{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T18:52:53Z","timestamp":1775242373122,"version":"3.50.1"},"reference-count":20,"publisher":"Western Journal of Emergency Medicine","issue":"4","license":[{"start":{"date-parts":[[2021,7,19]],"date-time":"2021-07-19T00:00:00Z","timestamp":1626652800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["WestJEM"],"abstract":"<jats:p>Introduction: Pericardiocentesis is a high-risk\/low-frequency procedure important to emergency medicine (EM). However, due to case rarity it is not often performed on a patient during residency training. Because the coronavirus disease 2019 pandemic limited cadaver-based practice, we developed a novel, low-cost, low-fidelity pericardiocentesis model using three dimensional-printing technology to provide advances on prior home-made models. \n\nMethods: Residents watched a 20-minute video about performing a pericardiocentesis and practiced both a blind and ultrasound-guided technique. We assessed model fidelity, convenience, and perceived provider competence via post-workshop questionnaire. \n\nResults: A total of 24\/26 (93%) individuals practicing on the ultrasound-guided model and 22\/24 (92%) on the blind approach model agreed or strongly agreed that the models reasonably mimicked a pericardial effusion. \n\nConclusion: Our low-cost, low-fidelity model is durable, mimics the clinical case, and is easy to use. It also addresses known limitations from prior low-fidelity models.<\/jats:p>","DOI":"10.5811\/westjem.2021.3.49876","type":"journal-article","created":{"date-parts":[[2021,7,25]],"date-time":"2021-07-25T01:17:35Z","timestamp":1627175855000},"page":"931-936","source":"Crossref","is-referenced-by-count":7,"title":["A Novel, Low-cost, Low-fidelity Pericardiocentesis Teaching Model"],"prefix":"10.5811","volume":"22","author":[{"given":"Spencer","family":"Lord","sequence":"first","affiliation":[{"name":"Albany Medical Center, Department of Emergency Medicine and Department of Surgery, Albany, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Garrett","family":"Lord","sequence":"additional","affiliation":[{"name":"Dattner Architects, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Geary","sequence":"additional","affiliation":[{"name":"Albany Medical Center, Department of Emergency Medicine and Department of Surgery, Albany, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3840","published-online":{"date-parts":[[2021,7,19]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Gumrukcuoglu H, Odabasi D, Akdag S, et al. 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AEM Educ Train 2020;4(3):270-4.","DOI":"10.1002\/aet2.10477"},{"key":"ref4","unstructured":"Ultrasound Guided Pericardiocentesis Simulator UGPS. Available at: https:\/\/www.limbsandthings.com\/us\/our-products\/details\/ultrasound-guided-percardiocentesis-simulator. Accessed on April 28, 2020."},{"key":"ref5","unstructured":"Transthoracic Echocardiography and Pericardiocentesis Ultrasound Training Model. Available at: http:\/\/www.bluephantom.com\/product\/Transthoracic-Echocardiography-and-Pericardiocentesis-Ultrasound-Training-Model.aspx?cid=411. Accessed April 28, 2020."},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Norman G, Dore K, Grierson L. The minimal relationship between simulation fidelity and transfer of learning. Med Educ. 2012;46(7):636-47.","DOI":"10.1111\/j.1365-2923.2012.04243.x"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Schoenherr J, Hamstra S. Beyond fidelity: deconstructing the seductive simplicity of fidelity in simulator-based education in the health care professions. Sim Healthc. 2017;12(2):117-23.","DOI":"10.1097\/sih.0000000000000226"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"dell\u2019Orto M, Hempel D, Starzetz A, et al. Assessment of a low-cost ultrasound pericardiocentesis model. Emerg Med Int. 2013;376415:1-7","DOI":"10.1155\/2013\/376415"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Kalivoda E, Sullivan A, Bunting L. A cost-effective, rapidly constructed simulation model for ultrasound-guided pericardiocentesis procedural training. J Emerg Med 2019;56(1):74-9.","DOI":"10.1016\/j.jemermed.2018.09.010"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Belliveau D, Moeller A, Ramer S. Inexpensive, high-fidelity model to simulate ultrasound-guided pericardiocentesis for cardiology resident training. Can J Cardiol. 2019;35(11):1600-3.","DOI":"10.1016\/j.cjca.2019.05.029"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Ratnovsky A, Elad D. Anatomical model of the human trunk for analysis of respiratory muscles mechanics. Respir Physiol Neurobiol. 2005;148:245-62.","DOI":"10.1016\/j.resp.2004.12.016"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Daly R, Planas J, Edens M. Adapting gel wax into an ultrasound-guided pericardiocentesis model at low cost. West J Emerg Med. 2017;18(1):114-6.","DOI":"10.5811\/westjem.2016.10.31506"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Sullivan A, Khait L, Favot. A novel low-cost ultrasound-guided pericardiocentesis simulation model: demonstration of feasibility. J Ultrasound Med. 2018;37(2):493-500.","DOI":"10.1002\/jum.14337"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Baribeau Y, Bortman J, Khamooshian A, et al. A 3-dimensionally printed, high-fidelity ultrasound-guided pericardiocentesis training model. J Cardiothorac Vasc Anesth. 2020;34(1):245-7.","DOI":"10.1053\/j.jvca.2019.08.051"},{"key":"ref15","unstructured":"LulzBot Mini 2. LulzBot. Available at: https:\/\/shop.lulzbot.com\/lulzbot-mini-v2-0-boxed-for-retail-na-kt-pr0047na?ref=KT-PR0047NA. Accessed January 19, 2021."},{"key":"ref16","unstructured":"The Crane Bowden 3D Printer. M3D. Available at: https:\/\/store.printm3d.com\/collections\/3d-printers\/products\/the-crane-bowden-3d-printer. Accessed January 19, 2021."},{"key":"ref17","unstructured":"FlashForge Creator Max Dual Extruder 3D Printer. FlashForge USA. Available at: https:\/\/flashforge-usa.com\/products\/flashforge-creatormax-dual-extruder-3d-printer. Accessed January 19, 2021."},{"key":"ref18","unstructured":"Replicator+ Educators Edition Desktop 3D Printer. MakerBot. Available at: https:\/\/www.makerbot.com\/3d-printers\/replicator-educators-edition\/. Accessed January 19, 2021."},{"key":"ref19","unstructured":"Ultimaker S3: Easy-to-use 3D printing starts here.ultimaker.com. Available at: https:\/\/ultimaker.com\/3d-printers\/ultimaker-s3?gclid=CjwKCAiA6aSABhApEiwA6Cbm_2lLtEyS5frxZkc3DPix65C7tbA5nemmzzO9MymGyOdjSgtCPcoflxoCeU8QAvD_BwE. Accessed January 21, 2021."}],"container-title":["Western Journal of Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2021,7,25]],"date-time":"2021-07-25T01:17:46Z","timestamp":1627175866000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/08x473qj"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,19]]},"references-count":20,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021,7,20]]}},"URL":"https:\/\/doi.org\/10.5811\/westjem.2021.3.49876","relation":{},"ISSN":["1936-900X"],"issn-type":[{"value":"1936-900X","type":"print"}],"subject":[],"published":{"date-parts":[[2021,7,19]]}}}