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• W2332481124 abstract "BACKGROUND: Pediatric housestaff experience with resuscitation is hampered by infrequent patient events and the prevalence of senior and/or specialized clinicians. Mock resuscitation exercises have been shown to be effective at teaching resuscitation skills to pediatric residents. Evidence supporting the effectiveness of simulation in teaching pediatric resuscitation is lacking. OBJECTIVE: To assess the performance of resuscitation skills on simulated patients by pediatric junior housestaff before and after an instructional session reviewing PALS guidelines. HYPOTHESIS: Pediatric residents will have greater improvement in the performance of critical tasks during mock resuscitations following a PALS training session enhance by high-fidelity simulation compared with standard manikin simulation. METHODS: Pediatric residents were randomized to simulator (SIM) or manikin (MAN) groups. Each subject went through three consecutive phases: phase 1, a series of mock resuscitation exercises focusing on PALS algorithms (asystole, SVT, apnea, shock); phase 2, a didactic review of the PALS algorithms; phase 3, a second series of mock resuscitation exercises reviewing the PALS algorithms. For the SIM group, phases 1 and 3 were completed on an infant patient simulator (SimBaby, Laerdal); for the MAN group, phases 1 and 3 were completed on a standard manikin. Phase 2 was identical for both groups, with the exception of physical signs pertinent to the PALS algorithms being demonstrated on the simulator for the SIM group. Data collected included whether a predetermined list of critical tasks were performed for each scenario and the elapsed time until their completion. Data was collected in phase 1 and phase 3 of the study. Task completion is described in proportions; times to completion of tasks are described in means with standard deviations. Differences in outcomes of interest for SIM and MAN groups were compared by univariate analysis. PRELIMINARY RESULTS: 31 residents have completed the study to date (SIM=16; MAN=15); approximately 75 additional residents will be approached. Phase 1 performance was similar for both groups for all 4 scenarios. In the asystole scenario, SIM subjects had significantly better improvement in task performance (p=0.02) and performed tasks in proper sequence more often (p=0.05); differences between SIM and MAN groups for the other scenarios are not statistically significant. Overall, mean time to task completion was improved in 16/19 tasks. Timeline for Study Completion: Data collection will continue from November 2006 through January 2007; analysis and reporting of data will be completed by June 2007. Supported by an award from the Laerdal Foundation for Acute Medicine DISCLOSURE STATEMENT: The presenting author is a grant recipient from the Laerdal Foundation for Acute Medicine" @default.
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• W2332481124 date "2007-01-01" @default.
• W2332481124 modified "2023-09-26" @default.
• W2332481124 title "Effectiveness of Simulation-Enhanced PALS Instruction: A Randomized Trial." @default.
• W2332481124 doi "https://doi.org/10.1097/01266021-200700210-00016" @default.
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