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Sundararaj Manou 1

Sundararaj Manou 1. DELIVERING IN-SITU PAEDIATRIC SIMULATION IN THE EMERGENCY DEPARTMENT. Introduction:

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Sundararaj Manou 1

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  1. Sundararaj Manou1 DELIVERING IN-SITU PAEDIATRIC SIMULATION IN THE EMERGENCY DEPARTMENT Introduction: Paediatric resuscitation skills are taught in formal courses away from clinical areas. Although, advantages of delivering simulation in a dedicated facility are well recognised, there is emerging evidence that in-situ simulation provides training focussing on the needs of the trainee. In-situ simulation programmes also provide an opportunity to identify inherent system errors and to look at leadership and teamwork aspects of Emergency care. Results: The feedback showed that 100% of the delegates felt that the sessions met their requirements. Most trainees agreed that they felt more confident in delivering resuscitation, leading a team after simulation-based teaching. Latent errors identified lead to further action, procedures which were adopted into regular practice. Request to include team from other specialities if possible was a recurring suggestion. Methods: An Emergency Medicine (EM) Trainee developed and delivered in-situ simulation programme in the local Emergency Department (ED). This is an on-going programme initiated in February 2013. In-situ simulations are delivered once monthly. Learners include senior EM trainee doctors and ED nursing staff. The learning modules of the programme were based on national competencies for EM trainees. Scenarios like anaphylaxis, septic shock, syncope, acute heart failure, arrhythmias and cardiac arrest were used, with particular focus on rare but acute presentations. High fidelity paediatric simulators were used to deliver these sessions. All attendees answered post-course questionnaire sent by e-mail one day after the session. Conclusions: The educational benefits of simulation-based training in Paediatric emergency medicine are well recognised 1. There is emerging evidence that in-situ simulation improves accessibility of simulation to hospital teams that might not otherwise benefit from educational programmes2. It also helps bridge the gap between learning resuscitation skills in a course and practicing learned skills in a clinical environment3. In situ simulation offers a safe environment to help understand and address latent errors4. Providing in-situ simulation training throws up new challenges. Delivery of educational activity without disrupting the clinical work, ready to move if the need arose and equipment mobilisation were some of the challenges we faced. References: 1. Eppich, Walter J; Adler, Mark D; McGaghie, William C.Emergency and critical care pediatrics: use of medical simulation for training in acute pediatric emergencies. Current Opinion in Paediatrics’: June 2006 - Volume 18 - Issue 3 - pp 266-271 2. Weinstock P, Kappus L, Alexander Garden, Jeffrey P. Burns. Simulation at the point-of-care: Reduced-cost, in situ training via a mobile cart. PediatrCrit Care Med 2009 Vol. 10, No. 2. 3. Louis P. Halamek, David M. Kaegi, David M Gaba, et al. Time for a New Paradigm in Pediatric Medical Education: Teaching Neonatal Resuscitation in a Simulated Delivery Room Environment. Pediatrics 2000;106;e45. 1 – Specialist Registrar EM & Simulation Fellow, Hull Royal Infirmary

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