Simulation of pediatric trauma stabilization in 35 North Carolina emergency departments: identification of targets for performance improvement

Pediatrics
Elizabeth A HuntKaren S Frush

Abstract

Trauma is the leading cause of death in children. Most children present to community hospital emergency departments (EDs) for initial stabilization. Thus, all EDs must be prepared to care for injured children. The objectives of this study were to (1) characterize the quality of trauma stabilization efforts in EDs and (2) identify targets for educational interventions. This was a prospective observational study of simulated trauma stabilizations, that is, "mock codes," at 35 North Carolina EDs. An evaluation tool was created to score each mock code on 44 stabilization tasks. Primary outcomes were (1) interrater reliability of tool, (2) overall performance by each ED, and (3) performance per stabilization task. Evaluation-tool interrater reliability was excellent. The median number of stabilization tasks that needed improvement by the EDs was 25 (57%) of 44 tasks. Although problems were numerous and varied, many EDs need improvement in tasks uniquely important and/or complicated in pediatric resuscitations, including (1) estimating a child's weight (17 of 35 EDs [49%]), (2) preparing for intraosseous needle placement (24 of 35 [69%]), (3) ordering intravenous fluid boluses (31 of 35 [89%]), (4) applying warming measures (34 of 35...Continue Reading

References

Apr 1, 1992·Journal of Pediatric Surgery·D K NakayamaW Sacco
Nov 1, 1982·The Journal of Trauma·M L Ramenofsky, T S Morse
Sep 1, 1995·Critical Care Medicine·E WallenR A Orr
Mar 1, 1993·Journal of Pediatric Surgery·A CooperL Mottley
Sep 9, 1999·JAMA : the Journal of the American Medical Association·S B IssenbergG A Ewy
Aug 30, 2000·The Journal of Trauma·D A PotokaH R Ford
Nov 30, 2000·Critical Care : the Official Journal of the Critical Care Forum·C Waydhas
May 23, 2001·Pediatrics·UNKNOWN American Academy of Pediatrics, Committee on Pediatric Emergency Medicine and American College of Emergency Physicians, and
Jul 27, 2001·The Journal of Trauma·R L MarshallR N Cooney
Nov 17, 2001·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·S M Hohenhaus
Feb 7, 2002·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Susan McDaniel Hohenhaus
Jul 13, 2002·The Surgical Clinics of North America·J Alex Haller
Feb 5, 2004·The British Journal of Surgery·T P GrantcharovP Funch-Jensen
Feb 7, 2004·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Susan M Hohenhaus, Karen S Frush
Feb 18, 2004·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·B L DoringT Thayer
Jun 26, 2004·Journal of the American College of Surgeons·George C VelmahosLinda S Chan
Oct 27, 2004·Lancet·Anthony G Gallagher, Christopher U Cates

❮ Previous
Next ❯

Citations

Jun 23, 2009·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·G ChéronV Nouyrigat
Jun 20, 2008·Journal of Nursing Care Quality·Deborah Nadzam, Francine Westergaard
May 14, 2008·Current Opinion in Pediatrics·Walter J EppichElizabeth A Hunt
Jun 29, 2010·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Pamela AndreattaGail Annich
Nov 17, 2007·Pediatric Emergency Care·Elizabeth A HuntKaren S Frush
Apr 13, 2010·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Aaron J DonoghueVinay M Nadkarni
Jan 31, 2012·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Leo KobayashiGregory D Jay
Aug 21, 2012·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Marisa Brett-FleeglerRobert Simon
Mar 12, 2008·The Journal of Trauma·Angelo MikrogianakisMona Jabbour
Oct 8, 2011·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Frederik MondrupTorben Knudsen
Jun 2, 2012·Journal of Graduate Medical Education·Alison SweeneyDavid A Turner
Dec 17, 2014·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Arielle LevyJocelyn Gravel
Jan 19, 2016·Child Abuse & Neglect·James AnderstChris Kennedy
Jan 29, 2013·Anesthesiology Clinics·Haim BerkenstadtAmitai Ziv
Mar 13, 2012·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·E Civantos FuentesL Sánchez Santos
Mar 6, 2012·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·I Oulego ErrozL Sánchez Santos
Feb 8, 2011·The American Journal of Emergency Medicine·Emily L WillnerAlan L Nager
Sep 10, 2010·The American Journal of Emergency Medicine·Marcy RosenbergJosef Thundiyil
Feb 3, 2009·Annals of Emergency Medicine·Mark E CichonDaniel Leonard
Nov 19, 2008·The Journal of Pediatrics·John B McCabe
Aug 5, 2008·Pediatric Clinics of North America·Peter Weinstock, Louis P Halamek
Aug 5, 2008·Pediatric Clinics of North America·Robert W Hickey, Vinay Nadkarni
Dec 10, 2015·Frontiers in Pediatrics·Rahul OjhaRalph Nanan
Jun 19, 2007·Anesthesiology Clinics·Elizabeth A HuntKristen L Nelson
Apr 3, 2007·Anesthesiology Clinics·Haim BerkenstadtAmitai Ziv
Jul 22, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Leo KobayashiGregory D Jay
Oct 3, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Leo KobayashiRobert L Wears
Oct 14, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Deirdre C KelleherRandall S Burd
Jan 3, 2013·The Journal of Continuing Education in the Health Professions·Michael A RosenSallie J Weaver
Jan 3, 2013·The Journal of Continuing Education in the Health Professions·Alan W DowPaul E Mazmanian
Apr 23, 2013·Journal of Critical Care·Ezequiel Fernandez CastelaoMargarete Boos
Oct 1, 2016·Journal of Surgical Education·Aussama NassarUNKNOWN MacTRAUMA Research Group
Oct 5, 2016·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Aimee AlphonsoGunjan Kamdar Tiyyagura
Nov 5, 2016·Pediatric Emergency Care·Payal Kadia GalaAaron Donoghue
Jul 25, 2012·Clinical Pediatrics·Karen E Dull, Richard G Bachur
Jan 20, 2018·Journal of Medical Education and Curricular Development·Serkan ToyJacob L Arnett
May 18, 2018·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Jeffrey HuangTelong Liu

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.