Yusuke Watanabe, MD1, Chisato Ichimaru, MD2, Kozue Satou, RN2, Yo Kurashima1, Toshiaki Shichinohe, MD1, Satoshi Hirano, MD1. 1Department of Gastroenterological Surgery II, Hokkaido University Faculty of Medicine, 2Teine Keijinkai Medical Center
Introduction: Operating Room (OR) fire is a rare but critical adverse event. OR teams must be able to manage and protect the patient in the case of a fire. Current simulations for OR fire use a manikin model with smoke only or virtual reality. The purpose of this study was to examine the face validity of an electric fire that can be used for in-situ OR fire interdisciplinary simulation training.
Methods: We developed a safe, easy to set-up electric fire which is designed to be used with a manikin model. This simulated electric fire does not create toxic smoke and there are no associated safety risks, such as carbon monoxide poisoning. After explaining the scenario of OR fire simulation, OR personnel from a teaching hospital were asked to observe an electric fire using a patient manikin model in the OR. Participants were asked about their agreement with the following statements for the electric fire, using a 10-point Likert scale: the reality of the electric fire, the usefulness of an electric fire for OR fire training, the additional value of an electric fire to simulation reality, and the need for simulation training in OR fire. Participants were also asked to complete a questionnaire including demographics and experience with OR fire. Data are expressed as N (%) and median [IQR].
Results: A total of 15 OR personnel (12 OR nurses, 2 surgeons, and 1 anesthesiologist) participated (median years of experience in the OR 3 [2-8]; 53% female). Of participants, 3 (20%) experienced an OR fire in their practice. None of the participants have experienced any training regarding OR fire. On a scale of 1-10, with 10 indicating strongly agree, participants rated reality of the electric fire (6[4-8]), the usefulness of an electric fire for OR fire training (10 [7-10]), additional value of an electric fire to simulation reality (8 [8-10]), and the need for simulation training in OR fire (10 [10-10]).
Conclusions: The face validity of an electric fire for OR fire team training was successfully established. In-situ OR fire team simulation with an electric fire may contribute to OR personnel’s better preparedness for preventing and managing OR fires.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95391
Program Number: P404
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster