Mariann Nocera Kelley1, Laura Mercurio2, Hoi See Tsao2, Vanessa Toomey3, Marie Carillo4, Linda Brown5, Robyn Wing6. 1. Assistant Professor, Departments of Pediatrics and Emergency Medicine/Traumatology, Division of Pediatric Emergency Medicine, University of Connecticut School of Medicine and Connecticut Children's; Director of Simulation Education, University of Connecticut School of Medicine. 2. Fellow, Departments of Emergency Medicine and Pediatrics, Division of Pediatric Emergency Medicine, Warren Alpert Medical School of Brown University and Rhode Island Hospital/Hasbro Children's Hospital. 3. Clinical Fellow, Department of Anesthesiology, Critical Care, and Pain Medicine, Harvard Medical School and Boston Children's Hospital. 4. Fellow, Department of Cardiology, Children's National Hospital. 5. Associate Professor, Departments of Emergency Medicine and Pediatrics, Division of Pediatric Emergency Medicine, Warren Alpert Medical School of Brown University and Rhode Island Hospital/Hasbro Children's Hospital; Vice Chair of Pediatric Emergency Medicine, Hasbro Children's Hospital; Director, Lifespan Medical Simulation Center. 6. Assistant Professor, Departments of Emergency Medicine and Pediatrics, Division of Pediatric Emergency Medicine, Warren Alpert Medical School of Brown University and Rhode Island Hospital/Hasbro Children's Hospital; Director of Pediatric Simulation, Lifespan Medical Simulation Center.
Abstract
Introduction: Unintentional traumatic injury remains the leading cause of pediatric death in the United States. There is wide variation in the assessment and management of pediatric trauma patients in emergency departments. Resident education on trauma evaluation and management is lacking. This workshop focused on developing resident familiarity with the primary and secondary trauma survey in pediatric patients. Methods: This hands-on workshop utilized patient-actors and low-fidelity simulators to instruct learners on the initial assessment of trauma patients during the primary and secondary trauma surveys. It was designed for residents across all levels of training who care for pediatric trauma patients (including pediatrics, medicine-pediatrics, emergency medicine, and family medicine) and adapted for different session durations and learner group sizes. Results: Eighteen residents participated in this workshop at two separate institutions. Participants strongly agreed that the workshop was relevant and effective in teaching the initial primary and secondary trauma survey assessment of pediatric trauma patients. Residents also reported high levels of confidence in performing a primary and secondary trauma survey after participation in the workshop. Discussion: This workshop provided residents with instruction and practice in performing the primary and secondary trauma survey for injured pediatric patients. Additional instruction is needed on assigning Glasgow Coma Scale and AVPU (alert, voice, pain, unresponsive) scores to injured patients. The structure and time line of this curriculum can be adapted to the needs of an individual institution's program and the number of workshop participants.
Introduction: Unintentional traumatic injury remains the leading cause of pediatric death in the United States. There is wide variation in the assessment and management of pediatric traumapatients in emergency departments. Resident education on trauma evaluation and management is lacking. This workshop focused on developing resident familiarity with the primary and secondary trauma survey in pediatric patients. Methods: This hands-on workshop utilized patient-actors and low-fidelity simulators to instruct learners on the initial assessment of traumapatients during the primary and secondary trauma surveys. It was designed for residents across all levels of training who care for pediatric traumapatients (including pediatrics, medicine-pediatrics, emergency medicine, and family medicine) and adapted for different session durations and learner group sizes. Results: Eighteen residents participated in this workshop at two separate institutions. Participants strongly agreed that the workshop was relevant and effective in teaching the initial primary and secondary trauma survey assessment of pediatric traumapatients. Residents also reported high levels of confidence in performing a primary and secondary trauma survey after participation in the workshop. Discussion: This workshop provided residents with instruction and practice in performing the primary and secondary trauma survey for injured pediatric patients. Additional instruction is needed on assigning Glasgow Coma Scale and AVPU (alert, voice, pain, unresponsive) scores to injured patients. The structure and time line of this curriculum can be adapted to the needs of an individual institution's program and the number of workshop participants.
Authors: Julianne S Perretta; Jordan Duval-Arnould; Shannon Poling; Nancy Sullivan; Justin M Jeffers; Lynne Farrow; Nicole A Shilkofski; Kristen M Brown; Elizabeth A Hunt Journal: Simul Healthc Date: 2020-10 Impact factor: 1.929
Authors: Jeannette Capella; Stephen Smith; Allan Philp; Tyler Putnam; Carol Gilbert; William Fry; Ellen Harvey; Andi Wright; Krista Henderson; David Baker; Sonya Ranson; Stephen Remine Journal: J Surg Educ Date: 2010-11-05 Impact factor: 2.891
Authors: Elizabeth A Hunt; Allen R Walker; Donald H Shaffner; Marlene R Miller; Peter J Pronovost Journal: Pediatrics Date: 2008-01 Impact factor: 7.124
Authors: M Margaret Knudson; Linda Khaw; M Kelley Bullard; Rochelle Dicker; Mitchell Jay Cohen; Kristan Staudenmayer; Javid Sadjadi; Steven Howard; David Gaba; Thomas Krummel Journal: J Trauma Date: 2008-02
Authors: Robyn Wing; Hoi See Tsao; Vanessa Toomey; Laura Mercurio; Marie Carillo; Linda L Brown; Mariann Nocera Kelley Journal: MedEdPORTAL Date: 2020-09-25