Simulation of Urgent Airway Management in a Postthyroidectomy Hematoma

Introduction An expanding neck hematoma following thyroidectomy is a rare complication requiring urgent airway management and potential bedside evacuation before definitive surgical intervention. Due to its rare occurrence and life-threatening consequences, appropriate crisis resource management and...

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Autores principales:	Kitty Wu, Stephanie Kim, Shihan J. Rajasingham, Ida Bruni, Kevin Fung, Kathryn E. Roth
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2019
Materias:	Simulation Airway Thyroidectomy Otolaryngology Simulation-Based Learning Emergency Management Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/6dc25c560b424bb0b52194ffb6899bbd
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spelling	oai:doaj.org-article:6dc25c560b424bb0b52194ffb6899bbd2021-11-22T13:40:38ZSimulation of Urgent Airway Management in a Postthyroidectomy Hematoma10.15766/mep_2374-8265.108022374-8265https://doaj.org/article/6dc25c560b424bb0b52194ffb6899bbd2019-02-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10802https://doaj.org/toc/2374-8265Introduction An expanding neck hematoma following thyroidectomy is a rare complication requiring urgent airway management and potential bedside evacuation before definitive surgical intervention. Due to its rare occurrence and life-threatening consequences, appropriate crisis resource management and a systematic approach are critical for patient safety. Methods In this simulation scenario using a high-fidelity mannequin, a 68-year-old male presented with an expanding cervical hematoma 2 hours after a total thyroidectomy. The target audience was junior residents (PGY 1, PGY 2) in otolaryngology–head and neck surgery. Residents were given a case stem to encourage active information gathering through history and physical examination. Setup and flow of the scenario were designed for residents to prioritize establishing an airway through bedside decompression of the hematoma prior to making operating room arrangements for definitive management. Standardized patients playing a ward nurse and patient family member added complexity to the case. Results Since 2012, the simulation has been used with a total of 96 residents as part of an annual boot camp. Surveys conducted after the boot camp verified the effectiveness of simulations in learning and, specifically, the usefulness of this scenario. Discussion Simulation-based training is an effective learning modality for critical cases in health care disciplines involving emergency airway management. A well-developed simulation that closely resembles a real-life scenario is essential in creating a rich learning environment for trainees. Our scenario can be a valuable resource for other institutions implementing simulation-based training as part of their medical education.Kitty WuStephanie KimShihan J. RajasinghamIda BruniKevin FungKathryn E. RothAssociation of American Medical CollegesarticleSimulationAirwayThyroidectomyOtolaryngologySimulation-Based LearningEmergency ManagementMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 15 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Simulation Airway Thyroidectomy Otolaryngology Simulation-Based Learning Emergency Management Medicine (General) R5-920 Education L
spellingShingle	Simulation Airway Thyroidectomy Otolaryngology Simulation-Based Learning Emergency Management Medicine (General) R5-920 Education L Kitty Wu Stephanie Kim Shihan J. Rajasingham Ida Bruni Kevin Fung Kathryn E. Roth Simulation of Urgent Airway Management in a Postthyroidectomy Hematoma
description	Introduction An expanding neck hematoma following thyroidectomy is a rare complication requiring urgent airway management and potential bedside evacuation before definitive surgical intervention. Due to its rare occurrence and life-threatening consequences, appropriate crisis resource management and a systematic approach are critical for patient safety. Methods In this simulation scenario using a high-fidelity mannequin, a 68-year-old male presented with an expanding cervical hematoma 2 hours after a total thyroidectomy. The target audience was junior residents (PGY 1, PGY 2) in otolaryngology–head and neck surgery. Residents were given a case stem to encourage active information gathering through history and physical examination. Setup and flow of the scenario were designed for residents to prioritize establishing an airway through bedside decompression of the hematoma prior to making operating room arrangements for definitive management. Standardized patients playing a ward nurse and patient family member added complexity to the case. Results Since 2012, the simulation has been used with a total of 96 residents as part of an annual boot camp. Surveys conducted after the boot camp verified the effectiveness of simulations in learning and, specifically, the usefulness of this scenario. Discussion Simulation-based training is an effective learning modality for critical cases in health care disciplines involving emergency airway management. A well-developed simulation that closely resembles a real-life scenario is essential in creating a rich learning environment for trainees. Our scenario can be a valuable resource for other institutions implementing simulation-based training as part of their medical education.
format	article
author	Kitty Wu Stephanie Kim Shihan J. Rajasingham Ida Bruni Kevin Fung Kathryn E. Roth
author_facet	Kitty Wu Stephanie Kim Shihan J. Rajasingham Ida Bruni Kevin Fung Kathryn E. Roth
author_sort	Kitty Wu
title	Simulation of Urgent Airway Management in a Postthyroidectomy Hematoma
title_short	Simulation of Urgent Airway Management in a Postthyroidectomy Hematoma
title_full	Simulation of Urgent Airway Management in a Postthyroidectomy Hematoma
title_fullStr	Simulation of Urgent Airway Management in a Postthyroidectomy Hematoma
title_full_unstemmed	Simulation of Urgent Airway Management in a Postthyroidectomy Hematoma
title_sort	simulation of urgent airway management in a postthyroidectomy hematoma
publisher	Association of American Medical Colleges
publishDate	2019
url	https://doaj.org/article/6dc25c560b424bb0b52194ffb6899bbd
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Simulation of Urgent Airway Management in a Postthyroidectomy Hematoma

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