1. Skill fade in Military Medical Training: A Literature Review of Supraglottic Airway use in the Prehospital Environment.
- Author
-
Maddocks, W.
- Subjects
EDUCATION of military personnel ,AIRWAY (Anatomy) ,CINAHL database ,CLINICAL competence ,EMERGENCY medicine ,INFORMATION storage & retrieval systems ,MEDICAL databases ,MEDICAL information storage & retrieval systems ,MILITARY medicine ,MEDLINE ,PROFESSIONS ,SYSTEMATIC reviews ,DATA analysis software - Abstract
Background: Skill fade is a potential issue in any military medical training environment Within the current New Zealand Defence Force (NZDF) medic training programme, emergency skills are taught and practised in a simulated environment but are rarely used in real-life situations As there is infrequent exposure to emergency situations during training, there is a potential for skill fade to occur with some emergency techniques One such technique is the use of supraglottic airway devices (SADs) as used in the prehospital emergency environment from both a military and civilian context However, an optimum training interval has not been clearly defined for this skill within a military medic context Purpose: This literature review explores the issue of skill fade, in particular with prehospital emergency airway management using SADs This review can guide the framework for an evaluative study, which could be conducted in a military medic training context to help determine the extent of skill fade and how it could be mitigated through manipulation of training intervals Material and methods: Literature was reviewed from military and civilian prehospital contexts to identify key extant studies in the use of SADs The review has been placed in a wider context of skill fade within emergency care training in general as well as recognising the unique military contexts in which prehospital emergency care is provided Discussion: Several studies identified that the rate of skill fade within emergency care is consistent across several medical disciplines, with skill fade occurring from around eight weeks and peak decline at six months Different instructional methods do not seem to reduce skill fade when used in isolation, suggesting a mixedmethod approach is needed with regular retesting to ensure competency in the use of SADs The review did not identify any research that specifically explored the issue of skill fade within NZDF medic training; however, the information provided would assist further research in this area Conflict of interest: The author does not have a conflict of interest Preliminary planning of this literature review and potential research commenced while the author was employed by the NZDF as a civilian medical lecturer at the Defence Health School at Burnham Military Camp in Christchurch The paper was completed while employed as an academic at Canterbury University No payment or royalty has been received All expenses incurred in retrieving literature was met by Canterbury University [ABSTRACT FROM AUTHOR]
- Published
- 2020