Lehner Markus, Heimberg Ellen, Hoffmann Florian, Heinzel Oliver, Kirschner Hans-Joachim, Heinrich Martina
Department of Pediatric Surgery, Dr. von Hauner Children's Hospital, Ludwig-Maximilians-University, Munich, Germany.
Department of Pediatrics, University Hospital, Tuebingen, Germany; Working Group PEADSIM e.V., Department of Pediatrics, University Hospital, Tuebingen, Germany.
Int J Pediatr. 2017;2017:9732316. doi: 10.1155/2017/9732316. Epub 2017 Feb 14.
. Several studies in pediatric trauma care have demonstrated substantial deficits in both prehospital and emergency department management. . In February 2015 the PAEDSIM collaborative conducted a one and a half day interdisciplinary, simulation based team-training course in a simulated pediatric emergency department. 14 physicians from the medical fields of pediatric surgery, pediatric intensive care and emergency medicine, and anesthesia participated, as well as four pediatric nurses. After a theoretical introduction and familiarization with the simulator, course attendees alternately participated in six simulation scenarios and debriefings. Each scenario incorporated elements of pediatric trauma management as well as Crew Resource Management (CRM) educational objectives. Participants completed anonymous pre- and postcourse questionnaires and rated the course itself as well as their own medical qualification and knowledge of CRM. . Participants found the course very realistic and selected scenarios highly relevant to their daily work. They reported a feeling of improved medical and nontechnical skills as well as no uncomfortable feeling during scenarios or debriefings. . To our knowledge this pilot-project represents the first successful implementation of a simulation-based team-training course focused on pediatric trauma care in German-speaking countries with good acceptance.
多项儿科创伤护理研究表明，院前和急诊科管理存在重大缺陷。2015年2月，PAEDSIM协作组织在模拟儿科急诊科举办了为期一天半的跨学科、基于模拟的团队培训课程。来自小儿外科、儿科重症监护、急诊医学和麻醉医学领域的14名医生以及4名儿科护士参加了此次课程。在进行理论介绍并熟悉模拟器后，课程参与者交替参与了六个模拟场景及汇报环节。每个场景都融入了儿科创伤管理要素以及机组资源管理（CRM）教育目标。参与者完成了匿名的课前和课后问卷调查，并对课程本身以及他们自己的医学资质和CRM知识进行了评分。参与者认为该课程非常逼真，所选场景与他们的日常工作高度相关。他们表示感觉自己的医学和非技术技能有所提高，并且在场景或汇报环节中没有不适感。据我们所知，这个试点项目代表了在德语国家首次成功实施的以儿科创伤护理为重点的基于模拟的团队培训课程，且接受度良好。
