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pediatric trauma simulation

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https://www.readbyqxmd.com/read/27851199/1564-analysis-of-pediatric-trauma-in-a-combat-zone-to-inform-high-fidelity-simulation-training
#1
Patrick Reeves, Elizabeth Mann-Salinas, Jennifer Gurney, Zsolt Stockinger, Tuan Le, Matthew Borgman
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27842918/qualitative-assessment-of-simulation-based-training-for-pediatric-trauma-resuscitation
#2
Rita V Burke, Natalie E Demeter, Catherine J Goodhue, Heather Roesly, Alyssa Rake, L Caulette Young, Todd P Chang, Elizabeth Cleek, Inge Morton, Jeffrey S Upperman, Aaron R Jensen
BACKGROUND: Effective teamwork is critical in the trauma bay, although there is a lack of consensus related to optimal training for these skills. We implemented in situ trauma simulations with debriefing as a possible training methodology to improve team-oriented skills. METHODS: Focus groups were conducted with multidisciplinary clinicians who respond to trauma activations. The focus group questions were intended to elicit discussion on the clinicians' experiences during trauma activations and simulations with an emphasis on confidence, leadership, cooperation, communication, and opportunities for improvement...
November 11, 2016: Surgery
https://www.readbyqxmd.com/read/27578062/the-incorporation-of-focused-history-in-checklist-for-early-recognition-and-treatment-of-acute-illness-and-injury
#3
Namita Jayaprakash, Rashid Ali, Rahul Kashyap, Courtney Bennett, Alexander Kogan, Ognjen Gajic
BACKGROUND: Diagnostic error and delay are critical impediments to the safety of critically ill patients. Checklist for early recognition and treatment of acute illness and injury (CERTAIN) has been developed as a tool that facilitates timely and error-free evaluation of critically ill patients. While the focused history is an essential part of the CERTAIN framework, it is not clear how best to choreograph this step in the process of evaluation and treatment of the acutely decompensating patient...
2016: BMC Emergency Medicine
https://www.readbyqxmd.com/read/27436455/barriers-and-facilitators-to-recognition-and-reporting-of-child-abuse-by-prehospital-providers
#4
Gunjan Kamdar Tiyyagura, Marcie Gawel, Aimee Alphonso, Jeannette Koziel, Kyle Bilodeau, Kirsten Bechtel
BACKGROUND: Prehospital care providers are in a unique position to provide initial unadulterated information about the scene where a child is abusively injured or neglected. However, they receive minimal training with respect to detection of Child Abuse and Neglect (CAN) and make few reports of suspected CAN to child protective services. AIMS: To explore barriers and facilitators to the recognition and reporting of CAN by prehospital care providers. DESIGN/METHODS: Twenty-eight prehospital care providers participated in a simulated case of infant abusive head trauma prior to participating in one-on-one semi-structured qualitative debriefs...
July 19, 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27184510/-cardiac-dysfunction-secondary-to-an-adrenergic-storm-or-cardiomyopathy-of-stress-among-child-victims-of-traumatism
#5
D D Batouche, K Elhalimi, N F Benatta
OBJECTIVE: To provide information specific to a catecholaminergic storm during a violent stress in children. PATIENTS AND METHODS: Two clinical observations in children who suffered violent trauma. RESULTS: HASH(0x40be710) FIRST CASE: a boy aged 12 years victim of a drowning in Stage 3 admitted to the pediatric intensive care 02.08.2015. He was intubated, ventilated, sedated with benzodiazepines and morphine. Cardiac exploration revealed a global hypokinesis with septal dyskinesia, a 45% FES offset a slight excess of ST, a troponin I to 31...
June 2016: Annales de Cardiologie et D'angéiologie
https://www.readbyqxmd.com/read/26999585/epidemiology-of-the-critically-ill-child-in-the-resuscitation-bay
#6
Hector Chavez, Carmen Teresa Garcia, Cathy Sakers, Richmond Darko, Jean Hannan
BACKGROUND: Children account for approximately 33 million annual emergency department (ED) visits in the United States. The spectrum and frequency of children with a critical illness presenting to an ED has not been previously analyzed. OBJECTIVE: The purpose of this study was to examine the range of critical illness presenting to a tertiary Children's Hospital ED. METHODS: This study was a retrospective chart review of all pediatric patients requiring immediate care in the medical resuscitation bay during a 25-month period from August 2005 to September 2007...
March 18, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/26921816/impact-sites-representing-potential-bruising-locations-associated-with-rearward-falls-in-children
#7
Raymond Dsouza, Gina Bertocci
Children presenting multiple unexplained bruises can be an early sign of physical abuse. Bruising locations on the body can be an effective indicator of abusive versus accidental trauma. Additionally, childhood falls are often used as falsely reported events in child abuse, however, characterization of potential bruising locations associated with these falls does not exist. In our study we used a 12-month old pediatric anthropomorphic test device (ATD) adapted with a custom developed force sensing skin to predict potential bruising locations during rearward falls from standing...
April 2016: Forensic Science International
https://www.readbyqxmd.com/read/26713979/a-paradigm-for-achieving-successful-pediatric-trauma-verification-in-the-absence-of-pediatric-surgical-specialists-while-ensuring-quality-of-care
#8
MULTICENTER STUDY
Richard A Falcone, William J Milliken, Denis D Bensard, Lynn Haas, Margot Daugherty, Lisa Gray, David W Tuggle, Victor F Garcia
BACKGROUND: Pediatric trauma centers (PTCs) are concentrated in urban areas, leaving large areas where children do not have access. Although adult trauma centers (ATCs) often serve to fill the gap, disparities exist. Given the limited workforce in pediatric subspecialties, many adult centers that are called upon to care for children cannot sufficiently staff their program to meet the requirements of verification as a PTC. We hypothesized that ATCs in collaboration with a PTC could achieve successful American College of Surgeons (ACS) verification as a PTC with measurable improvements in care...
March 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/26649288/review-of-simulation-in-pediatrics-the-evolution-of-a-revolution
#9
REVIEW
Rahul Ojha, Anthony Liu, Deepak Rai, Ralph Nanan
Recent changes in medical education have highlighted the importance of experiential learning. Simulation is one model that has gained significant attention in the last decade and has been widely adopted as a training and assessment tool in medical education. Pediatric simulation has been utilized to teach various skills including resuscitation and trauma management, procedural skills, and team training. It is also a valuable tool for health care educators, as it allows learners to achieve competence without putting patients at risk...
2015: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/26566679/simulation-of-the-impact-of-programs-for-prevention-and-screening-of-pediatric-abusive-head-trauma
#10
Marion Bailhache, Antoine Bénard, Louis-Rachid Salmi
Primary prevention programs of pediatric abusive head trauma (PAHT) exist and early screening is proposed, but negative effects of mislabeling parents as abusers, an important issue, are not well documented. The aim of our study was to simulate the possible impact of programs for the primary prevention and screening of PAHT. We developed Markov models that simulate the life histories of PAHT with no intervention, with primary prevention program only, with screening program, and with both programs in a hypothetical cohort of 800,000 newborns in a high-income country...
July 15, 2016: Journal of Neurotrauma
https://www.readbyqxmd.com/read/26487992/infant-trauma-management-in-the-emergency-department-an-emergency-medicine-simulation-exercise
#11
Sarah Mathieson, Desmond Whalen, Adam Dubrowski
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...
2015: Curēus
https://www.readbyqxmd.com/read/26265451/comparison-of-computerized-patients-versus-live-moulaged-actors-for-a-mass-casualty-drill
#12
Ilene Claudius, Amy Kaji, Genevieve Santillanes, Mark Cicero, J Joelle Donofrio, Marianne Gausche-Hill, Saranya Srinivasan, Todd P Chang
INTRODUCTION: Multiple modalities for simulating mass-casualty scenarios exist; however, the ideal modality for education and drilling of mass-casualty incident (MCI) triage is not established. Hypothesis/Problem Medical student triage accuracy and time to triage for computer-based simulated victims and live moulaged actors using the pediatric version of the Simple Triage and Rapid Treatment (JumpSTART) mass-casualty triage tool were compared, anticipating that student performance and experience would be equivalent...
October 2015: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/26056756/using-the-burns-suite-as-a-novel-high-fidelity-simulation-tool-for-interprofessional-and-teamwork-training
#13
Hazim Sadideen, David Wilson, Naiem Moiemen, Roger Kneebone
Educational theory highlights the importance of contextualized simulation for effective learning. The authors recently published the concept of "The Burns Suite" (TBS) as a novel tool to advance the delivery of burns education for residents/clinicians. Effectively, TBS represents a low-cost, high-fidelity, portable, immersive simulation environment. Recently, simulation-based team training (SBTT) has been advocated as a means to improve interprofessional practice. The authors aimed to explore the role of TBS in SBTT...
July 2016: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/25923278/advanced-airway-management-teaching-in-otolaryngology-residency-programs-in-canada-a-survey-of-residents
#14
Valérie Côté, Lukas H Kus, Xun Zhang, Keith Richardson, Lily H Nguyen
We conducted a study to assess residents' levels of comfort with advanced airway management in Canadian otolaryngology residency programs. In October 2008, an electronic questionnaire was sent to all otolaryngology residents in Canada. Responses were voluntary and anonymous. The response rate was 64.8% (94 of 145 residents). Residents were asked about the amount of teaching they received and the amount they would like to receive each year in four areas: emergency surgical airway, pediatric airway, airway trauma, and management of complications during laryngoscopy/bronchoscopy...
April 2015: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/25894914/comparison-of-the-truview-pcd-video-laryngoscope-and-macintosh-laryngoscope-for-pediatric-tracheal-intubation-by-novice-paramedics-a-randomized-crossover-simulation-trial
#15
RANDOMIZED CONTROLLED TRIAL
Łukasz Szarpak, Łukasz Czyżewski, Andrzej Kurowski, Zenon Truszewski
UNLABELLED: The aim of the present study was to evaluate whether the TruView video laryngoscope (TruView) facilitates pediatric endotracheal intubation (ETI) more quickly and safely than conventional Macintosh laryngoscope (MAC) in three manikin-based airway scenarios. This was a randomized crossover manikin study including 120 novice paramedics. The participants performed tracheal intubations using both TruView and MAC on a pediatric manikin in a control scenario (A), chest compression scenario (B), and chest compression cervical stabilization scenario (C)...
October 2015: European Journal of Pediatrics
https://www.readbyqxmd.com/read/25830819/teamwork-skills-in-actual-in-situ-and-in-center-pediatric-emergencies-performance-levels-across-settings-and-perceptions-of-comparative-educational-impact
#16
Thomaz Bittencourt Couto, Benjamin T Kerrey, Regina G Taylor, Michael FitzGerald, Gary L Geis
INTRODUCTION: Pediatric emergencies require effective teamwork. These skills are developed and demonstrated in actual emergencies and in simulated environments, including simulation centers (in center) and the real care environment (in situ). Our aims were to compare teamwork performance across these settings and to identify perceived educational strengths and weaknesses between simulated settings. We hypothesized that teamwork performance in actual emergencies and in situ simulations would be higher than for in-center simulations...
April 2015: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/25645729/risk-and-injury-severity-of-obese-child-passengers-in-motor-vehicle-crashes
#17
Jong-Eun Kim, Min-Heng Hsieh, Phillip C Shum, R Shane Tubbs, David B Allison
OBJECTIVE: To investigate the risk and injury severity on the regional body (head, neck, and chest) of obese children in frontal motor vehicle crashes (MVCs). METHODS: No physical surrogates (i.e., crash dummies) for obese children were available, and experiments on pediatric cadavers were generally not feasible. Therefore, computational models of obese children using medical imaging processing and state-of-the-art modeling techniques were developed. A hybrid modeling technique was used to integrate the finite element model for torso fat layer into the standard multibody model to represent various levels of obese children for 3- and 6-year-old age groups...
March 2015: Obesity
https://www.readbyqxmd.com/read/25407035/in-situ-pediatric-trauma-simulation-assessing-the-impact-and-feasibility-of-an-interdisciplinary-pediatric-in-situ-trauma-care-quality-improvement-simulation-program
#18
Marc Auerbach, Linda Roney, April Aysseh, Marcie Gawel, Jeannette Koziel, Kimberly Barre, Michael G Caty, Karen Santucci
OBJECTIVE: This study aimed to evaluate the feasibility and measure the impact of an in situ interdisciplinary pediatric trauma quality improvement simulation program. METHODS: Twenty-two monthly simulations were conducted in a tertiary care pediatric emergency department with the aim of improving the quality of pediatric trauma (February 2010 to November 2012). Each session included 20 minutes of simulated patient care, followed by 30 minutes of debriefing that focused on teamwork, communication, and the identification of gaps in care...
December 2014: Pediatric Emergency Care
https://www.readbyqxmd.com/read/25330998/using-mixed-methods-to-assess-pediatric-disaster-preparedness-in-the-hospital-setting
#19
MULTICENTER STUDY
Rita V Burke, Tae Y Kim, Shellby L Bachman, Ellen I Iverson, Bridget M Berg
INTRODUCTION: Children are particularly vulnerable during disasters and mass-casualty incidents. Coordinated multi-hospital training exercises may help health care facilities prepare for pediatric disaster victims. PROBLEM: The purpose of this study was to use mixed methods to assess the disaster response of three hospitals, focusing on pediatric disaster victims. METHODS: A full-functional disaster exercise involving a simulated 7.8-magnitude earthquake was conducted at three Los Angeles (California USA) hospitals, one of which is a freestanding designated Level I Pediatric Trauma Center...
December 2014: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/25186850/may-student-examiners-be-reasonable-substitute-examiners-for-faculty-in-an-undergraduate-osce-on-medical-emergencies
#20
RANDOMIZED CONTROLLED TRIAL
Peter Iblher, Michaela Zupanic, Jan Karsten, Kirk Brauer
OBJECTIVES: To compare the effect of student examiners (SE) to that of faculty examiners (FE) on examinee performance in an OSCE as well as on post-assessment evaluation in the area of emergency medicine management. METHODS: An OSCE test-format (seven stations: Advanced Cardiac Life Support (ACLS), Basic Life Support (BLS), Trauma-Management (TM), Pediatric-Emergencies (PE), Acute-Coronary-Syndrome (ACS), Airway-Management (AM), and Obstetrical-Emergencies (OE)) was administered to 207 medical students in their third year of training after they had received didactics in emergency medicine management...
April 2015: Medical Teacher
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