The Grizzly, September 13, 1994

Budget Concerns Discussed • The Search Continues • Convocation Opens Academic Year • Military Action Likely • U.S. Relations with Cuba • Sculptures, Sculptures Everywhere • All Lines Busy • Capital Improvements • Excellence Should not be Overlooked • Things That I Like and Don\u27t Like About the Morning • Summer Entertainment Review \u2794: Movies; Concerts • DeLuca Dazzles Audience • Moments in Time • Around the NFL • Bears Fall in Season Openerhttps://digitalcommons.ursinus.edu/grizzlynews/1339/thumbnail.jp

The Grizzly, October 25, 1994

Service: It\u27s Not Greek to Them • Ursinus Cross Country Team Involved in Accident • Five Lives Claimed at Bloomsburg Frat House • Pi Omega Delta Captures Banner for Blood Drive • Democrats in Danger: Election for House and Senate too Close to Call • United States and North Korean Timetable for Nuclear Disarmament • Freshman Class Officers Ready to Make a Difference • Lopate Shares Humor and Insight • Berman Museum Celebrates its Fifth Anniversary • Choir to Sing on Saturday • An Open Letter to All Greeks • Basketball Woes • A Few Inches From Drowning • A Philly Fan • UC Soccer Gets Back on Track • Intramural Updatehttps://digitalcommons.ursinus.edu/grizzlynews/1344/thumbnail.jp

Development of a Novel Ultrasound-guided Peritonsillar Abscess Model for Simulation Training

Introduction: Peritonsillar abscess (PTA) is the most common deep space infection of the head and neck presenting to emergency departments.(1) No commercial PTA task trainer exists for simulation training. Thus, resident physicians often perform their first PTA needle aspiration in the clinical setting, knowing that carotid artery puncture and hemorrhage are serious and devastating complications. Mile several low-fidelity PTA task trainers have been previously described, none allow for ultrasound image acquisition.(6-9) We sought to create a cost-effective and realistic task trainer that allows trainees to acquire both diagnostic ultrasound and needle aspiration skills while draining a peritonsillar abscess. Methods: We built the task trainer with low-cost, replaceable, and easily cleanable materials. A damaged airway headskin was repurposed to build the model. A mesh wire cylinder attached to a wooden base was fashioned to provide infrastructure. PTAs were simulated with a water and lotion solution inside a water balloon that was glued to the bottom of a paper cup. The balloon was fully submerged with ordnance gelatin to facilitate ultrasound image acquisition, and an asymmetric soft palate and deviated uvula were painted on top after setting. PTA cups were replaced after use. We spent eight hours constructing three task trainers and used 50 PTA cups for a total cost <$110. Results: Forty-six emergency medicine (EM) residents performed PTA needle aspirations using the task trainers and were asked to rate ultrasound image realism, task trainer realism, and trainer ease of use on a five-point visual analog scale, with five being very realistic and easy. Sixteen of 46 (35%) residents completed the survey and reported that ultrasound images were representative of real PTAs (mean 3.41). They found the model realistic (mean 3.73) and easy to use (mean 4.08). Residents rated their comfort with the drainage procedure as 2.07 before and 3.64 after practicing on the trainer. Conclusion: This low-cost, easy-to-construct simulator allows for ultrasound image acquisition while performing PTA needle aspirations and is the first reported of its kind. Educators from EM and otolaryngology can use this model to educate inexperienced trainees, thus ultimately improving patient safety in the clinical setting.Open access journal.This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]

Development of a Novel Ultrasound-guided Peritonsillar Abscess Model for Simulation Training

Introduction: Peritonsillar abscess (PTA) is the most common deep space infection of the head and neck presenting to emergency departments.1 No commercial PTA task trainer exists for simulation training. Thus, resident physicians often perform their first PTA needle aspiration in the clinical setting, knowing that carotid artery puncture and hemorrhage are serious and devastating complications. While several low-fidelity PTA task trainers have been previously described, none allow for ultrasound image acquisition.6-9 We sought to create a cost-effective and realistic task trainer that allows trainees to acquire both diagnostic ultrasound and needle aspiration skills while draining a peritonsillar abscess.  Methods: We built the task trainer with low-cost, replaceable, and easily cleanable materials. A damaged airway headskin was repurposed to build the model. A mesh wire cylinder attached to a wooden base was fashioned to provide infrastructure. PTAs were simulated with a water and lotion solution inside a water balloon that was glued to the bottom of a paper cup. The balloon was fully submerged with ordnance gelatin to facilitate ultrasound image acquisition, and an asymmetric soft palate and deviated uvula were painted on top after setting. PTA cups were replaced after use. We spent eight hours constructing three task trainers and used 50 PTA cups for a total cost &lt;$110.Results: Forty-six emergency medicine (EM) residents performed PTA needle aspirations using the task trainers and were asked to rate ultrasound image realism, task trainer realism, and trainer ease of use on a five-point visual analog scale, with five being very realistic and easy. Sixteen of 46 (35%) residents completed the survey and reported that ultrasound images were representative of real PTAs (mean 3.41). They found the model realistic (mean 3.73) and easy to use (mean 4.08). Residents rated their comfort with the drainage procedure as 2.07 before and 3.64 after practicing on the trainer.Conclusion: This low-cost, easy-to-construct simulator allows for ultrasound image acquisition while performing PTA needle aspirations and is the first reported of its kind. Educators from EM and otolaryngology can use this model to educate inexperienced trainees, thus ultimately improving patient safety in the clinical setting