Publications

Current study projects and publications can be found on the homepage of the Teaching, Learning Research and Emergency Medicine working group.


Development of a "Vomiquin" and establishment of a structured Rapid Sequence Induction (RSI) training program

Hendrik Eismann, Lars Friedrich, Lion Sieg

Induction and needs assessment: RSI is the gold standard for induction of anesthesia in non-sober patients. Different concepts for anesthesia induction and teamwork can be trained in simulations. Training in the management of aspiration has not yet been technically implemented. We have developed a training phantom and established a structured approach to RSI.

Development of the vomiquin. An RSI trainer was developed in the simulatorium, which can be used to simulate vomiting. The vomiquin (to vomit and mannequin) consists of an airway phantom whose oesophagus is connected to a storage tank for simulated stomach contents via a high-performance pump.

  1. Static scenario: the oral cavity is filled with vomit and must be aspirated before intubation.
  2. Dynamic scenario: the vomiquin vomits during the intubation procedure. Different concepts of airway management can be practiced and the advantages and limitations of the different laryngoscopes can be demonstrated.

Structured RSI training: At the beginning, the participants are confronted with the static scenario in teams of two, are asked to secure the airway and then suction the trachea and lungs before the first ventilation.

The same teams are then confronted with the dynamic scenario. The advantages and disadvantages of different video laryngoscopes are shown here.

Summary and outlook: The Vomiquin developed by us enables the training of RSI in the team and enables the reproducible experience of aspiration during airway management. In our opinion, a Vomiquin is easy and inexpensive to produce.

Poster InSim 2016: Vomiquin


Development of a customer-oriented course portfolio for anesthesiological incident management - Simulatorium

Lion Sieg, Lars Friedrich, Hendrik Eismann

Introduction and needs analysis Simulation training is an integral part of further training concepts in anesthesia, emergency and intensive care medicine. With the increasing workload in all areas of medicine, the associated increased workload of medical and nursing staff and in order to open up simulation to other specialist areas, the "HAINS Safety" course concept is offered with one-day courses with a special focus on specific needs.

The following one-day courses are included in our course portfolio:

  • HAINS Classic : A simulator training to train Communications strategies and team leadership in critical situations in the OR environment.
  • HAINS Ped: This training has a special focus on pediatric anesthesia. Scenarios with a background in the context of pediatric diagnostics and therapy are offered here.
  • HAINS ICU: A training course specifically for intensive care unit staff. The teams deal with typical emergency situations in the intensive care unit across professional groups and disciplines.
  • HAINS Sectio : A training course for the entire delivery room team. The emergency section procedures are practiced and perfected, from delivery room care to skin incision
  • HAINS Airway: Various techniques for securing the airway are presented and applied in the context of current guidelines. The acquired knowledge is applied under real conditions in simulation scenarios.

Summary and outlook: The adaptation of the course portfolio to one-day courses has made it possible to train a larger number of participants. With HAINS ICU and HAINS Airway in particular, specialist disciplines outside of anesthesia have been attracted to participate in simulation courses with a CRM focus. A concept-accompanying critical evaluation of the existing courses is still necessary in order to promote positive dynamic development.

Poster InSim 2016: Course portfolio


Simulator-Based Air Medical Training Program Christoph Life: From Concept to Course

Marcel Winkelmann MD, Lars Friedrich, MD, Christian Schröter, MD, Andreas Flemming, MD, Hendrik Eismann, MD, Lion Sieg, MD, Philipp Mommsen, MD, Christian Krettek, MD, Christian Zeckey, MD

Christoph Life is a simulator-based air medical training program and a new and innovative educational concept. Participants pass different scenarios with a fully equipped and movable helicopter simulator. Main focuses of the program are crew resource management (CRM) elements and team training. Information about expectations end effectiveness of the training is sparse.

DOI: http: //dx.doi.org/10.1016/j.amj.2016.03.002