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{
    "pk": 9810,
    "title": "Novel Airway Training Tool that Simulates Vomiting: Suction-Assisted Laryngoscopy Assisted Decontamination (SALAD) System",
    "subtitle": null,
    "abstract": "Objective: We present a novel airway simulation tool which recreates the dynamic challenges associated with emergency airways. The Suction-Assisted Laryngoscopy Assisted Decontamination (SALAD) simulation system trains providers to use suction to manage emesis and bleeding complicating intubation.\n \n \n \nMethods: A standard difficult airway mannequin head (Nasco, Ft. Atkinson, WI) was modified with hardware store equipment to enable simulation of vomiting or hemorrhage during intubation. A pre- and post-survey was used to assess the effectiveness of the SALAD simulator. A 1-5 Likert scale was utilized to assess confidence in managing the airway of a vomiting patient and comfort with suction techniques before and after the training exercise.\n \n \n \nResults: Forty learners participated in the simulation, including emergency physicians, anesthesiologists, paramedics, respiratory therapists, and registered nurses. The average Likert score of confidence in managing the airway of a vomiting or hemorrhaging patient pre-session was 3.10±0.49, and post-session 4.13±0.22 (p<0.00001).  The average score of self-perceived skill with suction techniques in the airway scenario pre-session was 3.30±0.43, and post-session 4.03±0.26 (p<0.0005). The average score for usefulness of the session was 4.68±0.15, and the score for realism of the simulator was 4.65±0.17.\n \n \n Conclusion: A training session with the SALAD simulator improved trainee’s confidence in managing the airway of a vomiting or hemorrhaging patient.  We feel the SALAD simulation system recreates the dynamic challenges associated with emergency airways and has the potential to transform airway training.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Airway Management"
        },
        {
            "word": "Simulation"
        },
        {
            "word": "airway decontamination"
        },
        {
            "word": "skills and procedures"
        },
        {
            "word": "residency training"
        }
    ],
    "section": "Educational Advances",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/46p008hm",
    "frozenauthors": [
        {
            "first_name": "James",
            "middle_name": "",
            "last_name": "DuCanto",
            "name_suffix": "",
            "institution": "Aurora St. Luke's Medical Center, Milwaukee, WI",
            "department": "None"
        },
        {
            "first_name": "Karen",
            "middle_name": "D",
            "last_name": "Serrano",
            "name_suffix": "",
            "institution": "University of North Carolina",
            "department": "None"
        },
        {
            "first_name": "Ryan",
            "middle_name": "J",
            "last_name": "Thompson",
            "name_suffix": "",
            "institution": "University of Wisconsin",
            "department": "None"
        }
    ],
    "date_submitted": "2016-05-15T20:23:58Z",
    "date_accepted": "2016-05-15T20:23:58Z",
    "date_published": "2016-11-08T21:08:16Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/9810/galley/5410/download/"
        }
    ]
}