Homemade Cardiac and Vein Cannulation Ultrasound Phantoms for Trauma Management Training in Resource-Limited Settings

Ultrasound has become an essential skill for trauma management in resource-limited areas. Prohibitive costs of commercial ultrasound phantoms limit the abilities of many hospitals to adequately train health-care providers. We assessed the utility of homemade phantoms in a wartime setting. Thirty phy...

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Autores principales:	Ameer AI-Hadidi, Mukarram Amine, Amir Batman, Wael Hakmeh
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2021
Materias:	cardiac central line education effusion phantom sams syria tamponade ultrasound vein war Medicine R
Acceso en línea:	https://doaj.org/article/cd9046066b4c4c248cc4e48648c2204f
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spelling	oai:doaj.org-article:cd9046066b4c4c248cc4e48648c2204f2021-12-02T17:07:08ZHomemade Cardiac and Vein Cannulation Ultrasound Phantoms for Trauma Management Training in Resource-Limited Settings2231-07702249-446410.4103/ajm.ajm_196_20https://doaj.org/article/cd9046066b4c4c248cc4e48648c2204f2021-01-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/ajm.ajm_196_20https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Ultrasound has become an essential skill for trauma management in resource-limited areas. Prohibitive costs of commercial ultrasound phantoms limit the abilities of many hospitals to adequately train health-care providers. We assessed the utility of homemade phantoms in a wartime setting. Thirty physicians and technicians enrolled in a medical training course, sponsored by the Syrian American Medical Society (SAMS). Ultrasound simulation models were created onsite by using psyllium, gelatin, a hotel coffee maker, and Pyrex dishes. Lamb hearts were used to teach visual diagnosis and subsequent drainage of pericardial effusions. Penrose drains were used to teach vein identification and cannulation under dynamic ultrasound guidance. Two phantoms with a total of 14 penrose drains were created, serving 30 health-care providers. Feedback from participants was positive and within one month of the course, two cases of pericardial tamponade were diagnosed and surgically treated in the largest trauma hospital operated by SAMS. Context: In resource-limited environments, ultrasound phantoms (models) are cost-prohibitive. Aims: We assessed the utility of homemade phantoms in a resource-limited wartime setting to train Syrian physicians and technicians in vein cannulation and limited cardiac ultrasonography. Settings and Design: Thirty physicians and technicians enrolled in a medical training course, sponsored by SAMS. Methods: Ultrasound simulation models were created onsite by using psyllium, gelatin, a hotel coffee maker, and Pyrex dishes. Lamb hearts were used to teach visual diagnosis and subsequent drainage of pericardial effusions. Penrose drains were used to teach vein identification and cannulation under dynamic ultrasound guidance. Two phantoms with a total of 14 penrose drains were created, serving 30 health-care providers. Statistical Analysis Used: N/A Results: Feedback from participants was positive and within one month of the course, two cases of pericardial tamponade were diagnosed and surgically treated in the largest trauma hospital operated by SAMS. Conclusions: Homemade ultrasound phantoms are a promising cost-effective means for meeting an educational gap in ultrasound training, particularly for resource-limited hospitals and possibly more broadly in residency education.Ameer AI-HadidiMukarram AmineAmir BatmanWael HakmehThieme Medical and Scientific Publishers Pvt. Ltd.articlecardiaccentral lineeducationeffusionphantomsamssyriatamponadeultrasoundveinwarMedicineRENAvicenna Journal of Medicine, Vol 11, Iss 01, Pp 42-45 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cardiac central line education effusion phantom sams syria tamponade ultrasound vein war Medicine R
spellingShingle	cardiac central line education effusion phantom sams syria tamponade ultrasound vein war Medicine R Ameer AI-Hadidi Mukarram Amine Amir Batman Wael Hakmeh Homemade Cardiac and Vein Cannulation Ultrasound Phantoms for Trauma Management Training in Resource-Limited Settings
description	Ultrasound has become an essential skill for trauma management in resource-limited areas. Prohibitive costs of commercial ultrasound phantoms limit the abilities of many hospitals to adequately train health-care providers. We assessed the utility of homemade phantoms in a wartime setting. Thirty physicians and technicians enrolled in a medical training course, sponsored by the Syrian American Medical Society (SAMS). Ultrasound simulation models were created onsite by using psyllium, gelatin, a hotel coffee maker, and Pyrex dishes. Lamb hearts were used to teach visual diagnosis and subsequent drainage of pericardial effusions. Penrose drains were used to teach vein identification and cannulation under dynamic ultrasound guidance. Two phantoms with a total of 14 penrose drains were created, serving 30 health-care providers. Feedback from participants was positive and within one month of the course, two cases of pericardial tamponade were diagnosed and surgically treated in the largest trauma hospital operated by SAMS. Context: In resource-limited environments, ultrasound phantoms (models) are cost-prohibitive. Aims: We assessed the utility of homemade phantoms in a resource-limited wartime setting to train Syrian physicians and technicians in vein cannulation and limited cardiac ultrasonography. Settings and Design: Thirty physicians and technicians enrolled in a medical training course, sponsored by SAMS. Methods: Ultrasound simulation models were created onsite by using psyllium, gelatin, a hotel coffee maker, and Pyrex dishes. Lamb hearts were used to teach visual diagnosis and subsequent drainage of pericardial effusions. Penrose drains were used to teach vein identification and cannulation under dynamic ultrasound guidance. Two phantoms with a total of 14 penrose drains were created, serving 30 health-care providers. Statistical Analysis Used: N/A Results: Feedback from participants was positive and within one month of the course, two cases of pericardial tamponade were diagnosed and surgically treated in the largest trauma hospital operated by SAMS. Conclusions: Homemade ultrasound phantoms are a promising cost-effective means for meeting an educational gap in ultrasound training, particularly for resource-limited hospitals and possibly more broadly in residency education.
format	article
author	Ameer AI-Hadidi Mukarram Amine Amir Batman Wael Hakmeh
author_facet	Ameer AI-Hadidi Mukarram Amine Amir Batman Wael Hakmeh
author_sort	Ameer AI-Hadidi
title	Homemade Cardiac and Vein Cannulation Ultrasound Phantoms for Trauma Management Training in Resource-Limited Settings
title_short	Homemade Cardiac and Vein Cannulation Ultrasound Phantoms for Trauma Management Training in Resource-Limited Settings
title_full	Homemade Cardiac and Vein Cannulation Ultrasound Phantoms for Trauma Management Training in Resource-Limited Settings
title_fullStr	Homemade Cardiac and Vein Cannulation Ultrasound Phantoms for Trauma Management Training in Resource-Limited Settings
title_full_unstemmed	Homemade Cardiac and Vein Cannulation Ultrasound Phantoms for Trauma Management Training in Resource-Limited Settings
title_sort	homemade cardiac and vein cannulation ultrasound phantoms for trauma management training in resource-limited settings
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2021
url	https://doaj.org/article/cd9046066b4c4c248cc4e48648c2204f
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Homemade Cardiac and Vein Cannulation Ultrasound Phantoms for Trauma Management Training in Resource-Limited Settings

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