Preparation for delivering the CICO course
Resources required
The course will require the following resources summarised in Table 2:
| Session | Format |
|---|---|
| Registration | Meet and greet area/sign in +/- coffee |
| Workshop overview | Seminar room/talk |
| Session 1: When is CICO a problem? | Seminar room/talk |
| Session 2: CICO – Preventing CICO – Supraglottic airway rescue (Vortex Model) | Seminar room/talk |
| Session 3: Supraglottic rescue workstation | Breakout workstations/practical skills |
| Morning tea | |
| Session 4: Managing a CICO situation – Infraglottic airway rescue (WA Model) | Seminar room/talk |
| Session 5: CICO Infraglottic airway rescue workstation | Breakout workstations/practical skills |
| Lunch | |
| Session 6: CICO – Being prepared: human factors | Seminar room/talk |
| Session 7: Integrated practice | Breakout workstations/simulations |
| Afternoon tea | |
| Session 8: Being prepared – Equipment and systems | Seminar room/talk |
| Appraisals, final comments and close | Seminar room/talk |
Talks
The course requires a seminar style room that has the capacity to seat 20 participants and up to five additional faculty.
Audio-visual requirements include projector and computer to utilise PowerPoint™ and play videos. Sound is required for the videos.
A whiteboard with markers for interactive lectures is useful.
Workstations
The workstations require three separate areas. These can either be in one large room or three smaller rooms. Each area will require a large table and an airway trolley. A laptop or PC will be required at each station and a monitor if available for videos and SimMan™ software.
An oxygen supply will be required for the workstations and simulations involving jet oxygenation techniques. This can be either wall mounted or cylinder gas.
The time turnover between the stations during the morning is very quick. If the stations are not set up in the same room then the rooms need to be in close proximity to ensure quick turn over between sessions. Ideally the area for the skill stations will also be in close proximity to the seminar area to avoid time delays.
Simulation sessions
The simulations will require three separate areas. The areas set up for the skill stations can be utilised for the simulations if they have been set up in three separate rooms. The simulations are low to medium fidelity. A clinical area is not essential for the simulations, however a simulation suite can be utilised if available.
Each room will require a large table or bed, an adult size manikin, a laptop or PC and a patient monitor. The airway trolleys utilised for the skill stations will also be required.
Full size manikins are required for the simulations in the afternoon of the course. These need not be high fidelity. They do require a sufficiently realistic airway for oxygenation, airway adjuncts and intubation. Infraglottic rescue will be performed on neck models co-located with the manikins.
Ideally technical support will include three personnel to operate the SimMan™ software. The SimMan™ software (for vital signs monitoring) is free to download and available from the Laerdal website.
The faculty should be familiar with the software. It is very user friendly and the scenarios only require adjustment of basic vital signs. The software can be utilised as monitoring for all the scenarios.
Technical support staff will need to be briefed prior to the scenarios on what is required throughout the simulation or workstation.