Far forward feasibility: testing a cricothyroidotmy simulator in Iraq

Stud Health Technol Inform. 2008;132:37-41.


This study describes our experience with using a virtual reality simulator, CricSim, to enhance the training of combat medics to perform a cricothyroidotomy (surgical airway) while in Iraq. Over a six month period, 65 medics used the simulator as part of a Combat Medic Advanced Skills Training class while in Iraq and were asked to evaluate it. Students self-assessed comfort level with the procedure improved dramatically from baseline (p<5.6 x 10(-17)). The CricSim was rated highly on realism but only moderately on ease of use. The use of this simulator in a far forward setting was feasible, enhanced training, and provided necessary end-user feedback for future development of this training platform.

Publication types

  • Evaluation Study
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Computer Simulation*
  • Computer-Assisted Instruction*
  • Feasibility Studies
  • Humans
  • Iraq
  • Military Medicine
  • Surveys and Questionnaires
  • Tracheotomy / education*
  • Tracheotomy / methods
  • User-Computer Interface*