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Increasing access to simulation opportunities for emergent cricothyrotomy using a 3D model and positive pressure.

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Title: Increasing access to simulation opportunities for emergent cricothyrotomy using a 3D model and positive pressure.
Authors: Rowe, Joel1 (AUTHOR) rowejc@ufl.edu, Clifford, Graham2 (AUTHOR), Marchick, Michael3 (AUTHOR), Fitzpatrick, Desmond4 (AUTHOR), DiCesare, Danielle5 (AUTHOR), Zuver, Christian1 (AUTHOR), Van Dillen, Christine6 (AUTHOR), Arnold, Ben7 (AUTHOR)
Source: Medical Teacher. Feb2026, Vol. 48 Issue 2, p329-332. 4p.
Subject Terms: *Health services accessibility, *Philosophy of education, *Internship programs, *Simulation methods in education, *Clinical competence, *Comparative studies, Laryngeal surgery, Medical care research, Human anatomical models, Statistical sampling, Emergency medicine, Randomized controlled trials, Descriptive statistics, Mann Whitney U Test, Cricothyrotomy, Cartilage, Three-dimensional printing, Airway (Anatomy), Data analysis software, Medical care costs
Abstract: Background: Inexpensive, accessible models for simulation are essential to prepare providers to perform cricothyrotomy (CT), a rarely performed but critical procedure. We assessed a portable and inexpensive open-sourced 3D printed CT model versus a routine simulation model for training. Methods: Residents and fellows of an academic Emergency Medicine (EM) program were randomized to complete a training session for CT with a conventional mannequin or the novel CT technique. After a two-week washout period, all participants performed a CT on an animal surrogate while EM attendings, blinded to assignment of participant training session, evaluated participants with a standardized checklist of steps of the technique. The data collected assessed the primary endpoint of successful completion of the checklist, as well as time to ventilation. Results: Successful checklist completion was similar between groups, conventional group median success rate (MSR)100% of checklist items, interquartile range (IQR) of 86–100%. The novel training group MSR was 100% (IQR 93–100%), p = 0.42, consistent with noninferiority of the novel technique. For time to ventilation, Group 1 had a median time (MT) of 133 s (IQR 84–165) with Group 2 having a MT of 63 sec (IQR 53–130). Conclusion: Our CT training technique demonstrated non-inferiority to a conventional training mannequin with respect to success rate for learners. Furthermore, the time to ventilation was faster in the group trained with the novel model. Coupled with intrinsic economic and logistical advantages over conventional techniques, this model provides an effective means of reinforcing skill in a rare procedure. [ABSTRACT FROM AUTHOR]
Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Increasing access to simulation opportunities for emergent cricothyrotomy using a 3D model and positive pressure.
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  Data: <searchLink fieldCode="AR" term="%22Rowe%2C+Joel%22">Rowe, Joel</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> rowejc@ufl.edu</i><br /><searchLink fieldCode="AR" term="%22Clifford%2C+Graham%22">Clifford, Graham</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Marchick%2C+Michael%22">Marchick, Michael</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fitzpatrick%2C+Desmond%22">Fitzpatrick, Desmond</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22DiCesare%2C+Danielle%22">DiCesare, Danielle</searchLink><relatesTo>5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zuver%2C+Christian%22">Zuver, Christian</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Van+Dillen%2C+Christine%22">Van Dillen, Christine</searchLink><relatesTo>6</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Arnold%2C+Ben%22">Arnold, Ben</searchLink><relatesTo>7</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Medical+Teacher%22">Medical Teacher</searchLink>. Feb2026, Vol. 48 Issue 2, p329-332. 4p.
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  Data: *<searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br />*<searchLink fieldCode="DE" term="%22Philosophy+of+education%22">Philosophy of education</searchLink><br />*<searchLink fieldCode="DE" term="%22Internship+programs%22">Internship programs</searchLink><br />*<searchLink fieldCode="DE" term="%22Simulation+methods+in+education%22">Simulation methods in education</searchLink><br />*<searchLink fieldCode="DE" term="%22Clinical+competence%22">Clinical competence</searchLink><br />*<searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Laryngeal+surgery%22">Laryngeal surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+research%22">Medical care research</searchLink><br /><searchLink fieldCode="DE" term="%22Human+anatomical+models%22">Human anatomical models</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Emergency+medicine%22">Emergency medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Mann+Whitney+U+Test%22">Mann Whitney U Test</searchLink><br /><searchLink fieldCode="DE" term="%22Cricothyrotomy%22">Cricothyrotomy</searchLink><br /><searchLink fieldCode="DE" term="%22Cartilage%22">Cartilage</searchLink><br /><searchLink fieldCode="DE" term="%22Three-dimensional+printing%22">Three-dimensional printing</searchLink><br /><searchLink fieldCode="DE" term="%22Airway+%28Anatomy%29%22">Airway (Anatomy)</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+costs%22">Medical care costs</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Inexpensive, accessible models for simulation are essential to prepare providers to perform cricothyrotomy (CT), a rarely performed but critical procedure. We assessed a portable and inexpensive open-sourced 3D printed CT model versus a routine simulation model for training. Methods: Residents and fellows of an academic Emergency Medicine (EM) program were randomized to complete a training session for CT with a conventional mannequin or the novel CT technique. After a two-week washout period, all participants performed a CT on an animal surrogate while EM attendings, blinded to assignment of participant training session, evaluated participants with a standardized checklist of steps of the technique. The data collected assessed the primary endpoint of successful completion of the checklist, as well as time to ventilation. Results: Successful checklist completion was similar between groups, conventional group median success rate (MSR)100% of checklist items, interquartile range (IQR) of 86–100%. The novel training group MSR was 100% (IQR 93–100%), p = 0.42, consistent with noninferiority of the novel technique. For time to ventilation, Group 1 had a median time (MT) of 133 s (IQR 84–165) with Group 2 having a MT of 63 sec (IQR 53–130). Conclusion: Our CT training technique demonstrated non-inferiority to a conventional training mannequin with respect to success rate for learners. Furthermore, the time to ventilation was faster in the group trained with the novel model. Coupled with intrinsic economic and logistical advantages over conventional techniques, this model provides an effective means of reinforcing skill in a rare procedure. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Group: Ab
  Data: <i>Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/0142159X.2025.2532811
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 4
        StartPage: 329
    Subjects:
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Philosophy of education
        Type: general
      – SubjectFull: Internship programs
        Type: general
      – SubjectFull: Simulation methods in education
        Type: general
      – SubjectFull: Clinical competence
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Laryngeal surgery
        Type: general
      – SubjectFull: Medical care research
        Type: general
      – SubjectFull: Human anatomical models
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Emergency medicine
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Mann Whitney U Test
        Type: general
      – SubjectFull: Cricothyrotomy
        Type: general
      – SubjectFull: Cartilage
        Type: general
      – SubjectFull: Three-dimensional printing
        Type: general
      – SubjectFull: Airway (Anatomy)
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Medical care costs
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      – TitleFull: Increasing access to simulation opportunities for emergent cricothyrotomy using a 3D model and positive pressure.
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              Text: Feb2026
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