Abstract
Training front-line practitioners with different skillsets is a challenge in trauma. Resuscitation and endovascular training with simulators allows the whole team to practice and receive feedback, which is not possible in real-life situations. Endovascular procedures are time-sensitive interventions in trauma, but not all hospital structures have endovascular experts available 24/7 in emergent situations. First responders, such as trauma surgeons or emergency physicians, may be good candidates for the practice of EndoVascular resuscitation and Ttrauma Mmanagement (EVTM) and to initiate endovascular procedures.
A curriculum with a rigorous structure using proficiency-based progression training requires considerable investment and support, that is, faculty time and equipment. In the future, this model can be expected to be standard practice. Until this can be achieved, workshops can give both faculties and students the opportunity to share knowledge, experience, and skills, although a workshop alone will never transform students into experts.
Virtual-reality simulation [ultrasound-guided access, Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA), and embolization], porcine (live physiology, ethical and financial concerns), cadaver (anatomy and diversity of individuals, compliance in use), and cath-lab training (collaboration with specialists) can provide structured practical experiences of clinically crucial but uncommon and high-risk procedures. The necessity of simulation education is widely recognized. Sharing the simulation experience will accelerate improvement in EVTM approaches.
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Matsumura, Y., Taudorf, M., Søvik, E., Lönn, L. (2020). Endovascular Resuscitation and Trauma Management: Education and Simulation. In: Hörer, T., DuBose, J., Rasmussen, T., White, J. (eds) Endovascular Resuscitation and Trauma Management . Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-030-25341-7_18
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