RT Journal Article
SR Electronic
T1 Preferred learning modalities and practice for critical skills: a global survey of paediatric emergency medicine clinicians
JF Emergency Medicine Journal
JO Emerg Med J
FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
SP emermed-2017-207384
DO 10.1136/emermed-2017-207384
A1 Simon S Craig
A1 Marc Auerbach
A1 John Alexander Cheek
A1 Franz E Babl
A1 Ed Oakley
A1 Lucia Nguyen
A1 Arjun Rao
A1 Sarah Dalton
A1 Mark D Lyttle
A1 Santiago Mintegi
A1 Joshua Nagler
A1 Rakesh D Mistry
A1 Andrew Dixon
A1 Pedro Rino
A1 Guillermo Kohn-Loncarica
A1 Stuart R Dalziel
A1 ,
YR 2018
UL http://emj.bmj.com/content/early/2018/10/16/emermed-2017-207384.abstract
AB Objective To describe senior paediatric emergency clinician perspectives on the optimal frequency of and preferred modalities for practising critical paediatric procedures.Methods Multicentre multicountry cross-sectional survey of senior paediatric emergency clinicians working in 96 EDs affiliated with the Pediatric Emergency Research Network.Results 1332/2446 (54%) clinicians provided information on suggested frequency of practice and preferred learning modalities for 18 critical procedures. Yearly practice was recommended for six procedures (bag valve mask ventilation, cardiopulmonary resuscitation (CPR), endotracheal intubation, laryngeal mask airway insertion, defibrillation/direct current (DC) cardioversion and intraosseous needle insertion) by at least 80% of respondents. 16 procedures were recommended for yearly practice by at least 50% of respondents. Two procedures (venous cutdown and ED thoracotomy) had yearly practice recommended by <40% of respondents. Simulation was the preferred learning modality for CPR, bag valve mask ventilation, DC cardioversion and transcutaneous pacing. Practice in alternative clinical settings (eg, the operating room) was the preferred learning modality for endotracheal intubation and laryngeal mask insertion. Use of models/mannequins for isolated procedural training was the preferred learning modality for all other invasive procedures. Free-text responses suggested the utility of cadaver labs and animal labs for more invasive procedures (thoracotomy, intercostal catheter insertion, open surgical airways, venous cutdown and pericardiocentesis).Conclusions Paediatric ED clinicians suggest that most paediatric critical procedures should be practised at least annually. The preferred learning modality depends on the skill practised; alternative clinical settings are thought to be most useful for standard airway manoeuvres, while simulation-based experiential learning is applicable for most other procedures.