| Autor: |
James Davison, Maureen Cleary, E Akers, H MacGloin, R Paget |
| Rok vydání: |
2019 |
| Předmět: |
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| Zdroj: |
BRITISH INHERITED METABOLIC DISEASE GROUP. |
| DOI: |
10.1136/archdischild-2019-rcpch.255 |
| Popis: |
Aims The emergency management of inborn errors of metabolism is outlined as a learning domain in the new syllabus for paediatric metabolic medicine trainees1. Metabolic emergencies are also of interest to the general paediatrician, in presentation and management. Simulation training is a professional standard2, well placed to deliver this, since the simulated rehearsed management of emergencies, rare and common, is heavily evidenced to improve learning and patient outcome. We aimed to provide a context for further metabolic emergency simulation training. Methods Staff from simulation and paediatric metabolic medicine collaborated to devise multi-professional metabolic emergency scenarios. Cases highlighted specific aspects of underlying inborn errors of metabolism and general clinical principles and protocols. Simulation sessions involved medical and nursing staff from all levels. Participant feedback focused upon session utility and applicability to the clinical environment. Analysis of simulation data was retrospectively performed of all metabolic emergency simulation data. Results Between January 2017 and September 2018, there were 7 metabolic simulation sessions involving 56 members of staff. Scenarios involved inherited metabolic conditions with complications assessing generic skills including: an allergic reaction to enzyme replacement therapy in a child with Hunter’s syndrome; sepsis in a child with methylmalonic acidaemia and seizures in a child with a decompensated urea cycle defect. Participant feedback was positive with high session utility reported and applicability to clinical practice. Conclusions Participants in simulated metabolic emergencies report this training as a valuable opportunity to practise team working and clinical skills. Scenarios incorporating common emergencies in rare conditions can meet generic and sub-speciality specific training needs. Further work is planned to devise syllabus based metabolic scenarios and contribute to training in this neglected field. References Paediatric Inherited Metabolic Medicine RCPCH Progress Syllabus August 2018. GMC Professional Capabilities Framework May 2017. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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