Simulation in Upper and Lower Limb Trauma Skill Acquisition: A Review

Leonie Heskin, Rose Galvin, Oscar Traynor, Ciaran Simms

Research output: Contribution to journalReview articlepeer-review

Abstract

Statement This review aimed to explore the published evidence with regard to the types and composition of both full- and part-task trainers to teach surgeons extremity exploration procedures in limb trauma management. Studies were included if they reported the development and/or validation of synthetic or virtual task trainers. Studies were evaluated to determine their derivation, usability, and clinical utility. A total of 638 citations were identified and 63 satisfied the inclusion criteria. Twenty-five articles addressed simulator validation and 36 addressed level of learning achieved with simulator engagement. Two studies described a dedicated limb simulator. Simulators were developed to repair limb structures including skin (n = 15), tendon (n = 7), nerve (n = 1), fascia (n = 1), muscle (n = 1), vascular (n = 24), and bone (n = 11). Considerations such as material fidelity, learning outcomes, cost or reusability, validity, and effectiveness are inconsistently reported. Future studies should address design standards for the effective production of synthetic or virtual simulators for limb trauma management.

Original languageEnglish
Pages (from-to)54-65
Number of pages12
JournalSimulation in Healthcare
Volume17
Issue number1
DOIs
Publication statusPublished - 1 Feb 2022

Keywords

  • Extremity trauma
  • limb exploration
  • simulator design
  • surgical education
  • surgical simulation
  • task trainer
  • technical skills

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