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ISSN 2683-2348 (Electronic)
Federación Latinoamericana de Simulación Clínica y Seguridad del Paciente

2021, Number 3

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Simulación Clínica 2021; 3 (3)

Epistaxis management simulation-training models

Sepúlveda V, Viñuela M, Rosenbaum A, Faba G, Callejas C, E LA

Language: Spanish
References: 19
Page: 100-103
PDF size: 177.95 Kb.


ABSTRACT

Nasal packing is often used to manage epistaxis when conventional measures fail. This procedure requires basic theoretical and practical knowledge, but low training rates have been described. Simulation plays a crucial role in training practical skills, while maintaining the patient's safety. A comprehensive review of the literature regarding simulation models available for training on the management of epistaxis was carried out. We found models based on 3D-printing, cadaveric models, adaptations of cardiopulmonary resuscitation, and low-cost hand-made models that allow posterior and anterior nasal packing training. These studies indicate a statistically significant increase in the knowledge and confidence of the post-training learner. Even though they have educational value, most are not validated. Therefore, they remain a challenge to analyze in further studies.


REFERENCES

  1. Deibel J. Epistaxis With Warfarin Coagulopathy: An Adult Simulation Case for Residents. MedEdPORTAL. 2020; 16: 10916.

  2. Yau S. An update on epistaxis. Aust Fam Physician. 2015; 44 (9): 653-656.

  3. Hoffman M, Krey M, Iwanicki M, Cooper J, Jones S, Ochoa P, et al. Innovative simulation training models. Dis Mon. 2011;57 (12): 807-826.

  4. Harvey R, Malloy KM. Education and Training in Hemostasis: Perspectives of the Early Practitioner and Expert Practitioner. Otolaryngol Clin North Am. 2016; 49 (3): 863-876.

  5. List RJ, Biggs TC, Postans LE. Anterior nasal packing simulators. Clin Otolaryngol. 2011; 36 (6): 593-594.

  6. Dell'Era V, Garzaro M, Carenzo L, Ingrassia PL, Aluffi Valletti P. An innovative and safe way to train novice ear nose and throat residents through simulation: the SimORL experience. Acta Otorhinolaryngol Ital. 2020;40 (1): 19-25.

  7. Thone N, Winter M, González C, Pérez O, Zemelman J. Evaluación del taller de simulación para el manejo de epistaxis. Inv Ed Med. 2017; 6 (22): e1-e48. Available in: http://dx.doi.org/10.1016/j.riem.2017.01.059

  8. Maher S, Saw NDK, Muralindran M. Training on Management of ENT Emergencies Using Low-Fidelity Nasal Simulator. Int Res J Medical Sci. 2013; 1 (10):1-6.

  9. Gao RW, Rooney D, Harvey R, Malloy KM, Van Koevering KK. To Pack a Nose: High-Fidelity Epistaxis Simulation Using 3D Printing Technology. The Laryngoscope. 2021. Available in: http://dx.doi.org/10.1002/lary.29757

  10. Chiesa Estomba CM, González Fernández I, Iglesias Otero MÁ. How we do it: anterior and posterior nosebleed trainer, the 3D printing epistaxis project. Clin Otolaryngol. 2018;43 (2): 765-766.

  11. Scott GM, Roth K, Rotenberg B, Sommer DD, Sowerby L, Fung K. Evaluation of a novel high-fidelity epistaxis task trainer. Laryngoscope. 2016; 126 (7): 1501-1503.

  12. Pettineo CM, Vozenilek JA, Kharasch M, Wang E, Aitchison P. Epistaxis simulator: an innovative design. Simul Healthc. 2008;3 (4): 239-241.

  13. Malekzadeh S, Deutsch ES, Malloy KM. Simulation-based otorhinolaryngology emergencies boot camp: Part 2: Special skills using task trainers. Laryngoscope. 2014; 124 (7): 1566-1569.

  14. Lammers RL. Learning and retention rates after training in posterior epistaxis management. Acad Emerg Med. 2008;15 (11): 1181-1189.

  15. Cervenka BP, Hsieh T-Y, Lin S, Bewley A. Multi-Institutional Regional Otolaryngology Bootcamp. Ann Otol Rhinol Laryngol. 2020; 129 (6): 605-610.

  16. Swords C, Smith ME, Wasson JD, Qayyum A, Tysome JR. Validation of a new ENT emergencies course for first-on-call doctors. J Laryngol Otol. 2017; 131 (2): 106-112.

  17. Malloy KM, Malekzadeh S, Deutsch ES. Simulation-based otorhinolaryngology emergencies boot camp: Part 1: Curriculum design and airway skills. Laryngoscope. 2014; 124 (7): 1562-1565.

  18. Deutsch ES, Malloy KM, Malekzadeh S. Simulation-based otorhinolaryngology emergencies boot camp: Part 3: Complex teamwork scenarios and conclusions. Laryngoscope. 2014; 124 (7): 1570-1572.

  19. Malekzadeh S, Malloy KM, Chu EE, Tompkins J, Battista A, Deutsch ES. ORL emergencies boot camp: using simulation to onboard residents. Laryngoscope. 2011;121 (10): 2114-2121.




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