Virtual reality cricothyrotomy - a case-control study on gamification in emergency education

被引:4
作者
Speck, I. [1 ]
Merk, A. [1 ]
Burkhardt, V [1 ]
Flayyih, O. [2 ]
Huber, C. [2 ]
Widder, A. [1 ]
Everad, F. [1 ]
Offergeld, C. [1 ]
机构
[1] Univ Freiburg, Dept Otorhinolaryngol Head & Neck Surg, Fac Med, Med Ctr, Killianstr 5, D-79106 Freiburg, Germany
[2] Univ Freiburg, Fac Med, Med Ctr, Deans Off Human Med, Breisacher Str 153, D-79110 Freiburg, Germany
关键词
Cricothyrotomy; Gamification; Education; Virtual reality; VR; SIMULATION;
D O I
10.1186/s12909-024-05133-7
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Background Cricothyrotomy is an invasive and rare emergency intervention to secure the airway in a "cannot intubate, cannot ventilate" situation. This leads to lack of routine. Cricothyrotomy is performed only hesitantly. Therefore, we aim to improve teaching by including a virtual reality (VR) cricothyrotomy as a learning tool. Methods We programmed the VR cricothyrotomy in the C# programming language on the open-source Unity platform. We could include 149 students that we randomly assigned to either a study group (VR cricothyrotomy) or control group (educational video). We asked the study group to subjectively rate the VR cricothyrotomy. To evaluate our intervention (VR cricothyrotomy) we took the time participants needed to perform a cricothyrotomy on a plastic model of a trachea and evaluated the correct procedural steps. Results The majority of students that performed the VR simulation agreed that they improved in speed (81%) and procedural steps (92%). All participants completed the cricothyrotomy in 47s +/- 16s and reached a total score of 8.7 +/- 0.7 of 9 possible points. We saw no significant difference in time needed to perform a cricothyrotomy between study and control group (p > 0.05). However, the total score of correct procedural steps was significantly higher in the study group than in the control group (p < 0.05). Conclusions Virtual reality is an innovative learning tool to improve teaching of emergency procedures. The VR cricothyrotomy subjectively and objectively improved correct procedural steps. Digitized education fills an educational gap between pure haptic experience and theoretical knowledge. This is of great value when focusing on extension of factual knowledge.
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页数:8
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