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Paganini M, Mormando G, Savino S, Garetto G, Tiozzo G, Camporesi EM, Fabris F, Bosco G. Emergency Medicine Cases in Underwater and Hyperbaric Environments: The Use of in situ Simulation as a Learning Technique. Front Physiol 2021; 12:666503. [PMID: 34093229 PMCID: PMC8176206 DOI: 10.3389/fphys.2021.666503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2021] [Accepted: 04/13/2021] [Indexed: 12/03/2022] Open
Abstract
INTRODUCTION Hyperbaric chambers and underwater environments are challenging and at risk of serious accidents. Personnel aiming to assist patients and subjects should be appropriately trained, and several courses have been established all over the world. In healthcare, simulation is an effective learning technique. However, there have been few peer-reviewed articles published in the medical literature describing its use in diving and hyperbaric medicine. METHODS We implemented the curriculum of the Master's degree in hyperbaric and diving medicine held at the University of Padova with emergency medicine seminars created by the faculty and validated by external experts. These seminars integrated traditional lectures and eight in situ simulation scenarios. RESULTS For the hyperbaric medicine seminar, simulations were carried out inside a real hyperbaric chamber at the ATIP Hyperbaric Treatment Centre, only using air and reproducing compression noise without pressurization to avoid damages to the manikins. The four scenarios consisted of hyperoxic seizures, pneumothorax, hypoglycemia, and sudden cardiac arrest. Furthermore, we added a hands-on session to instruct participants to prepare an intubated patient undergoing hyperbaric oxygen treatment with a checklist and simulating the patient transfer inside and outside the hyperbaric chamber. The diving medicine seminar was held at the Y-40 The Deep Joy pool in Montegrotto Terme (Italy), also involving SCUBA/breath-hold diving (BHD) instructors to rescue subjects from the water. These diving medicine scenarios consisted of neurologic syndrome ("taravana/samba") in BHD, drowning of a breath-hold diver, pulmonary barotrauma in BHD, and decompression illness in a SCUBA diver. CONCLUSION With this experience, we report the integration of simulation in the curriculum of a teaching course in diving and hyperbaric medicine. Future studies should be performed to investigate learning advantages, concept retention, and satisfaction of participants.
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Affiliation(s)
- Matteo Paganini
- Environmental and Respiratory Physiology Laboratory and Master Level II in Diving and Hyperbaric Medicine, Department of Biomedical Sciences, University of Padova, Padua, Italy
- Emergency Medicine, Department of Medicine (DIMED), University of Padova, Padua, Italy
| | - Giulia Mormando
- Emergency Medicine, Department of Medicine (DIMED), University of Padova, Padua, Italy
| | - Sandro Savino
- Department of Medicine (DIMED), University of Padova, Padua, Italy
| | - Giacomo Garetto
- Environmental and Respiratory Physiology Laboratory and Master Level II in Diving and Hyperbaric Medicine, Department of Biomedical Sciences, University of Padova, Padua, Italy
- Emergency Medicine, Department of Medicine (DIMED), University of Padova, Padua, Italy
- Department of Medicine (DIMED), University of Padova, Padua, Italy
- ATIP Center for Hyperbaric Medicine, Padua, Italy
| | - Giulia Tiozzo
- Emergency Medicine, Department of Medicine (DIMED), University of Padova, Padua, Italy
| | - Enrico M. Camporesi
- Environmental and Respiratory Physiology Laboratory and Master Level II in Diving and Hyperbaric Medicine, Department of Biomedical Sciences, University of Padova, Padua, Italy
- Emergency Medicine, Department of Medicine (DIMED), University of Padova, Padua, Italy
- Department of Medicine (DIMED), University of Padova, Padua, Italy
- ATIP Center for Hyperbaric Medicine, Padua, Italy
- TEAMHealth Research Institute, Tampa General Hospital, Tampa, FL, United States
| | - Fabrizio Fabris
- Department of Medicine (DIMED), University of Padova, Padua, Italy
| | - Gerardo Bosco
- Environmental and Respiratory Physiology Laboratory and Master Level II in Diving and Hyperbaric Medicine, Department of Biomedical Sciences, University of Padova, Padua, Italy
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Pouchoux C, Bosdure E, Baravalle-Einaudi M, Tardieu S, Dubus JC. Urgent need for greater knowledge of acute oxygen therapy among French paediatric residents. Acta Paediatr 2020; 109:2418-2419. [PMID: 32416638 DOI: 10.1111/apa.15351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- Charlotte Pouchoux
- Pediatric Pulmonology Department, Timone Children's Hospital, Marseille, France
| | - Emmanuelle Bosdure
- Pediatric Pulmonology Department, Timone Children's Hospital, Marseille, France
| | | | - Sophie Tardieu
- Public Health and Medical Information Department, Conception Hospital, Marseille, France
| | - Jean-Christophe Dubus
- Pediatric Pulmonology Department, Timone Children's Hospital, Marseille, France.,IRD, MEPHI, AP-HM, IHU Méditerranée Infection, Aix Marseille University, Marseille, France
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