Abstract
In a trauma situation, it is essential that emergency room physicians are able to think clearly, make decisions quickly and manage patients in a way consistent with their injuries. In order for emergency medicine residents to adequately develop the skills to deal with trauma situations, it is imperative that they have the opportunity to experience such scenarios in a controlled environment with aptly timed feedback. In the case of infant trauma, sensitivities have to be taken that are specific to pediatric medicine. The following describes a simulation session in which trainees were tasked with managing an infantile patient who had experienced a major trauma as a result of a single vehicle accident. The described simulation session utilized human patient simulators and was tailored to junior (year 1 and 2) emergency medicine residents.
Highlights
It is imperative that situational awareness of patient status and projected course is maintained in an intense, dynamic environment
Cognitive load theory suggests that such intense and dynamic environments are suboptimal for learning novel and complex tasks [1,2]
The effectiveness of simulation, when compared to other methods of instruction, has been noted among emergency medicine residents [7], with repeated simulation exposure resulting in even further improvement among students [8]
Summary
It is imperative that situational awareness of patient status and projected course is maintained in an intense, dynamic environment. Cognitive load theory suggests that such intense and dynamic environments are suboptimal for learning novel and complex tasks [1,2]. Evidence suggests that the use of simulation provides a safe, structured, and standardized environment for trainees to develop these skills without placing patients at harm, and allows to reduce the complexity of the learning environment, subsequent cognitive load, and leads to better learning outcomes [3,4,5,6]. Simulation in pediatric medicine has been shown to increase team functioning, performance, and technical skills during trauma-based exercises [9]. The simulation provides an opportunity to expose residents to pediatric trauma, a scenario in which they may have less clinical exposure during training
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