The newly designed Lifeform Cricothyrotomy Simulator has been developed for learning and practising the techniques necessary to perform needle or surgical cricothyrotomy procedures.
Paramedics, EMTs, combat medics, flight nurses, anaesthesiologists and other emergency medical personnel will have the opportunity to strengthen their ability and confidence to perform or assist in implementing surgical airways. Anatomically accurate landmarks aid in site training and allow for fast action.
The hyperextended neck allows the user to determine the proper incision site. The trachea in the simulator is replaceable, as the airway passes completely through from top to bottom. This allows checking the stylet and obturator placement once the incision has been made.
Complete with a chin and full-size neck, use ties to hold the obturator in a secure position. Inflation of the simulated lung verifies correct placement.
About Cricothyrotomy
A cricothyrotomy is often used as an airway of last resort given the numerous other airway options available including standard tracheal intubation and rapid sequence induction, which are the common means of establishing an airway in an emergency scenario.
Cricothyrotomies account for approximately 1% of all emergency department intubations and are used mostly in patients who have experienced a traumatic injury.
Indications for Cricothyrotomy
Some general indications for this procedure include:
Inability to intubate
Inability to ventilate
Inability to maintain SpO2 >90%
Severe traumatic injury that prevents oral or nasal tracheal intubation
Contraindications
Inability to identify landmarks (cricothyroid membrane)
Underlying anatomical abnormalities such as a tumour or severe goitre
Tracheal transection
Acute laryngeal disease due to infection or trauma
Small children under 12 years old (a 10–14 gauge catheter over the needle may be used)
Procedure
The procedure was first described in 1805 by Félix Vicq-d'Azyr, a French surgeon and anatomist. A cricothyrotomy is generally performed by making a vertical incision on the skin of the throat just below the laryngeal prominence (Adam's apple), then making another transverse incision in the cricothyroid membrane which lies deep to this point.
A tracheostomy tube or endotracheal tube with a 6 or 7 mm internal diameter is then inserted, the cuff is inflated, and the tube is secured. The person performing the procedure might utilise a bougie device, a semi-rigid, straight piece of plastic with a one-inch tip at a 30-degree angle, to provide rigidity to the tube and assist with guiding its placement.
Confirmation of placement is assessed by bilateral auscultation of the lungs and observation of the rise and fall of the chest. Alternatively, bedside ultrasound has been used increasingly to guide the procedure and confirm the placement of the tracheal tube. It may especially be helpful in situations where a neck collar is placed.
Training
This procedure is rarely performed, given advancements in airway technique and adjuncts, and thus simulated training is of paramount importance to correctly perform this procedure under a high-stress situation.
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Feedback from university students and lecturers
Student Feedback: Feedback was gathered from 13 students. Overall, they liked the trainer and would recommend it to their peers for learning blood glucose testing. They found the trainer easy to use and helpful in demonstrating the procedure. The students felt that the trainer added significant value to their training, with the main benefit being an increased competency in blood glucose testing.
Lecturer Feedback: Feedback was collected from 7 lecturers. Most of them found the trainer to be authentic and effective in simulating the challenges of blood sugar testing. They appreciated that it encouraged patient communication, which is a great plus. The product was of good quality and reliable for teaching purposes. However, there was a minor issue with the finger becoming leaky after multiple uses. Despite this, the lecturers agreed that the trainer prepares students well for real-world blood glucose testing.
As a proud owner of a Sim & Skills Foot & Ankle model, I thought it was time I invested in a Hand & Wrist.
My clients find it really helpful when we are discussing anatomy and it really aids their recovery.
I believe client education and knowing that your body is something to be enjoyed, not feared, is such an important platform for recovery from chronic pain.
This item is very useful for NG insertion training, it can be used in a horizontal position and the fluid bag does not leak out. The bag and tubing can all be stored within the head making storage of the item easy. It is very simple to use and the head is strong and durable
Already have a few of these phantoms, so this adds to the collection. Sims and Skills and the best price around and was easy to order with deliver just a few days after ordering. I’ll be back when I need some replacements!
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