Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Development and Review of the Chest Tube High-Feedback Educational Simulation Trainer (CHEST)

Crawford, Scott B. MD; Huque, Yasin I. MD; Austin, Danielle E. BA; Monks, Stormy M. PhD

doi: 10.1097/SIH.0000000000000361
Technical Report

Introduction Emergency medicine physicians must receive training in chest tube placement. This life-saving skill must be completed quickly and competently to prevent morbidity and mortality. Training on live patients is no longer an appropriate or acceptable practice. Current training devices have been noted to be costly, may be difficult to store, or may require time-consuming cleanup or setup.

Methods Fifteen Chest tube High-feedback Educational Simulation Trainers were created. Frames were made from wood and PVC, and soft tissue layers were designed using silicone and polyurethane foam. Nine training sites volunteered to test the model and provided feedback on the acceptability of the task trainer for skill training.

Results Survey findings demonstrated that the model was realistic for teaching, portable, and was easy to use and maintain. In our model, the outer skin was noted to tear easily, thus limiting its use for suture training. Overall programs reported that they would use this model if it was available for the same or lower cost than current models.

Conclusions An inexpensive task trainer was created that was easy to store, quick to set up, durable, easy to clean, and rated as effective at training the skill of chest tube insertion.

From the Texas Tech University Health Sciences Center El Paso, El Paso, TX.

Reprints: Scott B. Crawford, MD, TTUHSC El Paso, 4801 Alberta Ave, El Paso TX 79905 (e-mail:

The authors declare no conflict of interest.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (

Online date: April 9, 2019

© 2019 Society for Simulation in Healthcare