Simulated pediatric trauma team management: assessment of an educational intervention.

Abstract:

OBJECTIVES:Trauma is the leading cause of death in children. The quality of initial medical care received by injured children contributes to outcomes. Our objective was to assess effectiveness of an educational intervention on performance of emergency department (ED) teams during simulated pediatric trauma resuscitations. METHODS:A prospective, preinterventional and postinterventional study was performed on a random, convenience sample of 17% of EDs in North Carolina. An unannounced simulated pediatric trauma resuscitation was conducted at each site, followed by an educational intervention and a second visit 6 months later. The key outcome measure was team performance on a clinical assessment tool previously described that included 44 resuscitation tasks deemed critical to appropriate management of pediatric trauma resuscitation. RESULTS:All 18 sites consented and completed the study. Interrater reliability was excellent, weighted kappa = 0.80 (95% confidence interval, 0.76-0.84). After the educational intervention, the mean (+/- SD) number of the 44 tasks passed by each ED team increased from 17.7 +/- 4.3 to 26.6 +/- 5.8 (P < 0.001). At the individual task level, the scores on 37 (84%) of the 44 tasks improved, of which 11 (25%) of the 44 tasks improved significantly. CONCLUSIONS:This study demonstrated that an on-site educational intervention was effective in improving the performance of ED teams during simulated pediatric trauma resuscitations. Postintervention performance was more consistent with the Pediatric Advanced Life Support and Advanced Trauma Life Support guidelines. Further studies are needed to determine if improved performance in a simulated scenario leads to improved performance and better clinical outcomes of critically injured children.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Hunt EA,Heine M,Hohenhaus SM,Luo X,Frush KS

doi

10.1097/PEC.0b013e31815a0653

subject

Has Abstract

pub_date

2007-11-01 00:00:00

pages

796-804

issue

11

eissn

0749-5161

issn

1535-1815

pii

00006565-200711000-00006

journal_volume

23

pub_type

杂志文章,多中心研究
  • Isolated torsion of the fallopian tube in a menarchal 11-year-old girl.

    abstract::Isolated torsion of the fallopian tube is a rare cause of an acute lower abdominopelvic pain in adolescent females that is difficult to recognize preoperatively. This is a case report of an 11-year-old girl who presented with a right lower quadrant abdominal pain, nausea, and vomiting secondary to isolated torsion of ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e318177a727

    authors: Markhardt BK,Jones L,Drugas GT

    更新日期:2008-06-01 00:00:00

  • Impact of a health literacy intervention on pediatric emergency department use.

    abstract:OBJECTIVE:The aim of this study was to measure the impact of a simple parent health literacy intervention on emergency department and primary care clinic usage patterns. METHODS:Study participants consisted of parents who brought their children to the Harbor-UCLA Medical Center pediatric emergency department for nonur...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181ab78c7

    authors: Herman A,Young KD,Espitia D,Fu N,Farshidi A

    更新日期:2009-07-01 00:00:00

  • Case report of metallic mercury injury.

    abstract:OBJECTIVE:Injury and poisoning from metallic mercury has become a rare event. Review of the literature and a case report of pediatric metallic mercury injury are presented. DESIGN:A case report. SETTING:The Emergency Department at St. Louis Children's Hospital. PATIENTS OR PARTICIPANTS:A 15-year-old boy. INTERVENTI...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/00006565-199704000-00008

    authors: Smith SR,Jaffe DM,Skinner MA

    更新日期:1997-04-01 00:00:00

  • Use of Emergency Medical Service transport system in medical patients up to 36 months of age.

    abstract:OBJECTIVES:To determine the frequency of inappropriate transport by Emergency Medical Service (EMS). DESIGN:A retrospective study. SUBJECTS:Patients up to 36 months of age with medical complaints transported by EMS to an urban pediatric emergency department (ED). INTERVENTIONS:None. MEASUREMENTS:Arbitrary criteria ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199806000-00004

    authors: Rosenberg N,Knazik S,Cohen S,Simpson P

    更新日期:1998-06-01 00:00:00

  • Baking soda: a potentially fatal home remedy.

    abstract::We present a case of a six-week-old infant who developed life-threatening complications after unintentional sodium bicarbonate intoxication. Baking soda was being used by the mother as a home remedy to "help the baby burp." A review of the literature regarding the use (or misuse) of baking soda follows. Our patient, a...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:

    authors: Nichols MH,Wason S,Gonzalez del Rey J,Benfield M

    更新日期:1995-04-01 00:00:00

  • The Use of Routine Blood Cultures in Pediatric Appendicitis.

    abstract:OBJECTIVES:To determine the proportion of true-positive blood culture results in children presenting to the ED with suspected appendicitis. To describe the current practice of obtaining blood cultures in children with suspected appendicitis. METHODS:We performed a 2-year retrospective health record review of all child...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000877

    authors: Thompson GC,Morrison E,Ross M,Liu H,Vanderkooi OG,Eccles R

    更新日期:2017-12-01 00:00:00

  • Acute disseminated encephalomyelitis following meningoencephalitis: case report and literature review.

    abstract::Meningoencephalitis and acute disseminated encephalomyelitis (ADEM) are both neurological disease processes, but there have been few cases of meningoencephalitis progressing to ADEM in the pediatric population. A case of a 4-year-old girl with an initial diagnosis of meningoencephalitis is presented here, whose initia...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/PEC.0000000000000107

    authors: Elias MD,Narula S,Chu AS

    更新日期:2014-04-01 00:00:00

  • Roller Coaster-Induced Subdural Hematoma in a Previously Healthy Teenager.

    abstract::Of the multitude of neurologic injuries related to roller-coaster rides, a majority of them are reported about adults. In this case, we present a patient who presented to the pediatric emergency department with new-onset seizure and hemiplegia 2 days after a roller-coaster ride. She was ultimately diagnosed with a sub...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001802

    authors: Tseng P,Kearl YL,Ansari A

    更新日期:2019-04-01 00:00:00

  • Test characteristics of an automated age- and temperature-adjusted tachycardia alert in pediatric septic shock.

    abstract:OBJECTIVES:This study aimed to create and analyze the performance of an automated triage tool alerting triage nursing staff and physicians to an abnormal heart rate consistent with septic shock in a pediatric emergency department. METHODS:A computerized best-practice alert (BPA) triage system corrected heart rate for ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e318267a78a

    authors: Cruz AT,Williams EA,Graf JM,Perry AM,Harbin DE,Wuestner ER,Patel B

    更新日期:2012-09-01 00:00:00

  • Acute liver failure, autoimmune hepatitis, and leptospirosis: a case report.

    abstract::The etiology of acute liver failure varies widely in children, but the most common causes are viral hepatitis, drugs, and toxins. We report herein a case of autoimmune hepatitis and acute liver failure caused by leptospirosis, which is involved rarely in etiology. ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182309e79

    authors: Urganci N,Kalyoncu D,Cayonu N,Erdem E,Yildirmak Y,Yilmaz B

    更新日期:2011-10-01 00:00:00

  • Point-of-Care Ultrasonography for Appendicitis Uncovers Two Alternate Diagnoses.

    abstract::We present two cases of pediatric patients initially presenting with a clinical suspicion of acute appendicitis. In these cases, point-of-care ultrasonography was performed early in the patient's emergency department course, leading to alternate diagnoses. This article highlights a role for point-of-care ultrasound in...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000623

    authors: Kornblith AE,Doniger SJ

    更新日期:2016-04-01 00:00:00

  • Pediatric zolpidem ingestion demonstrating zero-order kinetics treated with flumazenil.

    abstract::Zolpidem is a widely prescribed anti-insomnia agent. Although most pediatric zolpidem ingestions are benign, large ingestions can cause significant central nervous system (CNS) depression. Flumazenil has been reported to reverse the CNS effects of zolpidem. We describe a case of a large pediatric zolpidem ingestion re...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182aa139c

    authors: Thornton SL,Negus E,Carstairs SD

    更新日期:2013-11-01 00:00:00

  • Pediatric Emergency Medicine Fellowship survey: 1991-1992.

    abstract::This study was designed to determine the general characteristics, training expectations, and career goals of those individuals entering Pediatric Emergency Medicine Fellowships in 1992 through the NRMP Pediatric Emergency Medicine Match. A 20-item questionnaire was developed and sent to those individuals who successfu...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199212000-00006

    authors: Simon HK,Linakis JG

    更新日期:1992-12-01 00:00:00

  • Knowledge, attitudes, and beliefs about emergency contraception: a survey of female adolescents seeking care in the emergency department.

    abstract:OBJECTIVES:This study aimed to assess urban adolescents' knowledge of and attitudes about emergency contraception (EC) and to assess the intention to use EC in particular hypothetical situations. We hypothesized that knowledge about EC would be limited, but that adolescents would support using EC in certain situations....

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31828a3249

    authors: Mollen CJ,Miller MK,Hayes KL,Barg FK

    更新日期:2013-04-01 00:00:00

  • Missed opportunities during pediatric residency training: report of a 10-year follow-up survey in critical care transport medicine.

    abstract:OBJECTIVES:The Accreditation Council for Graduate Medical Education requires pediatric residency training programs to provide exposure to the prehospital management and transport of patients. The authors hypothesized that compared with a similar study a decade prior, current pediatric residency training programs have r...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31823ed4ab

    authors: Kline-Krammes S,Wheeler DS,Schwartz HP,Forbes M,Bigham MT

    更新日期:2012-01-01 00:00:00

  • Emergency visits for childhood poisoning: a 2-year prospective multicenter survey in Spain.

    abstract:OBJECTIVES:To describe the characteristics of childhood poisoning leading to consultation to 17 pediatric emergency departments in Spain. METHODS:During a 2-year period (January 2001 to December 2002), accompanying people of 2157 children with acute intoxication who visited consecutively at the emergency room were pro...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,多中心研究

    doi:10.1097/01.pec.0000215651.50008.1b

    authors: Mintegi S,Fernández A,Alustiza J,Canduela V,Mongil I,Caubet I,Clerigué N,Herranz M,Crespo E,Fanjul JL,Fernández P,Humayor J,Landa J,Muñoz JA,Lasarte JR,Núñez FJ,López J,Molina JC,Pérez A,Pou J,Sánchez CA,Vázquez

    更新日期:2006-05-01 00:00:00

  • Empiric therapy of perianal lesions in a sexually abused child: medical and forensic implications.

    abstract::A two-year, eight-month-old boy was diagnosed clinically with perianal warts and treated with topical 5-Fluorouracil, with subsequent resolution of the lesions. The child disclosed sexual abuse, and subsequent physical abuse was also documented. Attempts to identify the perpetrator have been hampered by the child's yo...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199312000-00005

    authors: Hicks RA

    更新日期:1993-12-01 00:00:00

  • The Effects of Pediatric Advanced Life Support Guidelines on Pediatric Trauma Airway Management.

    abstract:OBJECTIVE:Recent Pediatric Advanced Life Support (PALS) guidelines have deemphasized the use of advanced airways in short transport. It is unclear if guideline recommendations have altered practice. We sought to determine if a temporal change exists in the number of prehospital pediatric trauma intubations since the 20...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000759

    authors: Sperka J,Hanson SJ,Hoffmann RG,Dasgupta M,Meyer MT

    更新日期:2016-08-01 00:00:00

  • Maternal somatic symptoms, psychosocial correlates, and subsequent pediatric emergency department use.

    abstract:BACKGROUND:Somatization is associated with increased health care use in adults. Whether mothers with somatic symptoms use more health care resources for their children has not been investigated. OBJECTIVE:This study aimed to explore the association of maternal somatic symptoms and emergency department (ED) use. DESIG...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182809a10

    authors: Dang AT,Ho M,Kroenke K,Grupp-Phelan J

    更新日期:2013-02-01 00:00:00

  • Pediatric pyogenic liver abscess.

    abstract::Pyogenic liver abscess (PLA) is a rare pediatric disease. Typically, PLA is found in adults with biliary disease. There are no typical physical findings or symptoms. Often, pathogenic organisms are not recovered for identification. This case illustrates a teenager presenting with prolonged episodes of fever and vomiti...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e318196fa9b

    authors: Israeli R,Jule JE,Hom J

    更新日期:2009-02-01 00:00:00

  • Survey of parental willingness to pay and willingness to stay for "painless" intravenous catheter placement.

    abstract:OBJECTIVES:This study examined how much parents are willing to pay and/or willing to stay to make their child's intravenous (IV) catheter placement painless. METHODS:A prospective survey was conducted using a questionnaire administered to a consecutive sample of parents presenting to an emergency department (ED). Elig...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/01.pec.0000238743.96606.69

    authors: Walsh BM,Bartfield JM

    更新日期:2006-11-01 00:00:00

  • Omental liposarcoma presenting as chronic constipation.

    abstract::Constipation is a common cause of pediatric abdominal pain seen in pediatric emergency departments (EDs). We present the case of an 11-year-old boy with a 4-month history of chronic constipation and abdominal pain who presented to the children's ED. He was found to have a large abdominal mass that was determined to be...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000166

    authors: Hightower JL Jr,Dire DJ

    更新日期:2014-07-01 00:00:00

  • Cardiac tamponade presenting as an apparent life-threatening event.

    abstract::The initial emergency department (ED) evaluation of infants with an apparent life-threatening event (ALTE) often fails to identify a definitive cause for the event. Many children that present with an ALTE appear normal by the time they arrive to the ED. These factors can desensitize clinicians into prematurely discoun...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/01.pec.0000159055.49683.cd

    authors: Cousineau A,Savitsky E

    更新日期:2005-02-01 00:00:00

  • Presentation and management of an acute caffeine overdose.

    abstract::A one-year-old white female ingested approximately two to three grams of caffeine (200-300 mg/kg). The patient survived the ingestion with a maximum caffeine concentration of 385 micrograms/ml four hours postingestion. The child developed ventricular arrhythmias, seizures, metabolic disturbances, and severe pulmonary ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199012000-00012

    authors: Dietrich AM,Mortensen ME

    更新日期:1990-12-01 00:00:00

  • Observation medicine: the expanded role of the nurse practitioner in a pediatric emergency department extended care unit.

    abstract:BACKGROUND:The use of observational units (OUs) in pediatric emergency departments (EDs) has become an important adjunct to emergency care. An extended observation period (4 to 23 hours) in the ED has decreased both the number of admissions and prolonged use of acute ED beds. This serves to increase patient satisfactio...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:

    authors: Silvestri A,McDaniel-Yakscoe N,O'Neill K,Bradley D,Hawkins H,Holleran R,Burke P,Hohenhaus S,Howard PK

    更新日期:2005-03-01 00:00:00

  • Grunting respirations in infants and children.

    abstract::Grunting respirations are recognized as a sign of serious illness in infants and children, but have not been well studied beyond the newborn period. We present three illustrative cases and the results of a descriptive study which elucidates the causes of grunting in infants and children and suggests guidelines for ass...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199506000-00004

    authors: Poole SR,Chetham M,Anderson M

    更新日期:1995-06-01 00:00:00

  • Improving Timeliness of β-Agonist and Corticosteroid Administration in Patients With Acute Wheezing.

    abstract:OBJECTIVE:Timely delivery of β-agonists and steroids to patients with acute recurrent wheezing is a key component of the National Heart, Lung, and Blood Institute recommended emergency department (ED) asthma care. We conducted an ED improvement initiative to standardize asthma care and improve time to treatments. METH...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001249

    authors: McIver M,Stoudemire W,Smith-Ramsey C,Panigrahi M,Walsh-Kelly C,Rutman LE

    更新日期:2017-09-01 00:00:00

  • A one-year prospective ED cohort of pediatric burns: a proposal for standardizing scald burns.

    abstract::During a 12-month period ending on 11/30/88, data were collected on 143 pediatric patients visiting a pediatric emergency department with burns. Sixty-four percent were males. Common causes of the burns included hot water (17%), hot food (23%), hot appliances (18%), and charcoal and grills (9%). Sixty-six percent of t...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199104000-00004

    authors: Yamamoto LG,Wiebe RA,Matthews WJ Jr

    更新日期:1991-04-01 00:00:00

  • Physicians' Approach to Anaphylaxis in Childhood.

    abstract::Anaphylaxis is a life-threatening, severe, generalized, or systemic hypersensitivity reaction. The incidence of anaphylaxis is increasing especially in pediatric age. Our aim in this study was to investigate the knowledge and attitudes of the physicians on the diagnosis and treatment of anaphylaxis. METHODS:A questio...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000002064

    authors: Tuncel T,Sancakli O,Bag O,Cetin HS,Özdoğru EE

    更新日期:2020-02-24 00:00:00

  • Aseptic meningitis from trimethoprim-sulfamethoxazole in an HIV-infected adolescent.

    abstract::Adolescents infected with the human immunodeficiency virus (HIV) often confront the clinician with difficult medical problems. Besides the host of opportunistic infections, which can affect these patients, side effects from medications can be frequent and, at times, life-threatening. We report a case of aseptic mening...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199706000-00010

    authors: Rudy BJ,Rutstein R

    更新日期:1997-06-01 00:00:00