title: Snake scope camera assisted endotracheal intubation: a procedural skills training in cadaver to prepare preclinical students for their clerkships.
abstract: OBJECTIVE
  Preparing students to perform specific procedures on patients presents a challenge of student confidence in performing these tasks. This descriptive study determined the ability of the medical students to perform a basic clinical task after a short hands-on training workshop in cadavers. This basic procedural skills training was an attempt for developing conceptual understanding and increasing procedural skills in endotracheal intubation of the medical students.
  
  
  METHODS
  The students were trained to perform two different endotracheal intubations, uncomplicated intubation, and a traumatic difficult airway scenario. The training session consisted of two methods of endotracheal intubation, oral intubations using direct laryngoscopy (DL) in two cadavers with uncomplicated airway and the Flexible Snake Scope camera (FSSC) assisted nasal intubation procedures in two cadavers simulated trauma victims with difficult airway. In the assessment session, the students performed one timed trial with each device. All four cadavers were changed but the scenarios were the same. The groups of the medical students were randomly assigned to perform the tasks in one of two cadavers of the two scenarios.
  
  
  RESULTS
  Thirty-two medical students participated in this training and assessment. The training session and the assessment lasted five hours and three hours respectively. No student was asked to perform the second trial. The average time for successful intubation with DL was 32.7 seconds (SD, 13.8 seconds) and for FSSC was 127.0 seconds (SD, 32.6 seconds). The intubation failure rate was 0% for the entire study.
  
  
  CONCLUSIONS
  The medical students have the ability to accomplish a basic clinical task after a short hands-on training workshop.
authors.affiliation: The Chula Soft Cadaver Surgical Training Center and Department of Anatomy, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. aprawit@yahoo.com
authors.forename: Tanvaa
authors.initials: T
authors.lastname: Tansatit
authors.forename: Prawit
authors.initials: P
authors.lastname: Apinuntrum
authors.forename: Thavorn
authors.initials: T
authors.lastname: Phetudom
mesh_terms: D002102:Cadaver; D002982:Clinical Clerkship; D002983:Clinical Competence; D004867:Equipment Design; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D007828:Laryngoscopy; D010781:Photography / Q000295:instrumentation*; D010865:Pilot Projects