Simulation-based Assessment of Paramedic Pediatric Resuscitation Skills

Lammers, Richard L.; Fales, William; Byrwa, Maria J; Hale, Robert L.

doi:10.1197/j.aem.2007.03.1153

Cited by 11 publications

(10 citation statements)

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“…Our findings are similar to those observed in previous pediatric simulation studies, which similarly identified problems with airway management, inadequate ventilation, cardiac support, delays and failure to obtain vascular access, and medication dosing errors. [13][14][15] Also, our findings are similar to a retrospective clinical study evaluating the incidence of medication errors in children less than 11 years that found that epinephrine errors were present 60% of the time it was used. 16 Younger children transported by EMS are more likely to suffer from life-threatening emergencies compared to older children.…”

Section: Discussionsupporting

confidence: 78%

“…While previous work has highlighted the challenges of pediatric care in the EMS setting, there is a paucity of literature describing the care of neonates specifically, and the objective of this study was to evaluate and characterize the incidence of patient safety events during neonatal lights and sirens ambulance transports. 5,[9][10][11][12][13][14][15][16][17][18][19][20] …”

Section: Introductionmentioning

confidence: 99%

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Safety Events in High Risk Prehospital Neonatal Calls

Duby¹,

Hansen²,

Meckler³

et al. 2017

Prehospital Emergency Care

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Objective: The objective of this study was to quantify and characterize patient safety events during high-risk neonatal transports in the prehospital setting. Method: We conducted a retrospective chart review of all "lights and sirens" ambulance transports of neonates ࣘ30 days old over a four-year period in a metropolitan area. Each case was independently reviewed for potential patient safety events that may have occurred in clinical assessment and decision making, resuscitation, airway management, fluid or medication administration, procedures performed, and/or equipment used. Results: Twenty-six patients ࣘ30 days old were transported by ambulance using lights and sirens during the four-year study period. Overall, safety events occurred in 19 patients and severe safety events (potentially causing permanent injury or harm, including death) occurred in ten. The incidence of safety events related to medication administrations was 90% (70% severe), resuscitation 64.7% (47.1% severe), procedures 64.7% (35.3% severe), fluid administration 50% (25% severe), clinical assessment and decision making 50% (30.8% severe), airway management 47.6% (28.6% severe), equipment use 25.5% (10.0% severe), and systems processes 19.2% (7.7% severe). Conclusions: High-risk neonatal calls are infrequent and prone to a high incidence of serious patient safety events.

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Section: Discussionsupporting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Safety Events in High Risk Prehospital Neonatal Calls

Duby¹,

Hansen²,

Meckler³

et al. 2017

Prehospital Emergency Care

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“…33 Another author demonstrated in two different papers that the acquisition of skills in ventilation and depth of chest compressions was deficient. 35,36 Our intervention group's success rates for assessing responsiveness (84.5%), breathing technique (93.0%), chest compression technique (77.5%), activating EMS (100%), and resuming CPR (97.0%) were higher than in control subjects and higher overall than results obtained in various adult BLS studies. This suggests that our teaching intervention had positive outcomes in almost all components of skill set learning.…”

Section: Discussionmentioning

confidence: 73%

Comparison of Outcomes of Two Skills‐teaching Methods on Lay‐rescuers’ Acquisition of Infant Basic Life Support Skills

Shavit

Peled

Steiner

et al. 2010

Academic Emergency Medicine

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Objectives: The objective was to determine if lay-rescuers' acquisition of infant basic life support (BLS) skills would be better when skills teaching consisted of videotaping practice and providing feedback on performances, compared to conventional skills-teaching and feedback methods.Methods: This pilot-exploratory, single-blind, prospective, controlled, randomized study was conducted on November 12, 2007, at the Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. The population under study consisted of all first-year medical students enrolled in the 2007-2008 year. BLS training is part of their mandatory introductory course in emergency medicine. Twenty-three students with previous BLS training were excluded. The remaining 71 were randomized into four and then two groups, with final allocation to an intervention and control group of 18 and 16 students, respectively. All the students participated in infant BLS classroom teaching. Those in the intervention group practiced skills acquisition independently, and four were videotaped while practicing. Tapes were reviewed by the group and feedback was provided. Controls practiced using conventional teaching and feedback methods. After 3 hours, all subjects were videotaped performing an unassisted, lone-rescuer, infant BLS resuscitation scenario. A skills assessment tool was developed. It consisted of 25 checklist items, grouped into four sections: 6 points for ''categories'' (with specific actions in six categories), 14 points for ''scoring'' (of accuracy of performance of each action), 4 points for ''sequence'' (of actions within a category), and 1 point for ''order'' of resuscitation (complete and well-sequenced categories). Two blinded expert raters were given a workshop on the use of the scoring tool. They further refined it to increase scoring consistency. The main outcome of the study was defined as evidence of better skills acquisition in overall skills in the four sections and in the specific skills sets for actions in any individual category. Data analysis consisted of descriptive statistics. Results

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“…Los simulacros de reanimación pueden alcanzar el objetivo de brindar seguridad a la hora de prescribir medicamentos, si se lo plantea dentro del conjunto de competencias por cumplir. 13,18,19 El objetivo principal de este estudio fue determinar la cantidad de errores de prescripción en los que incurrían los médicos durante la realización de simulaciones de emergencias pediátricas en nuestro medio. Secundariamente, fue explorar acerca del impacto emocional de los errores cometidos.…”

Section: Introductionunclassified