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Simulation in Surgical Trauma Training

  • Surgical Education (S Tisherman, Section Editor)
  • Published:
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Abstract

Purpose of Review

Simulation is an important part of surgical trauma training with continued advancement in techniques and incorporation of these techniques into established education methods. This review details ways in which simulation is used in current surgical trauma training.

Recent Findings

There have been new developments in specific simulation techniques used in existing training programs. Additionally, there is ongoing development of more advanced simulation utilizing virtual reality training.

Summary

Simulation is incorporated in surgical trauma training in a variety of ways. It is used for specific surgical techniques, it is included in several national trauma courses, it is used for team training, and it is used to teach communication skills. There are continued advances being made in the area of surgical trauma simulation including the use of virtual reality.

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References

Recently published papers of particular interest have been highlighted as: • Of importance •• Of major importance

  1. Kohn LT, Corrigan J, Donaldson MS. To err is human: building a safer health system [Internet]. 2000 [cited 2019 Dec 16]. https://site.ebrary.com/id/10038653

  2. Hishikawa S, Kawano M, Tanaka H, Konno K, Yasuda Y, Kawano R, et al. Mannequin simulation improves the confidence of medical students performing tube thoracostomy: a prospective, controlled trial. Am Surg. 2010;76:73–8.

    PubMed  Google Scholar 

  3. Tatli O, Turkmen S, Imamoglu M, Karaca Y, Cicek M, Yadigaroglu M, et al. A novel method for improving chest tube insertion skills among medical interns. Using biomaterial-covered mannequin. Saudi Med J. 2017;38:1007–122.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Ghazali A, Breque C, Léger A, Scépi M, Oriot D. Testing of a complete training model for chest tube insertion in traumatic pneumothorax. Simul Healthc J Soc Simul Healthc. 2015;10:239–44.

    Article  Google Scholar 

  5. Veenstra BR, Wojtowicz A, Walsh N, Velasco JM. The emergency surgical airway: bridging the gap from quality outcome to performance improvement through a novel simulation based curriculum. Am J Surg. 2019;217:562–5.

    Article  PubMed  Google Scholar 

  6. Gauger VT, Rooney D, Kovatch KJ, Richey L, Powell A, Berhe H, et al. A multidisciplinary international collaborative implementing low cost, high fidelity 3D printed airway models to enhance Ethiopian anesthesia resident emergency cricothyroidotomy skills. Int J Pediatr Otorhinolaryngol. 2018;114:124–8.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Nguyen LHP, Bank I, Fisher R, Mascarella M, Young M. Managing the airway catastrophe: longitudinal simulation-based curriculum to teach airway management. J Otolaryngol - Head Neck Surg. 2019;48:10.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Peltan ID, Shiga T, Gordon JA, Currier PF. Simulation improves procedural protocol adherence during central venous catheter placement: a randomized controlled trial. Simul Healthc J Soc Simul Healthc. 2015;10:270–6.

    Article  Google Scholar 

  9. Hauglum SD, Crenshaw NA, Gattamorta KA, Mitzova-Vladinov G. Evaluation of a low-cost high-fidelity animal model to train graduate advanced practice nursing students in the performance of ultrasound-guided central line catheter insertion. Simul Healthc J Soc Simul Healthc. 2018;13:341–7.

    Article  Google Scholar 

  10. Fürst RV, Polimanti AC, Galego SJ, Bicudo MC, Montagna E, Corrêa JA. Ultrasound-guided vascular access simulator for medical training: proposal of a simple, economic and effective model. World J Surg. 2017;41:681–6.

    Article  PubMed  Google Scholar 

  11. Pepley D, Yovanoff M, Mirkin K, Han D, Miller S, Moore J. Design of a Virtual Reality Haptic Robotic Central Venous Catheterization Training Simulator. Vol 5A 40th Mech Robot Conf [Internet]. Charlotte, North Carolina, USA: American Society of Mechanical Engineers; 2016 [cited 2020 Jan 31]. p. V05AT07A033. https://asmedigitalcollection.asme.org/IDETC-CIE/proceedings/IDETC-CIE2016/50152/Charlotte,%20North%20Carolina,%20USA/251588.

  12. Rothstein J, Gullo J, Cuningham L, Murphy P, Sochor M. Training emergency medicine residents: the skill of endotracheal intubation: comparison of human cadavers vs mannequins. Panam J Trauma Crit Care Emerg Surg. 2014;3:8–10.

    Article  Google Scholar 

  13. Ward PA, Irwin MG. Man vs. manikin revisited: the ethical boundaries of simulating difficult airways in patients. Anaesthesia. 2016;71:1399–403.

    Article  CAS  PubMed  Google Scholar 

  14. •• Trauma Education, American College of Surgeons [Internet]. https://www.facs.org/quality-programs/trauma/education. Website of courses offered by the American College of Surgeons including information about their history, purpose and target audience provided a necessary overview of areas of trauma education.

  15. Kaban JM, Stone ME, Dayama A, Safadjou S, Reddy SH, Simon R, et al. Does resident trauma exposure affect advanced trauma operative management course experience? Am Surg. 2016;82:212–5.

    PubMed  Google Scholar 

  16. Kuhls DA, Risucci DA, Bowyer MW, Luchette FA. Advanced surgical skills for exposure in trauma: a new surgical skills cadaver course for surgery residents and fellows. J Trauma Acute Care Surg. 2013;74:664–70.

    Article  PubMed  Google Scholar 

  17. Mackenzie CF, Garofalo E, Puche A, Chen H, Pugh K, Shackelford S, et al. Performance of vascular exposure and fasciotomy among surgical residents before and after training compared with experts. JAMA Surg. 2017;152:581.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Holzmacher J, Sarani B, Puche A, Granite G, Shalin V, Pugh K, et al. Can hyper-realistic physical models of peripheral vessel exposure and fasciotomy replace cadavers for performance assessment? J Trauma Acute Care Surg. 2017;83:S130–S135135.

    Article  PubMed  Google Scholar 

  19. Rosqvist E, Lauritsalo S, Paloneva J. Short 2-H in situ trauma team simulation training effectively improves non-technical skills of hospital trauma teams. Scand J Surg. 2019;108:117–23.

    Article  CAS  PubMed  Google Scholar 

  20. Endsley MR. Direct measurement of situation awareness: validity and use of SAGAT. In: Salas E, editor. Situational aware [Internet]. 1st ed. Routledge; 2017 [cited 2019 Dec 16]. p. 129–56. https://www.taylorfrancis.com/books/9781351548564/chapters/10.4324/9781315087924-9.

  21. • Crozier MS, Ting HY, Boone DC, O’Regan NB, Bandrauk N, Furey A, et al. Use of human patient simulation and validation of the Team Situation Awareness Global Assessment Technique (TSAGAT): a multidisciplinary team assessment tool in trauma education. J Surg Educ. 2015;72:156–63. Described a novel application to trauma of a team assessment technique which provides focus on the importance of team situation awareness training in trauma.

  22. Douglas P, Goldschmidt C, McCoyd M, Schneck M. Simulation-based training in brain death determination incorporating family discussion. J Grad Med Educ. 2018;10:553–8.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Newcomb AB, Trickey AW, Porrey M, Wright J, Piscitani F, Graling P, et al. Talk the talk: implementing a communication curriculum for surgical residents. J Surg Educ. 2017;74:319–28.

    Article  PubMed  Google Scholar 

  24. • Harrington CM, Kavanagh DO, Quinlan JF, Ryan D, Dicker P, O’Keeffe D, et al. Development and evaluation of a trauma decision-making simulator in Oculus virtual reality. Am J Surg. 2018;215:42–7. Described novel use of virtual reality simulator to teach ATLS skills.

  25. Mahmood T, Scaffidi MA, Khan R, Grover SC. Virtual reality simulation in endoscopy training: current evidence and future directions. World J Gastroenterol. 2018;24:5439–45.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Selman U, Mustafa Y, Georg B. Virtual reality in laparoscopic surgery. Stud Health Technol Inform. 2004;104:151–5.

    Google Scholar 

  27. Yiannakopoulou E, Nikiteas N, Perrea D, Tsigris C. Virtual reality simulators and training in laparoscopic surgery. Int J Surg. 2015;13:60–4.

    Article  PubMed  Google Scholar 

  28. Bartlett JD, Lawrence JE, Stewart ME, Nakano N, Khanduja V. Does virtual reality simulation have a role in training trauma and orthopaedic surgeons? Bone Joint J. 2018;100:559–65.

    Article  PubMed  Google Scholar 

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Correspondence to Habeeba Park.

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HP and KK declare no conflicts of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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Kelley, K., Park, H. Simulation in Surgical Trauma Training. Curr Surg Rep 8, 13 (2020). https://doi.org/10.1007/s40137-020-00261-7

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  • DOI: https://doi.org/10.1007/s40137-020-00261-7

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