Omar is a second year resident asked to place an ultrasound guided central line on a patient. He has always wanted to perform this procedure but struggles with finding the right hand positioning and can’t thread the wire, forcing his senior resident to take over. Omar feels that he is performing the procedure awkwardly but is unsure of what corrections he needs to make. He wonders if there is a better way to learn the movements necessary to perform an ultrasound guided central line.
Emergency physicians are frequently asked to obtain ultrasound guided central venous access. However, it can be difficult to learn and perfect the required muscle movements. This Feature Educational Innovation (FEI), titled “Using Hand Motion Analysis to Establish Learning Curves in Ultrasound Guided Central Venous Access” was originally posted by the CAEP EWG FEI Team on April 11, 2016 and answers the question: “How can we prepare residents to learn ultrasound guided central line?” A PDF version is available here. A CAEP Cast is available here.
Description of the Innovation
What resources does your simulation lab have to prepare its learners to perform ultrasound guided central lines?
More about CAEP FEI
This post was originally authored for the Canadian Association of Emergency Physicians (CAEP) Feature Educational Innovations project sponsored by the CAEP Academic Section’s Education Working Group and edited by Drs. Teresa Chan and Julien Poitras. CAEP members receive FEI each month in the CAEP Communiqué. CanadiEM will be reposting some of these summaries, along with a case/contextualizing concept to highlight some recent medical education literature that is relevant to our nation’s teachers.[bg_faq_end]