Practical Approach to a Simulation-Based Course in Pediatric Critical Care

Abstract

Abstract Introduction Simulated exercises provide a safe space for trainees to hone their clinical and decision-making skills in pediatric critical care. This resource includes a series of case-based scenarios on respiratory failure, cardiovascular instability, neurological emergencies, and pediatric procedural sedation for use with a high-fidelity human simulator. Target learners include residents, medical students, and critical care nurses in pediatric critical care. Methods This resource includes an instructor's guide on how to prepare for and implement the training program, as well as guidelines on appropriate methods for debriefing and evaluation of teaching effectiveness at completion of the training exercise. Results At Tulane University this simulation has been taught to third- and fourth-year medical students since 2011 during a pediatric clinical competency seminar. The simulation has also been offered to pediatric interns at the end of their first year before their pediatric intensive care unit rotation begins, and is offered to nurses during an annual Pediatric Transport Course. This work has been very effective based on positive feedback from trainees. Discussion This course has been successfully implemented for teaching medical students, pediatric residents, and pediatric intensive care nurses. This course provides the avenue for trainees to hone their clinical and decision making skills in pediatric critical care through simulated exercises; therefore, it has the potential for improving patient safety and limiting medical errors resulting from poor clinical and inadequate training and decision making skills.

Keywords

• Critical Thinking
• Patient Simulation
• Pediatrics
• Intensive Care Units Pediatric
• Team Leadership Skills
• Pediatric Procedural Sedation