JR, Howard SK, Davies MF. External validation of simulation-based assessments with other performance measures of third-year anesthesiology residents. Simul Healthc. 2012;7:73–80.

    Article  PubMed  Google Scholar 

  36. Weller JM, Bloch M, Young S, et al. Evaluation of high fidelity patient simulator in assessment of performance of anaesthetists. Br J Anaesth. 2003;90:43–7.

    Article  CAS  PubMed  Google Scholar 

  37. Kogan JR, Holmboe ES, Hauer KE. Tools for direct observation and assessment of clinical skills of medical trainees: a systematic review. JAMA. 2009;302:1316–26.

    Article  CAS  PubMed  Google Scholar 

  38. Miller D, Crandall C, Washington C 3rd, McLaughlin S. Improving teamwork and communication in trauma care through in situ simulations. Acad Emerg Med. 2012;19:608–12.

    Article  PubMed  Google Scholar 

  39. Renna TD, Crooks S, Pigford AA, et al. Cognitive Aids for Role Definition (CARD) to improve interprofessional team crisis resource management: an exploratory study. J Interprof Care. 2016;30:582–90.

    Article  PubMed  Google Scholar 

  40. Manser T, Harrison TK, Gaba DM, Howard SK. Coordination patterns related to high clinical performance in a simulated anesthetic crisis. Anesth Analg. 2009;108:1606–15.

    Article  PubMed  Google Scholar 

  41. Minehart RD, Pian-Smith MC, Walzer TB, et al. Speaking across the drapes: communication strategies of anesthesiologists and obstetricians during a simulated maternal crisis. Simul Healthc. 2012;7:166–70.

    Article  PubMed  Google Scholar 

  42. Murray DJ, Boulet JR, Avidan M, et al. Performance of residents and anesthesiologists in a simulation-based skill assessment. Anesthesiology. 2007;107:705–13.

    Article  PubMed  Google Scholar 

  43. Fletcher G, Flin R, McGeorge P, Glavin R, Maran N, Patey R. Anaesthetists’ Non-Technical Skills (ANTS): evaluation of a behavioural marker system. Br J Anaesth. 2003;90:580–8.

    Article  CAS  PubMed  Google Scholar 

  44. Doumouras AG, Keshet I, Nathens AB, Ahmed N, Hicks CM. Trauma Non-Technical Training (TNT-2): the development, piloting and multilevel assessment of a simulation-based, interprofessional curriculum for team-based trauma resuscitation. Can J Surg. 2014;57:354–5.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Steinemann S, Berg B, DiTullio A, et al. Assessing teamwork in the trauma bay: introduction of a modified “NOTECHS” scale for trauma. Am J Surg. 2012;203:69–75.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Anesthesiology and Pain Management, Cleveland Clinic, Pepper Pike, OH, USA

    Cesar Padilla

  2. Department of Anesthesiology, Perioperative, and Pain Medicine, Brigham and Women’s Hospital, Boston, MA, USA

    Michaela Kristina Farber

  3. Harvard Medical School, Boston, MA, USA

    Michaela Kristina Farber

Authors
  1. Cesar Padilla
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Michaela Kristina Farber
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Michaela Kristina Farber .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology, Perioperative and Pain Medicine, Mount Sinai St. Luke’s and West Hospitals, Mount Sinai St. Luke’s & Roosevelt Hospital, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Bryan Mahoney

  2. Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA

    Rebecca D. Minehart

  3. Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA

    May C. M. Pian-Smith

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Padilla, C., Farber, M.K. (2020). Simulation in Trauma/Advanced Cardiac Life Support. In: Mahoney, B., Minehart, R., Pian-Smith, M. (eds) Comprehensive Healthcare Simulation: Anesthesiology . Comprehensive Healthcare Simulation. Springer, Cham. https://doi.org/10.1007/978-3-030-26849-7_23

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-26849-7_23

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-26848-0

  • Online ISBN: 978-3-030-26849-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation