Infant Trauma Management in the Emergency Department: An Emergency Medicine Simulation Exercise

Abstract

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. The following describes a simulation session in which trainees were tasked with managing an infantile patient who had experienced a major trauma as a result of a single vehicle accident. The described simulation session utilized human patient simulators and was tailored to junior (year 1 and 2) emergency medicine residents.

Publication Activity and Impact of the International Pediatric Simulation Society Cureus Channel: 2014 to 2018

“…Of the 15 articles, only six have achieved the required two rankings to receive a SIQ™ [10,11,13,16,19-20]. Only one had four rankings [13].…”

Can We CanMEDS? Intangible Learning Through Tangible Simulation Case Development

“…To date, we have established a rich repository of clinical simulation scenarios. We have developed cases from propranolol overdose [ 6 ] to infant trauma management [ 8 ], from a new and innovate mnemonic (SPIRAL) for emergency medicine trainees [ 7 ] to complex medical transportation and evacuation [ 5 ]. We have written about privacy in the emergency room [ 2 ], and proper logistical management during an Ebola outbreak [ 4 ].…”

Interprofessional Pediatric Trauma Resuscitation Simulation

“…However, typical interprofessional team composition includes emergency medicine attending physicians and trainees, trauma team nurses, surgical attending physicians and trainees, a pharmacist, and a respiratory therapist (Falcone et al, 2008). Regardless of the team composition, the team must function well to achieve the best patient outcomes (Auerbach et al, 2014;Capella et al, 2010;Falcone et al, 2008;Hunt et al, 2006;Mathieson et al, 2015;Parsons et al, 2014;Sadideen et al, 2016;Steinemann et al, 2011Steinemann et al, , 2012. Pediatric trauma is a serious public health problem that requires specialized training, and successful pediatric trauma resuscitation requires the use of good communication skills among all team members.…”

“…IPE can be provided using a number of different methods. Simulation has been one of the most widely reported and studied, and there are multiple sources in the literature that discuss the utility of simulation as a modality for IPE, especially among trauma resuscitation (Auerbach et al, 2014; Falcone et al, 2008; Hargestam et al, 2013; Mathieson et al, 2015; Parsons et al, 2014; Steinemann et al, 2011). Teamwork and communication skills can also be learned and practiced during simulated pediatric trauma resuscitations.…”