Assistant Professor, Departments of Pediatrics and Emergency Medicine/Traumatology, Division of Pediatric Emergency Medicine, University of Connecticut School of Medicine and Connecticut Children's; Director of Simulation Education, University of Connecticut School of Medicine.
Fellow, Departments of Emergency Medicine and Pediatrics, Division of Pediatric Emergency Medicine, Warren Alpert Medical School of Brown University and Rhode Island Hospital/Hasbro Children's Hospital.
MedEdPORTAL. 2021 Jan 22;17:11079. doi: 10.15766/mep_2374-8265.11079.
Unintentional traumatic injury remains the leading cause of pediatric death in the United States. There is wide variation in the assessment and management of pediatric trauma patients in emergency departments. Resident education on trauma evaluation and management is lacking. This workshop focused on developing resident familiarity with the primary and secondary trauma survey in pediatric patients.
This hands-on workshop utilized patient-actors and low-fidelity simulators to instruct learners on the initial assessment of trauma patients during the primary and secondary trauma surveys. It was designed for residents across all levels of training who care for pediatric trauma patients (including pediatrics, medicine-pediatrics, emergency medicine, and family medicine) and adapted for different session durations and learner group sizes.
Eighteen residents participated in this workshop at two separate institutions. Participants strongly agreed that the workshop was relevant and effective in teaching the initial primary and secondary trauma survey assessment of pediatric trauma patients. Residents also reported high levels of confidence in performing a primary and secondary trauma survey after participation in the workshop.
This workshop provided residents with instruction and practice in performing the primary and secondary trauma survey for injured pediatric patients. Additional instruction is needed on assigning Glasgow Coma Scale and AVPU (alert, voice, pain, unresponsive) scores to injured patients. The structure and time line of this curriculum can be adapted to the needs of an individual institution's program and the number of workshop participants.
在美国，非故意创伤性损伤仍然是导致儿童死亡的主要原因。急诊科对儿科创伤患者的评估和管理存在很大差异。住院医师在创伤评估和管理方面的教育存在不足。本研讨会重点是让住院医师熟悉儿科患者的初级和次级创伤调查。
本实践研讨会利用患者演员和低保真模拟器来指导学习者在初级和次级创伤调查中对创伤患者进行初步评估。它针对所有接受儿科创伤患者护理的培训水平的住院医师（包括儿科、儿内科、急诊医学和家庭医学）设计，并适应不同的会议持续时间和学习者群体规模。
有 18 名住院医师在两个不同的机构参加了这个研讨会。参与者强烈认为该研讨会在教授儿科创伤患者初步的初级和次级创伤调查评估方面非常相关且有效。住院医师还报告说，在参加研讨会后，他们对进行初级和次级创伤调查的信心很高。
本研讨会为住院医师提供了对受伤儿科患者进行初级和次级创伤调查的指导和实践。需要进一步指导如何对受伤患者进行格拉斯哥昏迷量表和 AVPU（警觉、发声、疼痛、无反应）评分的分配。该课程的结构和时间线可以根据个别机构的计划和研讨会参与者的数量进行调整。
