Excellence in Communication and Emergency Leadership (ExCEL): Pediatric First 5 Minutes Workshop for Residents
Robyn Wing,
Hoi See Tsao,
Vanessa Toomey,
Laura Mercurio,
Marie Carillo,
Linda L. Brown,
Mariann Nocera Kelley
Affiliations
Robyn Wing
Assistant Professor, Departments of Emergency Medicine and Pediatrics, Division of Pediatric Emergency Medicine, Alpert Medical School of Brown University and Rhode Island Hospital/Hasbro Children's Hospital; Director of Pediatric Simulation, Lifespan Medical Simulation Center
Hoi See Tsao
Fellow, Departments of Emergency Medicine and Pediatrics, Division of Pediatric Emergency Medicine, The Alpert Medical School of Brown University and Rhode Island Hospital/Hasbro Children's Hospital
Vanessa Toomey
Clinical Fellow, The Department of Anesthesiology, Critical Care, and Pain Medicine, Harvard Medical School and Boston Children's Hospital
Laura Mercurio
Fellow, Departments of Emergency Medicine and Pediatrics, Division of Pediatric Emergency Medicine, The Alpert Medical School of Brown University and Rhode Island Hospital/Hasbro Children's Hospital
Marie Carillo
Fellow, Department of Cardiology, Children's National Medical Center
Linda L. Brown
Associate Professor, Departments of Emergency Medicine and Pediatrics, Division of Pediatric Emergency Medicine, Alpert Medical School of Brown University and Rhode Island Hospital/Hasbro Children's Hospital; Director of the Lifespan Medical Simulation Center
Mariann Nocera Kelley
Assistant Professor, Departments of Pediatrics and Emergency Medicine, Division of Pediatric Emergency Medicine, University of Connecticut School of Medicine, Connecticut Children's; Director of Simulation, University of Connecticut School of Medicine
Introduction In-hospital pediatric cardiopulmonary arrest is associated with high morbidity and mortality, and appropriate initial management has been associated with improved clinical outcomes. Despite current training, pediatric residents often do not feel confident in their ability to deliver this initial management. This workshop focused on the initial management of critically ill pediatric patients and performance of high-quality CPR. Methods This hands-on workshop utilized skill stations with low- and medium-fidelity simulators to instruct learners on initial management during the first 5 minutes of a code, including high-quality CPR. It was designed for residents across all levels of training who care for pediatric patients (including pediatrics, medicine-pediatrics, pediatrics, psychiatry, and child psychiatry, family medicine, and emergency medicine residents) and can be adapted for different session durations and group sizes. Results This workshop was conducted at two separate institutions with a total of 18 resident participants. Participants strongly agreed that this workshop was relevant and effective in teaching the initial assessment and management of the critical pediatric patient, including how to best perform high-quality CPR. Residents further reported high levels of confidence in initially assessing and managing a critically ill patient, describing the markers of high-quality CPR, and performing high-quality CPR. Discussion This workshop provided residents with additional instruction and practice in the initial management of critically ill pediatric patients in cardiopulmonary arrest. The structure and timeline of this curriculum can be adapted to the needs of the individual institution's program and the number of workshop participants.
