An in-situ simulation-based educational outreach project for pediatric trauma care in a rural trauma system
| Autor: | Shannon W. Longshore, Bryan Lake, David Schiller, Morgan Keeter, Lilly Bayouth, Kari M. Beasley, Jackie Brady, Walter C. Robey, Stephen C. Charles, Sarah Ashley, Eric A. Toschlog |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Resuscitation education 03 medical and health sciences 0302 clinical medicine Education Nursing Continuing In situ simulation 030225 pediatrics Intervention (counseling) medicine North Carolina Humans Prospective Studies Prospective cohort study Child Simulation Training business.industry Trauma center Infant 030208 emergency & critical care medicine General Medicine Emergency department Evidence-based medicine medicine.disease Child Preschool Pediatrics Perinatology and Child Health Emergency medicine Emergency Medicine Wounds and Injuries Surgery Education Medical Continuing Female Medical emergency Clinical Competence Rural Health Services business Emergency Service Hospital Pediatric trauma |
| Zdroj: | Journal of pediatric surgery. 53(2) |
| ISSN: | 1531-5037 |
| Popis: | Outcome disparities between urban and rural pediatric trauma patients persist, despite regionalization of trauma systems. Rural patients are initially transported to the nearest emergency department (ED), where pediatric care is infrequent. We aim to identify educational intervention targets and increase provider experience via pediatric trauma simulation.Prospective study of simulation-based pediatric trauma resuscitation was performed at three community EDs. Level one trauma center providers facilitated simulations, providing educational feedback. Provider performance comfort and skill with tasks essential to initial trauma care were assessed, comparing pre-/postsimulations. Primary outcomes were: 1) improved comfort performing skills, and 2) team performance during resuscitation.Provider comfort with the following improved (p-values0.05): infant airway, infant IV access, blood administration, infant C-spine immobilization, chest tube placement, obtaining radiographic images, initiating transport, and Broselow tape use. The proportion of tasks needing improvement decreased: 42% to 27% (p-value=0.001). Most common deficiencies were: failure to obtain additional history (75%), beginning secondary survey (58.33%), log rolling/examining the back (66.67%), calling for transport (50%), calculating medication dosages (50%).Simulation-based education improves provider comfort and performance. Comparison of patient outcomes to evaluate improvement in pediatric trauma care is warranted.IV. |
| Databáze: | OpenAIRE |
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