Nieto-Calvache AJ, Otero AF, Nieto-Calvache AS, Aryananda R, Ortiz-Lizcano EI, Meade-Triviño P, Maya J, Sarria-Ortiz D, Muñoz-Córdoba L, Yanque-Robles O, Posadas A, Zea-Prado F, Burgos-Luna JM, Vasco M, Messa-Bryon A. Usefulness of a low-cost simulation model for teaching internal manual aortic compression. A survey-based mannequin evaluation.
Int J Gynaecol Obstet 2024;
164:763-769. [PMID:
37872710 DOI:
10.1002/ijgo.15197]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Revised: 09/22/2023] [Accepted: 09/28/2023] [Indexed: 10/25/2023]
Abstract
OBJECTIVE
To evaluate the users' opinion on internal manual aortic compression (IMAC) training, using a low-cost simulation model.
METHODS
An educational strategy was designed to teach IMAC, which included: (1) guided reading of educational material and viewing an explanatory video of IMAC; (2) an introductory lecture with the anatomical considerations, documentation of the cessation of femoral arterial flow during IMAC, and real clinical cases in which this procedure was used; and (3) simulated practice of IMAC with a new low-cost manikin. The educational strategy was applied during three postpartum hemorrhage workshops in three Latin American countries and the opinions of the participants were measured with a survey.
RESULTS
Almost all of the participants in the IMAC workshop, including the simulation with the low-cost mannikin, highlighted the usefulness of the strategy (scores of 4/5 and 5/5 on the Likert scale) and would recommend it to colleagues.
CONCLUSION
We present a low-cost simulation model for IMAC as the basis of an educational strategy perceived as very useful by most participants. The execution of this strategy in other populations and its impact on postpartum hemorrhage management should be evaluated in further studies.
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