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The Impact of Progressive Simulation-Based Training on Tourniquet Application

Ahead of Print 2099

Cole R, Steffens K, Flash Z, Conley S, Givens ML. Ahead of Print. (Journal Article)


The Advanced Combat Medical Experience (ACME) is a progressive simulation-based training held for second-year medical students at the Uniformed Services University (USU). This study explored the impact of participating in ACME on students' tourniquet application skills. A panel of emergency medicine physician experts developed an assessment to evaluate the participants' performance. Trained raters then scored students' tourniquet application performance before and after participating in ACME. We conducted a Wilcoxon signed-rank test to detect any significant difference in the participants' pretest and posttest ratings as well as time it took them to apply the tourniquet. Our results indicated a significant difference in the pre- and posttest ratings of students as well as the time it took them to apply the tourniquet. This study confirms the effectiveness of progressive simulation-based education for teaching TCCC skills to military medical trainees.

Keywords: simulation; education; medical student; medical education; tourniquet; combat; ACME; Advanced Combat Medical Experience

PMID: 37851858

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