Emergency Medical Services Provider Acceptance of and Attitudes About Pediatric SimBox Simulations

Cicero, Mark X.; Baird, Janette; Adelgais, Kathleen; Brown, Linda; Auerbach, Marc

doi:10.1097/pec.0000000000002678

Cited by 2 publications

(3 citation statements)

References 21 publications

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“…The SimBox [ 11 - 12 ] is a free, open-access, simulation-based resource that has been successfully used to improve the self-efficacy of prehospital providers caring for acutely ill children [ 13 ]. Each SimBox case is comprised of a video-based simulated case, accompanied by a corresponding facilitator case booklet with simulation instructions and a teaching manual.…”

Section: Introductionmentioning

confidence: 99%

Use of a SimBox, a Video-Augmented, Newborn Resuscitation Simulation for Prehospital Providers to Measure Clinical Performance and Educational Experience

Athanasopoulou,

Cicero,

Sanseau

et al. 2024

Cureus

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Objectives: Few studies have described the current clinical practices, adherence to guidelines, and outcomes of newborn resuscitations attended by emergency medical services (EMS). SimBox, a novel, video-augmented simulation, was used to describe the adherence of prehospital providers to Neonatal Resuscitation Program guidelines, to measure satisfaction with the simulation intervention, and to describe the self-reported improvement in knowledge, skills, and attitudes after the simulation. Methods: A prospective observational cohort study of EMS providers was designed and conducted using SimBox, an open-access simulation platform, and facilitated by EMS educators. Clinical performance measures were collected using a five-item checklist. Simulation satisfaction measures were collected through net promoter scores. Learners’ demographics, and self-reported knowledge, skills, and attitudes were measured using a retrospective survey of 25 questions. Results: In total, 33 facilitator and 55 learner surveys were collected across Connecticut, Colorado, and Alaska between July 2021 and September 2022. At least one deviation from clinical guidelines occurred in 22/30 (73.3%) of the sessions, with 10/30 (33.3%) teams inappropriately performing chest compressions, 5/31 (16.1%) teams not warming, drying, stimulating, and suctioning the newborn, and 7/31 (22.6%) teams not performing positive pressure ventilation correctly. Lastly, 10/30 (33.3%) teams administered an incorrect dose of dextrose-containing fluids. Very high levels of satisfaction were reported with net promoter scores of 97 and 82 out of 100 for the facilitator and learner surveys, respectively. Finally, all 55/55 (100%) of the learners strongly or somewhat agreed that the simulation improved their knowledge, teamwork, communication, and psychomotor skills. Conclusions: In this cohort of prehospital providers, clinical management decisions during a newborn resuscitation simulation often deviated from the gold-standard, newborn resuscitation guidelines. Free, online, open-access simulation resources like SimBox can be used to identify and measure practice deviations from standardized resuscitation protocols in the prehospital setting.

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Section: Introductionmentioning

confidence: 99%

Use of a SimBox, a Video-Augmented, Newborn Resuscitation Simulation for Prehospital Providers to Measure Clinical Performance and Educational Experience

Athanasopoulou,

Cicero,

Sanseau

et al. 2024

Cureus

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“…Simulation‐based interventions have been associated with improved pediatric readiness, clinical care processes, and clinical outcomes 13,14 . Many effective simulation programs involve pediatric emergency medicine specialty–trained physicians and education content experts at academic medical centers (AMCs) collaborating with CEDs to develop evidence‐based training methods for up‐to‐date clinical content 15–18 . Multiple models of AMCs conducting simulation‐based interventions in CEDs have been adopted 5,11 .…”

Section: Introductionmentioning

confidence: 99%

“…13,14 Many effective simulation programs involve pediatric emergency medicine specialty-trained physicians and education content experts at academic medical centers (AMCs) collaborating with CEDs to develop evidence-based training methods for up-to-date clinical content. [15][16][17][18] Multiple models of AMCs conducting simulation-based interventions in CEDs have been adopted. 5,11 However, the requirement of academic teams to travel to community hospitals for pediatric training has limited scalability and sustainability due to required time and financial commitments.…”

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confidence: 99%

Blueprint for community emergency department pediatric simulation

Kaur,

Lynders,

Goldman

et al. 2023

AEM Education and Training

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BackgroundGaps in quality of pediatric emergency care have been noted in community emergency departments (CEDs), where >85% of children receive care. In situ simulation provides opportunities for hands‐on experiences and can help close these gaps. We aimed to develop, implement, and evaluate an innovative, replicable, and scalable pediatric in situ simulation‐based CED curriculum, under the leadership of a local colleague, through collaborative approach with a regional academic medical center (AMC).MethodsKern's model was used as follows: problem identification and general needs assessment—pediatric readiness assessment and discussions with CED physician and nursing leadership; targeted needs assessment—review of recent pediatric transfer cases; goals and objectives—enhance pediatric knowledge and skills of interprofessional teams and detect latent safety threats; educational strategies—codeveloped by CED and AMC, included prelearning using podcasts and videos, simulation and facilitated debriefing, resource sharing after simulations; implementation—3‐h simulation sessions facilitated in person by the CED team and remotely by AMC (leadership required participation and paid staff); and evaluation and feedback—retrospective pre–post survey, Simulation Effectiveness Tool–Modified (SET‐M), Net Promoter Score (NPS), and review/feedback meetings.ResultsBased on needs assessment, the selected cases included newborn resuscitation, seizure, asthma, and tetrahydrocannabinol ingestion causing altered mental sensorium in a child. Twenty‐four 3‐h simulation sessions were conducted over 1 year. A total of 168 participants completed the sessions, while 75 participants (54.7% nurses, 22.7% physicians, and others) completed feedback surveys. Seventy‐six percent of participants reported completing presimulation education material. Participants reported improved skills at appropriately evaluating a critically ill newborn and critically ill infant/toddler and improved teamwork during the care of a pediatric patient. The majority agreed that simulation was effective in teaching pediatric resuscitation. The NPS was 84% (excellent).ConclusionsA locally facilitated CED in situ simulation curriculum was successfully developed and implemented under local leadership, with remote collaboration by AMC. The curriculum was well received and effective.

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Emergency Medical Services Provider Acceptance of and Attitudes About Pediatric SimBox Simulations

Cited by 2 publications

References 21 publications

Use of a SimBox, a Video-Augmented, Newborn Resuscitation Simulation for Prehospital Providers to Measure Clinical Performance and Educational Experience

Use of a SimBox, a Video-Augmented, Newborn Resuscitation Simulation for Prehospital Providers to Measure Clinical Performance and Educational Experience

Blueprint for community emergency department pediatric simulation

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