The Development of a Cost-Effective Infant Intraosseous Infusion Simulator for Neonatal Resuscitation Program Training

Abstract

Simulation-based medical education (SBME) employs realistic simulators to allow physicians and medical students to learn and practice high acuity, low occurrence (HALO) skills such as the intraosseous (IO) infusion. Previous research was done to develop and evaluate a three-dimensional (3D)-printed adult proximal tibia IO simulator and was rated as a valuable and realistic medical education training tool. This report focuses on implementing this IO simulator for neonatal resuscitation program (NRP) training purposes, as well as to explain the process of redeveloping the previous adult IO simulator and the development of a stand, called the maxSIMbox, to hold the simulators, as well as the tools needed to perform an IO infusion. The feedback provided from stakeholders was helpful, with an emphasis on providing stability to both the infant IO simulator and the maxSIMbox. From this feedback, a functional and cost-effective simulator was developed to practice this HALO skill and is currently being used for NRP training.

From Centralized to Decentralized Model of Simulation-Based Education: Curricular Integration of Take-Home Simulators in Nursing Education

“…For example, equipping nearly 200 learners per academic year with multiple simulators would be cost-prohibitive. Based on our earlier work with additive manufacturing (AM) [ 3 , 4 ], at the onset of the pandemic, we have designed and manufactured three simulators to provide local year one nursing students with simulators to learn three skills from home during lockdowns. The design and manufacturing process was based on the “design-to-cost” approach, where cost was a consideration at each stage, from the design process to the distribution to all learners.…”

Development of Simple and Advanced Adult Proximal Tibia Simulators for a Decentralized Simulation-Based Education Model to Teach Paramedics-in-Training the Intraosseous Infusion Procedure

“…The simple and advanced IO models in the scope of this project were previously created by the development team and considered good educational tools requiring a few minor adjustments by clinicians and medical trainees [15,16]. Based on this feedback, to develop these existing IO simulators further yet appropriately for the De-SBE model, a process was required that could facilitate ideation while providing content validity.…”

Development and Learner-Based Assessment of a Novel, Customized, 3D Printed Small Bowel Simulator for Hand-Sewn Anastomosis Training

“…A stand (referred to as maxSIMclamp) previously developed for an Infant Intraosseous Infusion Simulator for Neonatal Resuscitation Simulator [12] was resized to fit the dimensions of the HSBA simulator, such that the simulator could be clamped to a tabletop (Figure 1). The stand was also uploaded to an Ultimaker S5 3D printer and printed using 3D-Fuel™ Pro PLA filament material (Fargo, ND).…”