Audience: This simulation-based training focuses on emergency prehospital medical stabilization. It was created to augment the skills of prehospital providers in developing emergency medical services (EMS) systems. We designed and implemented the curriculum in the Republic of Botswana and trained the public prehospital providers employed by the Ministry of Health (MOH). Length of Curriculum:The entire course was designed to be presented over 2 days for approximately six to eight total hours. Introduction: Prehospital medicine continues to develop around the world. Many new, public programs are steadily emerging in Sub-Saharan Africa which utilize fewer resources than many of the more established EMS models. Because of the unique practice environment, and the novelty of these organized EMS programs, educational and interventional initiatives are needed, as well as research on prehospital medicine in lowerand middle-resource settings, particularly in Sub-Saharan Africa. The novel, prehospital, medical simulationbased, educational curriculum we have presented here was specifically created to develop EMS systems in lower-and middle-income countries (LMIC) in Africa. The course was successfully implemented multiple times in Botswana as a collaborative effort between the providers of well-established EMS systems and the emerging Botswanan system. This simulation-based training program was considered an appropriate, effective, and welcome means of teaching the relevant concepts, as indicated by the statistically significant improvement in test scores and participant feedback. CURRICULUM 196Educational Goals: This curriculum presents a refresher course in recognizing and stabilizing an acutely ill patient for prehospital providers practicing in a low/middle-income developing EMS system. Educational Methods:The educational strategies used in this curriculum include rapid cycle deliberate practice (RCDP) medical simulation, written testing, and simulation testing.Research Methods: Learners completed pre-and post-tests covering the concepts taught in the curriculum. Continuous variables (written and simulation test scores) were compared between two dependent groups (pre-and post-training) using paired t-test. Results:The mean scores were 67% [standard deviation (SD) = 10] on the written pre-test and 85% (SD = 7) on the written post-test (p < 0.001). The mean scores for the simulation were 42% (SD = 14.2) on the pre-test and 75% (SD = 11.3) on the post-test (p < 0.001).Discussion: This curriculum was specifically developed based on the needs of the Botswana EMS system. Nevertheless, we strongly believe that only minor adaptations would be required for teaching it in other developing, lower-resourced prehospital systems, considering the relative ubiquity of the clinical concepts being covered. The curriculum described in this study represents an invaluable educational tool that serves to educate healthcare providers, disseminate practical knowledge, and standardize clinical procedures. We hope that these measures, when taken ...

Audience This simulation-based training focuses on the most common and high risk pediatric prehospital scenarios in low- and middle-income countries (LMIC). The curriculum was developed based on a needs assessment to train Ministry of Health and Wellness (MOHW) prehospital providers in Botswana specifically for pediatric resuscitation and could be used for emergency medical services (EMS) providers in other LMIC. After participating in this curriculum, providers should enhance their assessment and interventions in acutely ill pediatric prehospital patients. Length of Curriculum The entire course was designed to be presented over two days with 6–8 hours of instruction each day. Introduction In recent years, prehospital medicine has shown continued growth in LMICs, specifically in Sub-Saharan Africa. As these programs develop focused training for the pediatric population, equipping the workforce with pediatric resuscitation skills is essential. A few years after its inception, the Botswana MOHW identified deficiencies in their current training program and sought external expertise and educational training. We partnered with the MOHW to create and implement a novel, prehospital simulation curriculum to teach pediatric resuscitation to prehospital providers. Our aim was to create a curriculum based on the needs of the community that could also be implemented in other similar resource-limited settings. This course included didactic sessions, five simulation scenarios using low fidelity mannequins and three pediatric-focused skill sessions. This program was found to be effective based on statistically significant improvement in written and simulation post-test scores. Educational Goals The objective of this educational project was to design, implement, and evaluate a curriculum relevant to an EMS system based in a LMIC, so that it could be a basis for curricula for use in similar contexts. The educational goal is to improve prehospital providers performance in common pediatric resuscitations. Educational Methods The educational methods used in this curriculum included simulation using rapid cycle deliberate practice (RCDP), didactic lectures, and hands on skills training for common pediatric scenarios. Outcomes were measured by comparing performance on written and simulation-based pre-and post-tests. Research Methods Participants completed written and simulation-based pre- and post-tests covering the concepts taught in the curriculum. Continuous variables (written and simulation test scores) were compared between two dependent groups (pre- and post-trainings) using paired t-tests. Results Mean written test scores increased by 11%, from 75% to 86% (p<0.0001), while mean simulated test scores increased by 22% (from 56% to 78 % (p<0.0001). Discussion The curriculum we developed focused on high-yield pediatric...

Audience: This simulation-based training focuses on the most common and high risk pediatric prehospital scenarios in low-and middle-income countries (LMIC). The curriculum was developed based on a needs assessment to train Ministry of Health and Wellness (MOHW) prehospital providers in Botswana specifically for pediatric resuscitation and could be used for emergency medical services (EMS) providers in other LMIC. After participating in this curriculum, providers should enhance their assessment and interventions in acutely ill pediatric prehospital patients. Length of Curriculum:The entire course was designed to be presented over two days with 6-8 hours of instruction each day. Introduction:In recent years, prehospital medicine has shown continued growth in LMICs, specifically in Sub-Saharan Africa. As these programs develop focused training for the pediatric population, equipping the workforce with pediatric resuscitation skills is essential. A few years after its inception, the Botswana MOHW identified deficiencies in their current training program and sought external expertise and educational training. We partnered with the MOHW to create and implement a novel, prehospital simulation curriculum to teach pediatric resuscitation to prehospital providers. Our aim was to create a curriculum based on the needs of the community that could also be implemented in other similar resource-limited settings. This course included didactic sessions, five simulation scenarios using low fidelity mannequins and three CURRICULUM 65 pediatric-focused skill sessions. This program was found to be effective based on statistically significant improvement in written and simulation post-test scores.Educational Goals: The objective of this educational project was to design, implement, and evaluate a curriculum relevant to an EMS system based in a LMIC, so that it could be a basis for curricula for use in similar contexts. The educational goal is to improve prehospital providers performance in common pediatric resuscitations. Educational Methods:The educational methods used in this curriculum included simulation using rapid cycle deliberate practice (RCDP), didactic lectures, and hands on skills training for common pediatric scenarios. Outcomes were measured by comparing performance on written and simulation-based pre-and post-tests.Research Methods: Participants completed written and simulation-based pre-and post-tests covering the concepts taught in the curriculum. Continuous variables (written and simulation test scores) were compared between two dependent groups (pre-and post-trainings) using paired t-tests.Results: Mean written test scores increased by 11%, from 75% to 86% (p<0.0001), while mean simulated test scores increased by 22% (from 56% to 78 % (p<0.0001). Discussion:The curriculum we developed focused on high-yield pediatric skills based on the needs of the Botswana MOHW EMS program. We believe simulation training was an excellent and effective method for this type of training. We specifically designed RCDP scenarios for the ...