Article Text

0012 The Practicalities Of Incorporating Intraosseous Access Into Emergency Education Scenarios
  1. Carrie Gosland1,
  2. Jane Nicklin2
  1. 1Teleflex, St Mary’s Court the Broadway Old Amersham HP7 0UT, UK
  2. 2Health Education Yorkshire and Humber, Room G03 Queen Square House 80 Woodhouse Lane Leeds LS2 8NU, UK

Abstract

Background The recent revision to the Resuscitation Council UK (RCUK) ALS Guidelines1 incorporates reccomendations on the use of Intraosseous Access (IO), a short section on IO has been added to the associated ALS course skills station but time and scope limitations demand that further education in the specific IO device to be used is required.

In response to this predicted demand Teleflex (manufacturer of EZ-IO Intraosseous Vascular Access System) recognised their current education programme was behind the growing trend for simulation based learning. Teleflex approached The Yorkshire and Humber Strategic Clinical Skills Advisory Team (Y&HSCSAT) for expertise, guidance and support in order to develop an EZ-IO Education package based around Simulation Based Mastery Learning2.

Description of topic A programme of four Pilot Simulation workshops was developed collaboratively in order to assess the viability of Simulation as an education tool to support the use of EZ-IO within the NHS. Each pilot was held at a different NHS Trust and focused on a specific disease process with associated time critical simulation scenarios.

A three phase evaluation model was used all information was collected and collated by Y&H SCSAT to eliminate commercial bias.

Areas for evaluation included:

  • Simulation model

  • Debrief model

  • Simulation equipment

Learning objectives Impact on Clinical practice.

Anticipated outcomes It is anticipated that analysis of the evaluated pilot simulation programme will provide guidance for NHS Trusts on how best to incorporate IO into current emergency simulation scenarios to produce maximum learning outcomes and downstream improvements in clinical skills.

An EZ-IO education pack will be created to facilitate the above.

Take home message The use of IO within NHS Trusts is likely to increase reflecting RCUK ALS guidelines. The resources created will facilitate development of additional education around IO devices that will be required to supplement the RCUK ALS course.

References

  1. Nolan JP, Soar J. Resuscitation Council (UK). Resuscitation Guidelines 2010. Section 1 Summary of Changes. 2010 Resuscitation Guidelines;8

  2. Deakin C, Nolan JP, Perkins G, Lockey A. Resuscitation Council (UK). Resuscitation Guidelines 2010. Section 7 Adult Advanced Life Support. 2010 Resuscitation Guidelines;58

  3. McGaghie WC, Issenberg SB, Barsuk JH & Wayne DB. A Critical review of simulation-based mastery learning with translational outcomes. Medical Education 2014; 48:375–385

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