The airway is the most important priority in the management of acutely ill patients. Every resuscitation protocol like basic life support, advanced trauma life support states that the airway is the first priority for assessment and intervention. Failure of airway management remains a significant source of morbidity and mortality.
Training healthcare professionals in airway management is essential to patient safety and survival. Simulation training offers a controlled, safe, and reproducible environment in which healthcare workers can practice and gain mastery in emergency airway management skills. It has been shown to be effective in acquiring clinical skill proficiency and improving performance in actual clinical situations. It can effectively enhance and upgrade the knowledge and skills of the trainees and which subsequently decreases medical errors and improve patient outcomes and safety.
To enhance knowledge, skills, and confidence associated with emergency airway management among healthcare workers through a simulation exercise
Duration: ½ day
Mode of Teaching: Case-based Simulation exercise (Trauma-based Case scenarios)
1st scenario: A Trauma patient who needs immediate airway assessment and intervention
2nd scenario: A conscious trauma patient, who needs rapid sequence intubation will be introduced to healthcare workers for emergency airway management in dummy patients.
Target group: Inter medical student, MDGP Resident, Anesthesia Resident, ENT resident, Medical officers, Emergency, ICU, Medicine, PICU, pediatric, SICU, MICU,- Nursing and paramedics staff, Newly appointed faculty of Emergency, Anesthesia, and ENT Department.
|Expectation and Ground Rules||5 mins|
|Pre-test- Theory||10 mins|
|Pre-test – Practical with debriefing||20 mins|
|Airway overview||60 mins|
Demonstration on Basic Airway maneuver and Practice
(head tilt, chin lift, jaw thrust, oxygen administration, suction, Oro-pharyngeal Airway, Nasopharyngeal Airway, Bag and mask, C-spine protection)
|30 mins||Skill station-1|
|Demonstration of LMA on a mannequin and practice||30 mins||Skill station-2|
|Advanced Airway ( Intubation, Crash Airway, and Rapid Sequence intubation) and Practice||30 mins||Skill station-3|
Demonstration on Needle Cricothyroidotomy,
Teamwork and practice
|30 mins||Skill station-4|
|Team-Break 10 mins|
|Practice session||15 mins|
|Post practical test and debriefing||25 mins|
|Post theory test||10 mins|
|Feedback from participants||5 mins|
|Feedback from faculties||5 mins|
There will be 4 skill stations. All participants will be divided into 4 groups and in each group there will be 4-7 participants with one Trainer/ Facilitator. There will be one rotatory facilitator who rotates all the group members in each skill station and will make sure each member has received enough practice sessions.
After completion of managing that trauma victim, then, 25-30 minutes debriefing session will be conducted based on Pendleton’s rule by the faculty being as a moderator. What went well, what needs to be corrected, and what needs to be demonstrated will be discussed and demonstrated to the healthcare workers in the debriefing session (feedback session).
Skill checklist (American heart association- basic airway maneuver, intubation, Laryngeal mask insertion, directly observed procedural Skills) will be followed to assess the skill. Each element of the skill test will be categorized into 3 parts i.e satisfactorily performed, not satisfactorily performed, and not observed.