Background/context We were asked to develop a wet-lab model for a Perimortem C-Section, for use in a critical situation course, The request was to produce a high fidelity model that would allow course delegates to be able to undertake a perimortem c-section to follow a non technical emergency scenario.
Description of innovation Our model is based on an Adam, Rouilly birthing abdomen containing a water filled balloon to represent the bladder. We used a newborn doll, which has been enveloped in a water filled condom to represent the Amniotic sac, placed in the abdominal cavity. This was covered with a silicone skin to represent the uterine wall, above this we placed some porcine small bowel, and a layer of polyethylene to replesent the peritoneal layer. Finaly we placed a large piece of porcine belly over the model and anchored it to the Abdominal base.
Improvements/outcomes This model was used on the pilot for the CRISIS (Critical Situations) course at Bradford which contains both Simulation and Practical sessions for critical situations involving the three skills of emergency c-section, thoracotomy and a surgical airway, aimed at Consultants and Senior Trainees from Emergency medicine.
The Specialist consultant facilitating the C-Section practical was Dr Virginia Beckett Consultant in Obstetrics and Gynaecology at Bradford who had previously talked through the requirements and had undertaken the procedure on our first prototype. The feedback from both Dr Beckett and the course delegates was that the model was excellent.
Key take home messages Utilising higher fidelity models during training of practical procedures will enhance the learning experience and make the skills taught more transferable to human tissue. The overall aim of this type learning is to enhance surgical skills but will also significantly increase patient safety (Kohn and Corrigan 1999).
Kohn LT, Corrigan JM. (1999) To Err Is Human. Institute of Medicine, National Academy Press, Washington
- Category: Course or curriculum evaluation/innovation/integration
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