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卓越的沟通与紧急领导力(ExCEL):住院医师儿科危重病资源利用研习班。

Excellence in Communication and Emergency Leadership (ExCEL): Pediatric Critical Care Resource Utilization Workshop for Residents.

机构信息

Associate Professor, 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; Director of Pediatric Simulation, Lifespan Medical Simulation Center.

Assistant Professor, Division of Pediatric Emergency Medicine, Department of Pediatrics, University of Texas Southwestern Medical Center.

出版信息

MedEdPORTAL. 2022 Aug 16;18:11268. doi: 10.15766/mep_2374-8265.11268. eCollection 2022.

DOI:10.15766/mep_2374-8265.11268
PMID:36033915
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9378690/
Abstract

INTRODUCTION

Efficiently locating critical equipment and prompt defibrillator usage are crucial steps when managing a critically ill patient or a code. However, resident experience in this area is limited. This workshop focused on the identification of critical care equipment in the pediatric code cart and transport bag along with timely, appropriate, and effective use of the defibrillator when needed.

METHODS

The workshop utilized a combination of traditional didactics and hands-on skills stations to instruct learners on the location of pediatric critical care equipment and the proper use of a defibrillator. It was designed for residents across all levels of training who care for pediatric patients (including pediatrics, medicine-pediatrics, triple board [pediatrics, psychiatry, and child psychiatry], family medicine, and emergency medicine residents) and can be adapted for different session durations and group sizes.

RESULTS

This workshop was conducted at two separate institutions, with a total of 95 resident participant encounters. Participants strongly agreed that the workshop was effective in teaching our learning objectives. Residents reported high levels of confidence in their ability to recognize and identify the location of critical care equipment in the code cart and transport bags and to appropriately use the defibrillator for both defibrillation and synchronized cardioversion.

DISCUSSION

This workshop provided residents with instruction and practice in locating and utilizing pediatric critical care equipment. The structure and timetable of this curriculum can be adapted to the needs of individual institutions' programs and different numbers of workshop participants.

摘要

简介

在处理危重病患者或进行急救时,高效定位关键设备和及时使用除颤器是至关重要的步骤。然而,住院医师在这方面的经验有限。本研讨会重点关注儿科急救车和转运袋中关键设备的识别,以及在需要时及时、适当和有效地使用除颤器。

方法

该研讨会结合了传统教学和实践技能站,指导学习者识别儿科关键设备并正确使用除颤器。它适用于所有级别的儿科患者护理住院医师(包括儿科、儿内科、三博[儿科、精神病学和儿童精神病学]、家庭医学和急诊医学住院医师),并可以根据不同的会议持续时间和小组规模进行调整。

结果

本研讨会在两个不同的机构进行,共有 95 名住院医师参加。参与者强烈认为该研讨会在教授我们的学习目标方面非常有效。住院医师报告说,他们对识别和定位急救车和转运袋中关键设备的能力以及正确使用除颤器进行除颤和同步电复律的能力非常有信心。

讨论

本研讨会为住院医师提供了定位和使用儿科关键设备的指导和实践。该课程的结构和时间表可以根据个别机构的计划和研讨会参与者的不同数量进行调整。

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本文引用的文献

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Excellence in Communication and Emergency Leadership (ExCEL): Pediatric Primary and Secondary Survey in Trauma Workshop for Residents.卓越沟通与紧急领导力(ExCEL):创伤住培医师基础与二次评估工作坊
MedEdPORTAL. 2021 Jan 22;17:11079. doi: 10.15766/mep_2374-8265.11079.
2
Excellence in Communication and Emergency Leadership (ExCEL): Pediatric First 5 Minutes Workshop for Residents.卓越的沟通与紧急领导力(ExCEL):住院医师儿科首 5 分钟工作坊。
MedEdPORTAL. 2020 Sep 25;16:10980. doi: 10.15766/mep_2374-8265.10980.
3
Adverse Events During Intrahospital Transport of Critically Ill Children: A Systematic Review.危重症患儿院内转运期间的不良事件:系统评价。
Anesth Analg. 2020 Oct;131(4):1135-1145. doi: 10.1213/ANE.0000000000004585.
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Critical Cardiopulmonary Event Series: Four Simulations for Pediatric ICU Fellows, Critical Care Nurses, and Pediatric Residents.危急心肺事件系列:为儿科 ICU 研究员、重症监护护士和儿科住院医师设计的四个模拟案例。
MedEdPORTAL. 2020 Mar 20;16:10889. doi: 10.15766/mep_2374-8265.10889.
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Trends in Survival After Pediatric In-Hospital Cardiac Arrest in the United States.美国儿科院内心搏骤停后生存率的变化趋势。
Circulation. 2019 Oct 22;140(17):1398-1408. doi: 10.1161/CIRCULATIONAHA.119.041667. Epub 2019 Sep 23.
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Kolb's Experiential Learning Theory as a Theoretical Underpinning for Interprofessional Education.将科尔布体验式学习理论作为跨专业教育的理论基础。
J Allied Health. 2018 Spring;47(1):3-8.
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Learning Theory Foundations of Simulation-Based Mastery Learning.基于模拟的精通学习的学习理论基础
Simul Healthc. 2018 Jun;13(3S Suppl 1):S15-S20. doi: 10.1097/SIH.0000000000000279.
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Safety Hazards During Intrahospital Transport: A Prospective Observational Study.院内转运期间的安全隐患:一项前瞻性观察研究。
Crit Care Med. 2017 Oct;45(10):e1043-e1049. doi: 10.1097/CCM.0000000000002653.
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Saving Time Under Pressure: Effectiveness of Standardizing Pediatric Resuscitation Carts.压力下节省时间:标准化儿科复苏推车的有效性
Hosp Pediatr. 2016 Feb;6(2):67-71. doi: 10.1542/hpeds.2015-0161.
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Simulation training as a mechanism for procedural and resuscitation education for pediatric residents: a systematic review.模拟训练作为儿科住院医师程序和复苏教育的一种机制:一项系统综述。
Hosp Pediatr. 2013 Apr;3(2):167-76. doi: 10.1542/hpeds.2012-0041.