DEVELOPING A LOW-COST, SUSTAINABLE, PERIMORTEM CAESAREAN SECTION MODEL FOR SIMULATION TRAINING: A TECHNICAL REPORT

Introduction: Maternal cardiac arrest is a rare, time critical event. If there is no response to CPR after 4 minutes, guidelines recommend a perimortem caesarean section (PMCS). Simulation is invaluable for training in procedures such as this, which occur infrequently and rely on confident and time efficient decision making. We aimed to develop a low-cost, sustainable and procedurally accurate model for PMCS simulation to address this gap in our training programme. Methods: ADAMgel was infused and combined with various fabrics to create the texture of anatomical layers encountered during the procedure. We then conducted pilot simulation sessions and collected feedback using 5-point Likert scales. Results: Feedback from a combination of experienced consultant clinicians, and trainees, was excellent. 100% of respondents either agreed or strongly agreed that the model improved the simulation. 90% of respondents agreed or strongly agreed that they felt more confident in the procedure after using the model. 70% of respondents rated the tactile realism of the model ‘high’ or ‘very high’, with the remaining 30% of respondents rating it ‘medium’. Conclusion: ADAMgel, in combination with other readily available materials, can produce an effective, low-cost, sustainable, and procedurally accurate PMCS model. This model, paired with appropriate speciality-specific learning resources and more generalised multi-disciplinary team centred learning outcomes, will enable effective and impactful training in this life-saving procedure.