A multi-disciplinary, hands-on workshop on facial wound repair improves knowledge and confidence among EM learners Ann Batista MD, Ellen Satteson MD, Nicholas.

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A multi-disciplinary, hands-on workshop on facial wound repair improves knowledge and confidence among EM learners Ann Batista MD, Ellen Satteson MD, Nicholas Hartman MD Wake Forest Baptist Medical Center Departments of Emergency Medicine and Plastic and Reconstructive Surgery BACKGROUND Brief needs assessment was conducted as to which facial wound repairs caused residents and fellows the most discomfort n=31, 2 MS-IVs, 26 EM residents and 3 pediatric EM fellows 5 question pre-test was given prior to a didactic session taught by a plastic surgeon Hands-on learning and practice on cadavers with guidance from plastic surgery residents and EM faculty 5 question post-test, followed by a 4 question survey assessing comfort with each repair utilizing a 5 point Likert scale The pre- and post-test scores for each participant were compared and a delta was calculated for each participant. Descriptive statistics, including 95% confidence intervals, were reported. METHODS Emergency physicians frequently repair facial wounds. Ear, lip, and through-and-through cheek lacerations require special techniques for closure. To our knowledge there are no reported, interdisciplinary educational modules instructing emergency medicine residents about facial wound repairs.

A multi-disciplinary, hands-on workshop on facial wound repair improves knowledge and confidence among EM learners Ann Batista MD, Ellen Satteson MD, Nicholas Hartman MD Wake Forest Baptist Medical Center Departments of Emergency Medicine and Plastic and Reconstructive Surgery RESULTS Participants improved their individual score from the pre-test to the post-test by an average of 1.52 points. Overall pre-test mean was 3.06 Overall post-test mean was 4.17 Overall Average Score95% CIStandard DeviationNumber of Tests Pre Test Post Test Individual Tests Average of Delta 95% CI Standard Deviation Average reported comfort level on a 5 point Likert scale for each repair and suture choice: Average Comfort Level 95% CI Standard Deviation Number of Responses Lip Repair Ear Repair Cheek Repair Suture Choice

A multi-disciplinary, hands-on workshop on facial wound repair improves knowledge and confidence among EM learners Ann Batista MD, Ellen Satteson MD, Nicholas Hartman MD Wake Forest Baptist Medical Center Departments of Emergency Medicine and Plastic and Reconstructive Surgery Participants increased their knowledge. Participants reported being more comfortable with the various facial wounds repairs. Participants reported being more comfortable with suture choice. An interdisciplinary and hands-on approach proved successful in teaching these techniques. REFERENCES CONCLUSIONS Schultz, R.C. Soft tissue injuries of the face. in: J.W. Smith, S.J. Aston (Eds.) Plastic Surgery. Little Brown & Co, Boston; 1991:325–345. Kretlow JD, et al. Facial soft tissue trauma. Semin Plast Surg Nov;24(4): Farion, et al. Tissue adhesive for traumatic lacerations: a systematic review of randomized controlled trials. Acad Emerg Med Feb;10(2): Review. Abubaker AO. Use of prophylactic antibiotics in preventing infection of traumatic injuries. Dent Clin North Am Oct;53(4): Moran G.J., Talan D.A., and Abrahamian F.D.: Antimicrobial prophylaxis for wounds and procedures in the emergency department. Infect Dis Clin North Am. 2008;22: Davies HD. When your best friends bites: A note on dog and cat bites. Paediatr Child Health Oct;5(7):381-4.