Songer Kathryn, Fiero Marie, Roberts Joan
Third-Year Fellow Physician, Division of Pediatric Critical Care Medicine, Spencer Fox Eccles School of Medicine at the University of Utah and Primary Children's Hospital.
Assistant Professor, Division of Pediatric Critical Care Medicine, University of Washington School of Medicine and Seattle Children's Hospital.
MedEdPORTAL. 2025 Jun 6;21:11529. doi: 10.15766/mep_2374-8265.11529. eCollection 2025.
Medical staff on acute care wards respond to in-hospital emergencies, yet they are often poorly prepared due to the infrequency of pediatric cardiopulmonary events. We developed this rapid cycle deliberate practice simulation to improve the skills and knowledge required to initiate high-quality CPR and prepare for the arrival of the code blue response team.
This 30-minute simulation was performed in situ within hospital rooms and required low-fidelity equipment. Participants resuscitated an unresponsive, pulseless infant. The simulation was conducted three times, with each participant cycling through each role. Critical actions included checking for responsiveness and calling for help, starting compressions, ventilating the patient, and placing defibrillation pads while maintaining high-quality CPR.
Participants' (attending physicians', pediatric trainees', advanced practice providers', registered nurses') self-reported confidence, as rated based on a 5-point Likert scale (1 = , 5 = ), significantly improved in providing high-quality CPR ( = 151; = 9.4; < .01) and managing airway, breathing, and circulation in the first 3 minutes of a code situation ( = 154; = 9.6; < .01). Knowledge scores (four multiple-choice questions) assessing high-quality CPR principles improved from a mean 68% to 85% ( = 151; < .01). Respondents indicated they found the training session to be helpful, with a mean score of 4.8 on a 5-point Likert scale (1 = , 5 = ).
This multidisciplinary simulation was well received and improved participants' confidence in responding to pediatric cardiopulmonary emergencies and knowledge of high-quality CPR principles.
急症病房的医护人员应对医院内的紧急情况，但由于儿科心肺事件发生频率低，他们往往准备不足。我们开发了这种快速循环的刻意练习模拟，以提高启动高质量心肺复苏所需的技能和知识，并为急救反应团队的到来做好准备。
这个30分钟的模拟在医院病房内现场进行，所需设备为低保真度设备。参与者对一名无反应、无脉搏的婴儿进行复苏。模拟进行了三次，每个参与者轮流扮演每个角色。关键行动包括检查反应并呼救、开始按压、为患者通气以及放置除颤电极片，同时维持高质量心肺复苏。
参与者（主治医生、儿科实习生、高级执业提供者、注册护士）基于5分李克特量表（1 = ，5 = ）进行自我报告的信心，在提供高质量心肺复苏方面（ = 151； = 9.4； <.01）以及在急救情况的前3分钟管理气道、呼吸和循环方面（ = 154； = 9.6； <.01）有显著提高。评估高质量心肺复苏原则的知识得分（四个多项选择题）从平均68%提高到85%（ = 151； <.01）。受访者表示他们认为培训课程很有帮助，在5分李克特量表上的平均得分为4.8（1 = ，5 = ）。
这种多学科模拟受到好评，并提高了参与者应对儿科心肺紧急情况的信心以及对高质量心肺复苏原则的了解。
