Simulation in healthcare : journal of the Society for Simulation in Healthcare
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We describe an integrated conceptual framework for a blended approach to debriefing called PEARLS [Promoting Excellence And Reflective Learning in Simulation]. We provide a rationale for scripted debriefing and introduce a PEARLS debriefing tool designed to facilitate implementation of the new framework. ⋯ The PEARLS framework and debriefing script fill a need for many health care educators learning to facilitate debriefings in simulation-based education. The PEARLS offers a structured framework adaptable for debriefing simulations with a variety in goals, including clinical decision making, improving technical skills, teamwork training, and interprofessional collaboration.
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Transcutaneous cardiac pacing (TCP) is a potentially lifesaving technique that is part of the recommended treatment for symptomatic bradycardia. Transcutaneous cardiac pacing however is used uncommonly, and its successful application is not straightforward. Simulation could, therefore, play an important role in the teaching and assessment of TCP competence. However, even the highest-fidelity mannequins available on the market have important shortcomings, which limit the potential of simulation. ⋯ The proposed TMM uses a novel combination of 2 high-fidelity mannequins to improve TCP simulation until upgraded mannequins become commercially available.
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This report describes the creation process for an inexpensive, durable, lumbar spine phantom for use in fluoroscopically guided lumbar puncture (LP) training. ⋯ This novel spine phantom can be produced with relatively low cost when compared with similar commercially available products. The phantom offers reasonable visual and tactile agreement to human anatomy and may be useful for improving the confidence of physician trainees. The LP phantom is durable and can easily be repaired by reheating the polymer tissue substitute.
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Second trimester surgical termination of pregnancy by dilation and evacuation (D&E) is a procedure that the Obstetrics and Gynecology (OB/GYN) Residency Review Committee requires training programs to offer to their residents and that many residents desire to learn. However, because of limited numbers of credentialed providers, clinical training opportunities may be limited or not available at their training institutions. Simulated procedures may allow for residents and other learners to be more prepared and capable at the time of their first clinical procedures or advanced skill acquisition. ⋯ The task trainer for ultrasound-guided second trimester uterine evacuation showed excellent face validity. This low-cost task trainer provides residents and other trainees with a tool to practice ultrasound-guided fetal extraction skills and improve proficiency with D&E outside the operating room. In addition, it increases their confidence in being able to perform the procedure on patients.