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November 26, 2013
Faculty and junior residents from 12 universities and hospitals across Canada and the United States of America gathered to participate in the 2nd Annual Emergencies in Otolaryngology Bootcamp at the Canadian Surgical Technologies & Advanced Robotics (CSTAR) facility in London Health Sciences Centre’s (LHSC) University Hospital on September 21, 2013.
“The success of last year’s bootcamp demonstrated a definite opportunity and need to train first and second year residents specializing in otolaryngology emergency lifesaving skills,” says Dr. Kevin Fung, head and neck surgeon and course director, LHSC. “This year we were able to add three universities to our program, which now includes almost every post-graduate training program across Canada, as well as regional U.S. centres within driving distance.”
Four skill stations were set-up to allowing participants to practice or acquire real-world emergency skills in a simulated setting. The skill stations involved realistic models with fake blood and fake pus. There were case-based discussions with an interactive panel consisting of invited faculty from each of the 12 centres. Mannequin simulated scenarios were conducted using SimMan, a patient simulator, in collaboration with simulation experts from the Department of Anesthesia and Perioperative Medicine. Operating roles at each station were assigned to faculty and residents and they were able to practice the knowledge gained earlier in the bootcamp on SimMan.
“We blended knowledge with practical experience,” says Dr. Fung. “Communication and collaboration skills were also emphasized as strangers had to work together during simulated procedures.”
Examples of procedures included: bag mask ventilation, oral airway placement, and intubation, assembly of complex intubation equipment, direct laryngoscopy and foreign body removal/ rigid bronchoscopy, emergency cricothyrotomy/ tracheostomy, trach tube change, posterior severe epistaxis, emergency lateral canthotomy for orbital hematoma, post-tonsillectomy bleeding and peritonsillar abscess.
At the end of each scenario a debrief session was held to discuss the scenario, as well as look for strengths and areas of improvement.
The bootcamp provides valuable experience to second year residents who have already experienced a year of practicing general medicine and are beginning their specialized training. Typically, a second year resident may be the first responder to an emergency situation before a senior resident or attending physician is called if needed.
Participating universities and hospitals included University of British Columbia, University of Calgary, Dalhousie University, Henry Ford Hospital, Université Laval, University of Manitoba, McMaster University, University of Ottawa, University of Pittsburgh Medical Centre, Université de Sherbrooke, University of Toronto, and Western University.