Simulation-based Education to Improve Knowledge and Confidence of Splinting in Emergency Medicine: An Observational Study

Aim and background:The procurement and maintenance of individual skills are essential for effective emergency care.This study evaluates the impact of simulation-based education (SBE) on enhancing the confidence, knowledge, and competence of healthcare providers in orthopedic splinting within the Emergency Medicine Department.Musculoskeletal (MSK) injuries-such as sprains, strains, dislocations, and fractures-are common emergency department (ED) presentations, and splinting plays a vital role in initial management by preventing further injury, promoting healing, and reducing complications.Despite its importance, orthopedic splinting is often underemphasized in clinical education.Materials and methods: An observational study was conducted over three months (January 6-March 7, 2025) at a tertiary care hospital in South India.A total of 100 participants (20 residents and 80 ED nurses) underwent a structured SBE intervention, including pre-and post-assessment of knowledge and confidence using objective tests and a Likert scale.Data were analyzed using IBM SPSS Statistics Version 27.Results: Participants showed significant improvement in both knowledge and confidence levels post-intervention.Mean Likert scale scores increased, indicating enhanced self-reported confidence in applying various splint types.Subjective feedback from 75 participants (100% positive) highlighted appreciation for the practical nature of the workshop and called for more hands-on time.Conclusion: Simulation-based training effectively improved healthcare providers' skills and confidence in orthopedic splinting, addressing a gap in professional education and promoting safer patient care.Clinical significance: Empowering ED healthcare professionals with improved splinting competency through SBE may reduce iatrogenic injuries and enhance outcomes in patients with musculoskeletal emergencies.