Pediatric Emergency Medicine Disaster Simulation Curriculum: The 5-Minute Trauma Assessment for Pediatric Residents (TRAP-5)

Introduction Pediatric trauma management is a high-stress, high-risk, low-frequency event, and exposure through simulation can help identify and address knowledge gaps. Pediatric residents are likely to provide care for children with traumatic injuries, and it is important they are skilled in perfor...

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Autores principales: Tavis Dickerson-Young, Ashley Keilman, Hiromi Yoshida, Maya Jones, Nathan Cross, Anita Thomas
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Lenguaje:EN
Publicado: Association of American Medical Colleges 2020
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spelling oai:doaj.org-article:7477fb034f2842b68aec748286f534c82021-11-19T14:10:15ZPediatric Emergency Medicine Disaster Simulation Curriculum: The 5-Minute Trauma Assessment for Pediatric Residents (TRAP-5)10.15766/mep_2374-8265.109402374-8265https://doaj.org/article/7477fb034f2842b68aec748286f534c82020-08-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10940https://doaj.org/toc/2374-8265Introduction Pediatric trauma management is a high-stress, high-risk, low-frequency event, and exposure through simulation can help identify and address knowledge gaps. Pediatric residents are likely to provide care for children with traumatic injuries, and it is important they are skilled in performing a rapid trauma assessment. Methods We developed a simulation-based rapid pediatric trauma assessment curriculum for pediatric residents in the setting of a mass casualty disaster. The patients were 5-year-olds portrayed by mannequins with varying injuries including intracranial hemorrhage, solid organ injury, and open extremity fractures. Critical actions included assigning roles, completing primary assessment within 2 minutes, and giving summary statement and management priorities within 5 minutes using clear communication techniques. We created a badge-sized reference card as well as scenario-specific debriefing tools to facilitate assessment and discussion of learning objectives following the simulation. Results We conducted two sessions with a total of 49 participants. The case was rated as highly relevant (session 1, m = 4.7; session 2, m = 4.9) and realistic (session 1, m = 4.8; session 2, m = 4.4) by participants on a 5-point Likert scale. During the two sessions participants completed the primary survey in an average of 2.46 and 2.29 minutes, respectively, and the secondary survey with summary statement in an average of 5.08 and 4.27 minutes, respectively. Discussion This educational resource supports the setup, production, and debriefing of a low-fidelity simulation focused on the pediatric trauma assessment for the novice learner. Also included are educational reference materials and a participant evaluation form.Tavis Dickerson-YoungAshley KeilmanHiromi YoshidaMaya JonesNathan CrossAnita ThomasAssociation of American Medical CollegesarticleTraumaPediatric TraumaPediatric Emergency MedicineEmergency MedicinePrimary SurveyDisasterMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution DOAJ
collection DOAJ
language EN
topic Trauma
Pediatric Trauma
Pediatric Emergency Medicine
Emergency Medicine
Primary Survey
Disaster
Medicine (General)
R5-920
Education
L
spellingShingle Trauma
Pediatric Trauma
Pediatric Emergency Medicine
Emergency Medicine
Primary Survey
Disaster
Medicine (General)
R5-920
Education
L
Tavis Dickerson-Young
Ashley Keilman
Hiromi Yoshida
Maya Jones
Nathan Cross
Anita Thomas
Pediatric Emergency Medicine Disaster Simulation Curriculum: The 5-Minute Trauma Assessment for Pediatric Residents (TRAP-5)
description Introduction Pediatric trauma management is a high-stress, high-risk, low-frequency event, and exposure through simulation can help identify and address knowledge gaps. Pediatric residents are likely to provide care for children with traumatic injuries, and it is important they are skilled in performing a rapid trauma assessment. Methods We developed a simulation-based rapid pediatric trauma assessment curriculum for pediatric residents in the setting of a mass casualty disaster. The patients were 5-year-olds portrayed by mannequins with varying injuries including intracranial hemorrhage, solid organ injury, and open extremity fractures. Critical actions included assigning roles, completing primary assessment within 2 minutes, and giving summary statement and management priorities within 5 minutes using clear communication techniques. We created a badge-sized reference card as well as scenario-specific debriefing tools to facilitate assessment and discussion of learning objectives following the simulation. Results We conducted two sessions with a total of 49 participants. The case was rated as highly relevant (session 1, m = 4.7; session 2, m = 4.9) and realistic (session 1, m = 4.8; session 2, m = 4.4) by participants on a 5-point Likert scale. During the two sessions participants completed the primary survey in an average of 2.46 and 2.29 minutes, respectively, and the secondary survey with summary statement in an average of 5.08 and 4.27 minutes, respectively. Discussion This educational resource supports the setup, production, and debriefing of a low-fidelity simulation focused on the pediatric trauma assessment for the novice learner. Also included are educational reference materials and a participant evaluation form.
format article
author Tavis Dickerson-Young
Ashley Keilman
Hiromi Yoshida
Maya Jones
Nathan Cross
Anita Thomas
author_facet Tavis Dickerson-Young
Ashley Keilman
Hiromi Yoshida
Maya Jones
Nathan Cross
Anita Thomas
author_sort Tavis Dickerson-Young
title Pediatric Emergency Medicine Disaster Simulation Curriculum: The 5-Minute Trauma Assessment for Pediatric Residents (TRAP-5)
title_short Pediatric Emergency Medicine Disaster Simulation Curriculum: The 5-Minute Trauma Assessment for Pediatric Residents (TRAP-5)
title_full Pediatric Emergency Medicine Disaster Simulation Curriculum: The 5-Minute Trauma Assessment for Pediatric Residents (TRAP-5)
title_fullStr Pediatric Emergency Medicine Disaster Simulation Curriculum: The 5-Minute Trauma Assessment for Pediatric Residents (TRAP-5)
title_full_unstemmed Pediatric Emergency Medicine Disaster Simulation Curriculum: The 5-Minute Trauma Assessment for Pediatric Residents (TRAP-5)
title_sort pediatric emergency medicine disaster simulation curriculum: the 5-minute trauma assessment for pediatric residents (trap-5)
publisher Association of American Medical Colleges
publishDate 2020
url https://doaj.org/article/7477fb034f2842b68aec748286f534c8
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