Interprofessional, multiple step simulation course improves pediatric resident and nursing staff management of pediatric patients with diabetic ketoacidosis

Larson-Williams, Linnea; Youngblood, Amber Q.; Peterson, Dawn Taylor; Zinkan, J. Lynn; White, Michaela M.; Abdullatif, Hussein; Matalka, Leen; Epps, Stephen N.; Tofil, Nancy M.

doi:10.5492/wjccm.v5.i4.212

Cited by 3 publications

(1 citation statement)

References 28 publications

(38 reference statements)

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“…One way to raise awareness of residents on DKA management is to have hands on sessions or utilize clinical scenarios with established DKA management according to guidelines. The usefulness of this has been reported in multiple trials, the most recent of which was completed in 2016 (21) .…”

Section: Discussionmentioning

confidence: 96%

Knowledge and Confidence of Iraqi Pediatric Residents in Management of Diabetic Ketoacidosis in Children

Wasnaa Hadi Abdullah,

Ali Hasan Aljumaili,

Hussain Alsaffar

2022

MLU

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Background: Diabetic ketoacidosis (DKA) is a leading cause of mortality in children with type 1 diabetes mellitus. Pediatric residents in Iraqi hospitals are usually the front liners in managing pediatric emergencies. Therefore, it is important to make sure they are practicing at the highest possible standards to ensure patients' safety. Objectives: this study evaluates the knowledge of Iraqi pediatric residents regarding DKA recognition and management and sheds the light on the areas that need further improvement. Methods: An online survey was conducted. A survey link to an online questionnaire using Survey Monkey was sent to residents at different levels between first and fourth year of training (R1-R4) in general pediatrics. Results: About 60.9% of respondents spent more than 6 months in pediatric emergency training. The majority of residents had treated more than 10 children presented with DKA, with the highest percentage (81.8 %) found among R4s residents. Only 27.8% of residents recognized the diagnostic criteria of DKA. Three quarters of the participants could correctly calculate IV fluid infusion rate for maintenance by accounting for the deficits and subtracting the boluses before calculating the corrections over 48 hours. 68.3% of respondents would not routinely attach DKA patients to a cardiac monitor unless the patient's condition is unstable. 69.6% of survey respondents feel confident in treating children with DKA. Most participants (91.3%) think that there is a need for more DKA training/education sessions. Conclusions: Most of the respondents have a reasonable level of knowledge on how to manage DKA in children in Iraqi children's hospitals. Some gaps in knowledge were identified and need to be highlighted in near future. Educational sessions for the residents about DKA management in children are deemed necessary.

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Section: Discussionmentioning

confidence: 96%