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International Journal of
Critical Care and Emergency Medicine ISSN: 2474-3674

Citation

Schwab K, Friedman J, Lazarus ME, Williams JP (2019) Preparing Residents for Emergent Vascular Access: The Comparative Effectiveness of Central Venous and Intraosseous Catheter Simulation-Based Training. Int J Crit Care Emerg Med 5:069. doi.org/10.23937/2474-3674/1510069

Copyright

© 2019 Schwab K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

BRIEF REPORT | OPEN ACCESSDOI: 10.23937/2474-3674/1510069

Preparing Residents for Emergent Vascular Access: The Comparative Effectiveness of Central Venous and Intraosseous Catheter Simulation-Based Training

Kristin Schwab, MD1*, Jodi Friedman, MD2, Michael E Lazarus, MD3 and Jason P Williams, MD4,5

1Division of Pulmonary and Critical Care Medicine, David Geffen School of Medicine, University of California, USA

2Division of General Internal Medicine, David Geffen School of Medicine, University of California, USA

3Division of Hospitalist Medicine, David Geffen School of Medicine, University of California, USA

4Division of Hospitalist Medicine, Case Western Reserve University, USA

5Division of Hospitalist Medicine, Louis Stokes VA Medical Center, USA

Abstract

Resident physicians are often required to perform central venous catheter (CVC) or intraosseous catheter (IO) placement when supervision is not readily available. We assessed whether brief CVC and IO simulation-based training increases resident knowledge and comfort performing these procedures unsupervised. Residents were assigned to either a 60-minute CVC training or a control group that received no training; they were also assigned to either a 30-minute IO training or a control group. Both trainings improved resident comfort performing the respective procedures (47% CVC intervention group vs. 26% CVC control group, p = 0.051; 47% IO intervention group vs. 16% IO control group, p = 0.006). There was also a statistically-significant summative effect of receiving both trainings, as 75% of the residents who received both trainings reported comfort obtaining unsupervised emergent vascular access. This suggests that residencies should include not only CVC, but also IO, simulation-based training sessions to prepare residents for emergency situations.