Training clinicians to care for children in emergency departments

Abstract

Children account for 22% of presentations to Emergency Departments in Australia, the majority presenting to mixed departments. A diverse group of clinicians looks after these children. In this review, we examine the different techniques and approaches to implementing education curricula and professional development within these emergency departments with a particular focus on bedside teaching, professional coaching, skills maintenance, e-learning and simulation.

Pathways and factors that influence time to definitive trauma care for injured children in New South Wales, Australia

“…Managing injured children that require transfer places considerable burden on those referring where they have reduced resources and exposure to major paediatric trauma 22,23 .…”

A novel program to enhance pediatric emergency medicine training in Thailand

“…Second, we heavily leveraged technology through an online learning management system to administer key elements of our course. In recent years there has been increasing recognition of the need to apply technology to develop collaborative networks to improve patient care in the emergency setting and beyond 36‐41 . In 2018 Barata et al 39 published the results of their consensus conference “Aligning the Pediatric Emergency Medicine Research Agenda to Reduce Health Outcome Gaps.” The authors recommended that technology and collaborative networks be utilized to generate and disseminate pediatric knowledge and prepare EDs to care for acutely ill and injured children.…”

“…Finally, we strove to integrate global health best practice recommendations into our curriculum, including bidirectional exchange, awareness of context and availability of supplies, and optimizing sustainability via a train-the-trainer model. [41][42][43][44] While participants hosted the instructor team at their home institutions, allowing the instructors to develop a profile of available resources utilized in simulation development, they also traveled to our medical center for several weeks for hands-on learning and immersive experiences in a pediatric ED in the United States. This reciprocal exchange allowed them to see in practice the concepts reviewed during didactic lectures, witness alternative models of care delivery, and establish a fuller rapport with one another and with the instructor team.…”

Endotracheal intubation by a specialised paediatric retrieval team

“…This has implications for the training and governance of paediatric retrieval teams. The required critical care airway skills should be maintained through clinical exposure as well as regular simulation training …”