High Repetition Task Training Kit for Cricothyrotomy

Education By Design
"It is fantastic! It really ups the game on training!"
– Scott Weingart, EMCRIT.org

Small. Portable. Robust. Inexpensive.

The only cricothyrotomy task trainer than comes in male & female larynxes. Full-featured. The lowest cost to purchase and use. Laterally mobile larynx with overlying skin permits the "laryngeal handshake." Integrated sternum permits practicing "sternal stabilization" of the scalpel hand.
* * * Patented & Trademarked* * *
European Patent 4556046B1
USA Patent US-20240358435
The world's first laryngeal model made in 1835 by Louis Thomas Jefferson Azou--the inspiration for the CRICALOT model.

Demonstrates the “cartilaginous cage”, high back wall of the cricoid, and the thyroid-cricoid overlap. Superior and inferior cornu of the thyroid spans from hyoid to cricoid.

Male & Female Models are included in each kit--along with extra tracheas, and 200 "skins".

Each set is packaged in a briefcase style nylon box, with male and female models, 8 extra tracheas, 200 "skin" pouches and 200 cotton pads (which create the subcutaneous tissue layer).

Fake blood can be added to skin analogue to create a "bleeding" wet model.

Cotton padding (pre-cut pads or cast padding; multiple layers to simulate obesity) is inserted inside the pouch. Fake blood can be added and sealed in the pouch. The backing on the pouch is removed and the adhesive layer applied to the model.

3-layer realistic skin analogue that costs pennies per use.

The thin top layer of the "skin" mimics highly mobile thin neck skin. The cast padding simulates subcutaneous tissue, and the adhesive backing on the pouch acts like the cricothyroid membrane.

Male model showing the prominent thyroid cartilage (Adam's apple)--projecting forward of the cricoid cartilage.

Trachea is distinguishable from the cricoid cartilage by its softer feel. The trachea has both external and internal rings (mimics actual anatomy).

Female larynx in profile showing thyroid and cricoid cartilage equally prominent.

The smaller thyroid lamina come together at a less acute angle than the male thyroid. Female model is approximately 15% smaller than the male model. Soft durometer trachea, with rings and accurate length (~11cm).

Sliding the box open, it locks into place and serves as a sternum.

Stabilization of the larynx and the operator's cutting hand are critical elements of the procedure; the sternum is integrated into the model. The larynx in each model moves side to side.

The High Back Wall of the Cricoid Cartilage - Unload Procedural Fear By Demonstrating Where the Scalpel Hits the High Back Wall of the Cricoid.

Procedural fear around cricothyrotomy comes from a lack of understanding the anatomy of the "Cartilaginous Cage." When the scalpel penetrates the cricothyroid membrane the back wall porivides a hard stop.

Over-Insertion of a Tracheal Tube to the Pilot Balloon - Goes Past the Tracheal Biforcation.

Demonstrates the most common error of emergency cric which is over-insertion of the tracheal tube (beyond the 11 cm length of the trachea).

The Thyro-Cricoid Overlap

Scalpel moved to the right lateral edge of CTM stops at the thyroid-cricoid overlap. The inferior cornu of the thyroid overlaps the cricoid cartilage.

The top of the box is detachable for showing critical antaomy of the larynx and trachea.

Each model (male and female) comes with four extra tracheas, in case they are damaged with use. Tracheas are easily replaced.

Nylon briefcase style case. Lightweight, washable, holds 200 "skins" and cotton skin pads, as well as extra tracheas. Room for cric instruments (tube/bougie/scalpel).

Small and portable, enabling 200 cric reps in any setting i.e. morning rounds, at air base, on med team deployments in any environment.

There's no secret to procedural competence; the steps to cric are simple, but they must be practiced--this model lets you CRIC-ALOT!

Crisis performance in high acuity low opportunity procedures requires proper procedural insight, an incrementalized approach designed to make the task easier, and repetition. 50-100 reps to mastering basic steps, repeated 20x per quarter to maintain muscle memory.

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