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Developing a simulation programme to train airway management during the COVID-19 pandemic in a tertiary-level hospital
Tracheal intubation of a patient with COVID-19 is a high-risk procedure for not only the patient, but all healthcare workers involved, leading to an understandable degree of staff anxiety. We used simulation to help train airway managers to intubate patients with COVID-19. Based on action cards deve...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8445193/ https://www.ncbi.nlm.nih.gov/pubmed/34603745 http://dx.doi.org/10.1136/bmjstel-2020-000755 |
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author | Wong, Heung Yan Johnstone, Craig Dua, Gunjeet |
author_facet | Wong, Heung Yan Johnstone, Craig Dua, Gunjeet |
author_sort | Wong, Heung Yan |
collection | PubMed |
description | Tracheal intubation of a patient with COVID-19 is a high-risk procedure for not only the patient, but all healthcare workers involved, leading to an understandable degree of staff anxiety. We used simulation to help train airway managers to intubate patients with COVID-19. Based on action cards developed by our department, we designed a series of scenarios to simulate airway management during the COVID-19 pandemic. Teams were asked to perform a rapid sequence induction with tracheal intubation. We designed in situ scenarios with low-fidelity manikins that could be set up in operating theatres across multiple sites. Over a period of 4 weeks, 101 consultant anaesthetists, 58 anaesthetic trainees and 30 operating department practitioners received intubation training. These members made up the airway response team of our hospital. 30 emergency department doctors also received training in anticipation of further COVID-19 surges leading to the possibility of overwhelmed services. Simulation-based training was an invaluable tool for our hospital to rapidly upskill medical professionals during the first wave of the COVID-19 pandemic. We have used feedback and additional guidelines to improve our scenarios to retrain staff during subsequent waves. |
format | Online Article Text |
id | pubmed-8445193 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-84451932021-10-01 Developing a simulation programme to train airway management during the COVID-19 pandemic in a tertiary-level hospital Wong, Heung Yan Johnstone, Craig Dua, Gunjeet BMJ Simul Technol Enhanc Learn Short Report Tracheal intubation of a patient with COVID-19 is a high-risk procedure for not only the patient, but all healthcare workers involved, leading to an understandable degree of staff anxiety. We used simulation to help train airway managers to intubate patients with COVID-19. Based on action cards developed by our department, we designed a series of scenarios to simulate airway management during the COVID-19 pandemic. Teams were asked to perform a rapid sequence induction with tracheal intubation. We designed in situ scenarios with low-fidelity manikins that could be set up in operating theatres across multiple sites. Over a period of 4 weeks, 101 consultant anaesthetists, 58 anaesthetic trainees and 30 operating department practitioners received intubation training. These members made up the airway response team of our hospital. 30 emergency department doctors also received training in anticipation of further COVID-19 surges leading to the possibility of overwhelmed services. Simulation-based training was an invaluable tool for our hospital to rapidly upskill medical professionals during the first wave of the COVID-19 pandemic. We have used feedback and additional guidelines to improve our scenarios to retrain staff during subsequent waves. BMJ Publishing Group 2021-06-21 /pmc/articles/PMC8445193/ /pubmed/34603745 http://dx.doi.org/10.1136/bmjstel-2020-000755 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Short Report Wong, Heung Yan Johnstone, Craig Dua, Gunjeet Developing a simulation programme to train airway management during the COVID-19 pandemic in a tertiary-level hospital |
title | Developing a simulation programme to train airway management during the COVID-19 pandemic in a tertiary-level hospital |
title_full | Developing a simulation programme to train airway management during the COVID-19 pandemic in a tertiary-level hospital |
title_fullStr | Developing a simulation programme to train airway management during the COVID-19 pandemic in a tertiary-level hospital |
title_full_unstemmed | Developing a simulation programme to train airway management during the COVID-19 pandemic in a tertiary-level hospital |
title_short | Developing a simulation programme to train airway management during the COVID-19 pandemic in a tertiary-level hospital |
title_sort | developing a simulation programme to train airway management during the covid-19 pandemic in a tertiary-level hospital |
topic | Short Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8445193/ https://www.ncbi.nlm.nih.gov/pubmed/34603745 http://dx.doi.org/10.1136/bmjstel-2020-000755 |
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