Assistant Professor, Departments of Emergency Medicine and Pediatrics, Division of Pediatric Emergency Medicine, Alpert Medical School of Brown University and Rhode Island Hospital/Hasbro Children's Hospital; Director of Pediatric Simulation, Lifespan Medical Simulation Center.
Fellow, Departments of Emergency Medicine and Pediatrics, Division of Pediatric Emergency Medicine, The Alpert Medical School of Brown University and Rhode Island Hospital/Hasbro Children's Hospital.
MedEdPORTAL. 2020 Sep 25;16:10980. doi: 10.15766/mep_2374-8265.10980.
In-hospital pediatric cardiopulmonary arrest is associated with high morbidity and mortality, and appropriate initial management has been associated with improved clinical outcomes. Despite current training, pediatric residents often do not feel confident in their ability to deliver this initial management. This workshop focused on the initial management of critically ill pediatric patients and performance of high-quality CPR.
This hands-on workshop utilized skill stations with low- and medium-fidelity simulators to instruct learners on initial management during the first 5 minutes of a code, including high-quality CPR. It was designed for residents across all levels of training who care for pediatric patients (including pediatrics, medicine-pediatrics, pediatrics, psychiatry, and child psychiatry, family medicine, and emergency medicine residents) and can be adapted for different session durations and group sizes.
This workshop was conducted at two separate institutions with a total of 18 resident participants. Participants strongly agreed that this workshop was relevant and effective in teaching the initial assessment and management of the critical pediatric patient, including how to best perform high-quality CPR. Residents further reported high levels of confidence in initially assessing and managing a critically ill patient, describing the markers of high-quality CPR, and performing high-quality CPR.
This workshop provided residents with additional instruction and practice in the initial management of critically ill pediatric patients in cardiopulmonary arrest. The structure and timeline of this curriculum can be adapted to the needs of the individual institution's program and the number of workshop participants.
院内儿科心搏骤停与高发病率和死亡率相关，适当的初始管理与改善的临床结局相关。尽管目前有培训，儿科住院医师通常对其提供初始管理的能力缺乏信心。本研讨会专注于危重症儿科患者的初始管理和高质量 CPR 的实施。
本实践研讨会利用具有低和中保真度模拟器的技能站来指导学习者在编码的前 5 分钟内进行初始管理，包括高质量 CPR。它设计用于照顾儿科患者的各级住院医师（包括儿科、儿内科、儿科、精神病学、儿童精神病学、家庭医学和急诊医学住院医师），并可根据不同的会议持续时间和小组规模进行调整。
本研讨会在两个独立的机构进行，共有 18 名住院医师参加。参与者强烈认为，本研讨会在教授危重症儿科患者的初始评估和管理方面非常相关和有效，包括如何最好地进行高质量 CPR。住院医师进一步报告在最初评估和管理危重症患者方面具有高度信心，描述了高质量 CPR 的标志，并进行了高质量 CPR。
本研讨会为住院医师提供了在心肺骤停的危重症儿科患者初始管理方面的额外指导和实践。本课程的结构和时间安排可以根据个别机构计划和研讨会参与者的数量进行调整。
