Page 68 - JSOM Fall 2019

FIGURE 1 Airway workshop knowledge assessment. 14

Walls RM, Murphy MF. Manual of emergency airway management. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2008.

FIGURE 2 Airway workshop pre/post surveys. 13

education intervention (Tables 1 and 2). Medics significantly Postworkshop Evaluation
decreased the amount of time spent recognizing that venti- The postworkshop evaluation yielded positive responses. The
lation was ineffective and establishing ventilation during the participants highly valued the most basic and fundamental
postintervention scenario. concepts of airway management. The medics particularly val-
ued learning, practicing decision-making, and the process of
Three participants were unable to establish ventilation during navigating a casualty’s airway in scenario form on a high-fi-
the preworkshop scenario. Ventilation was established in an delity simulator, as opposed to simply practicing skills, which
average of 182 seconds in the postworkshop scenario. Mask is common in this population’s training. Multiple requests for
ventilation techniques were poor prior to the workshop despite additional training opportunities were made.
reports of high comfort levels. Although this skill improved, it
remained largely ineffective postworkshop, which stresses the Discussion
importance of continued support and opportunities to master
this important skill. 50% of the medics failed to insert an oral Overappraisal of Skill
airway for mask ventilation during the preworkshop scenario Mask ventilation technique was inadequate among this pop-
despite obvious ineffectiveness of ventilation, apnea, and dete- ulation prior to the workshop despite reports of high comfort
riorating vital signs. All medics appropriately used an airway level. Participants reported high level of comfort with crico-
during the postworkshop scenario. Similarly, only 20% of the thyrotomy although most had little airway management ex-
medics used an SGA as a rescue device in the preworkshop sce- perience. Kruger and Dunning describe a similar concept in
nario when unable to establish ventilation; 90% appropriately Unskilled and Unaware. They explain how “those who are
10
used an SGA as a rescue airway device postworkshop once incompetent in the strategies that they employ to achieve suc-
inadequate ventilation was recognized. cess suffer a dual burden: not only do they reach erroneous

66 | JSOM Volume 19, Edition 3 / Fall 2019