A Systematic Review of Live Animal Use as a Simulation Modality (“Live Tissue Training”) in the Emergency Management of Trauma

Swain, Cara; Cohen, Hugo M L; Helgesson, Gert; Rickard, Rory F.; Karlgren, Klas

doi:10.1016/j.jsurg.2023.06.018

Cited by 6 publications

(3 citation statements)

References 54 publications

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“…), clots in a specific manner and can even have a characteristic sound. The appearance and sensation of blood evokes an emotional response in many health professionals [ 4 , 15 ], focusing attention and increasing the requirement to act. Bleeding, especially uncontrolled bleeding, is stressful.…”

Section: Discussionmentioning

confidence: 99%

“…The concept of live tissue training was introduced alongside an outline of the published evidence regarding the educational use of live animals and a summary of the debate. This included descriptive information extracted from the lead authors’ own qualitative systematic review of the literature reporting the educational use of live tissue training in trauma [ 4 ] but did not include details of the analysis to minimise the risk of introducing preconceptions. Similarly, the educational outcomes of simulation using live animals or other simulator modalities were deliberately not reported.…”

Section: Workhop Activitymentioning

confidence: 99%

“…There are many different types of simulators available, across the fidelity spectrum, which are used to train varying combinations of technical and non-technical skills [ 1 – 3 ]. Despite advances in simulator technology, live anaesthetised animals continue to be used as human patient simulators for medical professionals to practice surgical techniques [ 4 , 5 ]; this practice is known as ‘live tissue training’ [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Trauma surgical simulation: discussing the replacement of live animals used as human patient simulators

Swain,

Stathakarou,

Alzuguren

et al. 2024

Adv Simul

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Background Despite advances in simulator technology, live anaesthetised animals continue to be used as human patient simulators for medical professionals to practice techniques in the management of surgical trauma. This article describes the process of convening a working group of individuals with a professional interest in simulation to discuss the use of live animals and consider if and how they can be replaced in the future. Main body A working group was formed of voluntary attendees to a workshop held at the SESAM 2023 conference. Iterative discussions reflecting on the topic were used to produce statements summarising the working group’s opinions. The working group determined that live animals are used as human patient simulators due to the presence of accurate and responsive physiology in the presence of bleeding, realistic tissue tactility and an emotional response experienced by the learner due to interaction with the animal. They were unable to reach a consensus on replacement, determining that there is currently no single model which is able to provide all the learning aspects which a live animal model can provide. Several suggestions were made regarding development of technologies and pedagogical change. Conclusion Replacement of live animals in surgical simulation is not straightforward but should be an aspiration, if possible. For the ongoing development of trauma surgical simulation models, it is important to combine the knowledge, skills and perspectives of medical stakeholders and educators, academic researchers and industry experts in producing alternative options to the use of live animal simulators.

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Section: Discussionmentioning

confidence: 99%

Section: Workhop Activitymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Trauma surgical simulation: discussing the replacement of live animals used as human patient simulators

Swain,

Stathakarou,

Alzuguren

et al. 2024

Adv Simul

Self Cite

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Translating training to medical practice in trauma care, a literature review

Haută,

Iacobescu,

Corlade-Andrei

et al. 2024

Eur J Trauma Emerg Surg

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Trauma, a global health challenge, remains a significant cause of mortality despite advances in trauma management. The establishment of trauma teams has revolutionized care in trauma resuscitation. The training of these teams is designed to promote self-trust and empower trainees in trauma care, enhance performance, and improve patient outcomes. Various training curricula have been developed, utilizing a plethora of teaching methods such as lectures, simulations, debriefings, skill workshops, and demonstrations. However, a universally accepted gold standard curriculum in trauma training is yet to be defined, and there is no standard method for delivering education in injury care teaching. In this review, we have examined relevant literature data on standard teaching programs, the educational delivery methods used, and their impact on adult trauma patients’ outcomes and trained team-related outcomes. While most studies indicate improved trained team performance, they consistently show no improvement in patient-specific outcomes such as mortality, morbidity, and length of stay. However, data hints at optimal educational delivery and the role that technology may play in the future of trauma training development.

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3D printed models and Artificial Intelligence: A review of their impact in robotic surgery training

Amadi,

Mao,

Zhu

et al. 2023

Intelligent Surgery

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A Systematic Review of Live Animal Use as a Simulation Modality (“Live Tissue Training”) in the Emergency Management of Trauma

Cited by 6 publications

References 54 publications

Trauma surgical simulation: discussing the replacement of live animals used as human patient simulators

Trauma surgical simulation: discussing the replacement of live animals used as human patient simulators

Translating training to medical practice in trauma care, a literature review

3D printed models and Artificial Intelligence: A review of their impact in robotic surgery training

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