Pediatric Trauma Boot Camp: A Simulation Curriculum and Pilot Study.

Ahmad Khobrani,Rami A Ahmed,Richard L George,Neil L Mcninch,Nirali H Patel

doi:10.1155/2018/7982315

Abstract

Trauma is a leading cause of morbidity and mortality in infants and children worldwide. Trauma education is one of the most commonly reported deficiencies in pediatric emergency medicine (PEM) training. In this study, we describe the creation of a pediatric trauma boot camp in which trainees' basic knowledge, level of confidence, teamwork, and communication skills are assessed. The primary goal of this pilot study was to create a simulation-based pediatric trauma curriculum for PEM fellows and emergency medicine residents utilizing Kern's curricular conceptual framework. This was a pilot, prospective, single cohort, exploratory, observational study utilizing survey methodology and a convenience sample. The curriculum consisted of a two-day experience that included confidence surveys, a cognitive multiple-choice questionnaire, and formative and summative simulation scenarios. At the conclusion of this intensive simulation-based trauma boot camp participants reported increased confidence and demonstrated significant improvement in the basic knowledge and performance of the management of pediatric trauma cases in a simulated environment.

Highlights

Trauma is a leading cause of morbidity and mortality in infants and children worldwide [1, 2]
One-third of medical errors leading to death in trauma patients occur in the initial emergency department evaluation and management [6]
The trauma literature reports that the ability of a team to effectively manage trauma patients during the initial evaluation depends on frequent exposure to trauma patients and quality trauma education [7]

Summary

Introduction

Trauma is a leading cause of morbidity and mortality in infants and children worldwide [1, 2]. Pediatric trauma management is complex and time critical and requires the coordinated efforts of a multidisciplinary health care team [3]. One-third of medical errors leading to death in trauma patients occur in the initial emergency department evaluation and management [6]. The trauma literature reports that the ability of a team to effectively manage trauma patients during the initial evaluation depends on frequent exposure to trauma patients and quality trauma education [7]. Major pediatric trauma occurs with much less frequency than adult trauma [8]. This results in limited opportunities to develop leadership experience for pediatric emergency medicine fellows in such critical circumstances are limited

Objectives

Methods

Results

Conclusion