Mateusz Puslecki1,2,3, Marcin Ligowski2,3, Michal Kiel4, Marek Dabrowski1,5, Sebastian Stefaniak2,3, Maciej Sip1,5, Adrian Maciejewski1, Agata Dabrowska1,5, Ilona Kiel-Puslecka6, Tomasz Kłosiewicz1, Marcin Misterski2,3, Piotr Buczkowski2,3, Lukasz Szarpak7,8, Kurt Ruetzler9, Bartlomiej Perek2,3, Michael Czekajlo5,10,11, Marek Jemielity2,3. 1. Department of Medical Rescue, Poznan University of Medical Sciences, Poznan, Poland. 2. Department of Cardiac Surgery and Transplantology, Poznan University of Medical Sciences, Poznan, Poland. 3. Clinical Hospital SKPP, Poznan, Poland. 4. IT WORKS, Wroclaw, Poland. 5. Polish Society of Medical Simulation, Poznan, Poland. 6. Department of Palliative Medicine, Poznan University of Medical Sciences, Poznan, Poland. 7. Department of Emergency Medicine, Medical University of Warsaw, Warsaw, Poland. 8. Lazarski University, Warsaw, Poland. 9. Departments of Outcomes Research and General Anesthesiology, Cleveland Clinic, Cleveland, Ohio, USA. 10. Department of Surgery, Hunter Holmes McGuire VA Medical Center, Richmond, USA. 11. Lublin Medical University, Medical Simulation Center, Lublin, Poland.
Abstract
BACKGROUND: Simulation is widely accepted as an important tool in training and educating healthcare providers. The first regional polish extracorporeal membrane oxygenation (ECMO) program called "ECMO for Greater Poland" was recently started. METHODS: We present a prototype for ECMO prepared for high-fidelity medical simulation in extracorporeal life support. ECMO therapy is a complex, difficult and expensive therapy in patient care. We have constructed an advanced ECMO simulation prototype, which can be used as a training tool in scenarios that prepare for real-life experiences. The "ECMO for Greater Poland" program uses high-fidelity simulation as a superior tool to simulate several complex clinical scenarios, and consequently train healthcare providers in rare, complicated and expensive procedures. The training course is standardized and allows repeatable training, improvement of skills, and an objective verification of trained skills. RESULTS: The ECMO simulation prototype is designed to replicate the physiological circulatory system and simulate several scenarios (i.e., bleeding, low pressure, occlusion, reaction for proper and incorrect pharmacological treatment). The electronic core control unit (CCU) with silicone tubes, artificial vessels (modified polyethylene) and analog components can be connected to an ECMO machine to emulate the human body during an ECMO simulation. If necessary, damaged and used parts can easily be replaced. The total cost of the simulator is approximately 450 and 50 USD for disposable parts. CONCLUSIONS: This newly developed advanced ECMO simulation prototype was recently introduced into education and regularly training of healthcare providers of the "ECMO for Greater Poland" program. The simulation based training program is financially affordable and enables clinical teaching in a wider range of clinical scenarios. The ECMO simulation prototype consequently improves level of expertise of the healthcare providers and finally improves quality in patient care.
BACKGROUND: Simulation is widely accepted as an important tool in training and educating healthcare providers. The first regional polish extracorporeal membrane oxygenation (ECMO) program called "ECMO for Greater Poland" was recently started. METHODS: We present a prototype for ECMO prepared for high-fidelity medical simulation in extracorporeal life support. ECMO therapy is a complex, difficult and expensive therapy in patient care. We have constructed an advanced ECMO simulation prototype, which can be used as a training tool in scenarios that prepare for real-life experiences. The "ECMO for Greater Poland" program uses high-fidelity simulation as a superior tool to simulate several complex clinical scenarios, and consequently train healthcare providers in rare, complicated and expensive procedures. The training course is standardized and allows repeatable training, improvement of skills, and an objective verification of trained skills. RESULTS: The ECMO simulation prototype is designed to replicate the physiological circulatory system and simulate several scenarios (i.e., bleeding, low pressure, occlusion, reaction for proper and incorrect pharmacological treatment). The electronic core control unit (CCU) with silicone tubes, artificial vessels (modified polyethylene) and analog components can be connected to an ECMO machine to emulate the human body during an ECMO simulation. If necessary, damaged and used parts can easily be replaced. The total cost of the simulator is approximately 450 and 50 USD for disposable parts. CONCLUSIONS: This newly developed advanced ECMO simulation prototype was recently introduced into education and regularly training of healthcare providers of the "ECMO for Greater Poland" program. The simulation based training program is financially affordable and enables clinical teaching in a wider range of clinical scenarios. The ECMO simulation prototype consequently improves level of expertise of the healthcare providers and finally improves quality in patient care.
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