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IntroductionCOVID-19 pandemic led to an increase in the number of patients who required mechanical ventilation globally and who met the requirements for insertion of tracheostomy With hospitals becoming overwhelmed, there was concern regarding increase in the number of patients with tracheostomy without the healthcare provision or expertise to manage these patients 1 Retired healthcare professionals were asked to return to work and medical professionals were moved from their respective specialities to help with the COVID-19 effort As a result of these changes, within out institute we decided to implement simulation-based teaching sessions centred around basic tracheostomy care and management of emergencies Due to social distancing measures and restrictions on face-to-face courses we felt online real-time video tutorials with the ability for participation would be useful The sessions were delivered in both forms over a 3-day period The aim of this study was to is to compare the perceived usefulness and confidence of the candidates in the face-to-face session and online sessions MethodologyAll clinical staff were invited to the simulated sessions These sessions involved 3 simulation scenarios;emergency management of bleeding, blocked tracheostomy and an extruded tracheostomy tube All scenarios were followed by a debrief, and group discussion where possible Due to social distancing rules and limitations on the number of staff per session, virtual simulation and management video courses were organised in conjunction with the face-to-face sessions Staff were given a pre and post teaching questionnaire were demographic data, information on confidence and views on simulation as an educational modality and the perceived usefulness of the session was collected Results43/53 face-to-face participants responded to the questionnaires compared to 40/85 in the online sessions All 83 participants state they would recommend the sessions to their colleagues and felt it was relevant to the current COVID-19 climate Following attendance, candidates confidence in managing tracheostomy care in the face-to-face cohort increased by an average of 3 75 points and 4 points for management of emergency (using a scale of 1 to 10) compared to 2 points for tracheostomy care and 3 points for management of emergencies in the cohort attending the online video sessions ConclusionReal-time simulation scenarios delivered online can be a useful tool in delivering teaching to a wide audience particularly in the COVID-19 era with restrictions on face-to-face sessions however its limitations must be taken into account ReferenceMcGrath BA, Brenner MJ, Warrillow SJ, Pandian V, Arora A, Cameron TS, et al Tracheostomy in the COVID-19 era: global and multidisciplinary guidance Health-care development 2020(8);7:17–725
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