Humeral Head Intraosseous Access: Filling The Military Training Gap

Keywords

applications in science and engineering; medical simulation; Military applications

Abstract

Humeral head intraosseous (HHIO) infusion is the process of injecting fluids directly into the marrow of the humerus, or upper arm bone, to provide a non-collapsible entry point into the circulatory system. This technique provides fluids and medication quickly when intravenous (IV) access is not feasible in emergency situations. As of 2010, Tactical Combat Casualty Care guidelines recommend using intraosseous (IO) infusion in any resuscitation scenario where IV access is not feasible. The US Army Center for Pre-Hospital Medicine (CPHM) provides pre-deployment training to Roles I, II, and III medical providers. In addition, the CPHM provides training for deploying Forward Surgical Teams and en route care via the Critical Care Flight Paramedic Program. The Army’s Program of Instruction currently lacks an adequate simulation-based training model for the HHIO procedure and relies on live tissue training. The US Army Research Laboratory, Human Research and Engineering Directorate, Advanced Training and Simulation Division, developed a capability (i.e., Partial Task Trainer, or PTT) to train this procedure. This study assessed the usability of the PTT device for training on the IO procedure. Specifically, this paper seeks to identify statistically significant differences among the usability ratings of the PTT for paramedics and emergency medicine physicians.

Publication Date

10-1-2017

Publication Title

Journal of Defense Modeling and Simulation

Volume

14

Issue

4

Number of Pages

361-369

Document Type

Article

Personal Identifier

scopus

DOI Link

https://doi.org/10.1177/1548512916646888

Socpus ID

85031094089 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/85031094089

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