Original Publication
Open Access

Pediatric Trauma Interprofessional Simulation- 5 Year-Old Pedestrian Struck by a Motor Vehicle

Published: January 28, 2013 | 10.15766/mep_2374-8265.9323

Included in this publication:

  • Instructional guide 5 yr old ped struck baerg.doc
  • Scenario 5 yr old ped struck baerg.doc
  • ped sim cspine.jpg
  • ped sim cxr.jpg
  • ped sim liver injury.jpg
  • ped sim pelvis.jpg

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Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.

Abstract

This resource is a pediatric trauma interprofessional human simulation. It is designed for general and pediatric surgery programs to utilize for their trainees. This simulation provides residents with experience in a scenario that will probably occur in practice but rarely occurs during residency. In it, the learner must assume the leadership role and manage a trauma in the emergency department after a child is struck by a motor vehicle. The patient rapidly loses blood volume from a retro-hepatic injury and requires a trauma thoracotomy to manage hypotension. A difficult airway is also incorporated into the scenario. This resource contains the scenario details, an instructional guide, and radiographs to support implementation. The instructional guide lists references for the learners to review prior to attending the simulation. The main learner is intended to be a senior pediatric surgery trainee or general surgery resident. Other learners include an anesthesia resident and nurses. The learners must overcome professional barriers to ask for help; demonstrate the correct sequence of steps to perform a trauma evaluation, resuscitation, and thoracotomy; and use situation, background, assessment, and recommendation (SBAR) communication between team members. We utilized videotaping when we implemented this resource, with a review of the tape by our learners prior to a debriefing discussion. Although videotaping is recommended, it is not necessary as the resource contains a list of debriefing questions that facilitate discussion, self-assessment, and learning after the scenario has been implemented. After participation, the learner will be better prepared to lead a complicated pediatric trauma resuscitation. This simulation is distinct in its interprofessional focus, in the learner group it targets, and in the complexity of leadership, communication, and technical skill it requires.


Educational Objectives

By the end of this resource, learners should be able to:

  1. Demonstrate the correct sequence of steps to perform a pediatric trauma evaluation, resuscitation, and thoracotomy.
  2. Manage cardiac arrest secondary to hemorrhage in a trauma scenario.
  3. Delegate tasks appropriately so they maintain their role as decision maker.
  4. Recognize a difficult airway and overcome professional barriers to ask for help.
  5. Communicate utilizing the situation, background, assessment, and recommendation (SBAR) communication method between team members.

Author Information

  • Joanne Baerg, MD: Loma Linda University Children's Hospital
  • Kent Denmark, MD: Loma Linda University Children's Hospital
  • Shannon Longshore, MD: Loma Linda University Children's Hospital

Disclosures
None to report.

Funding/Support
None to report.



Citation

Baerg J, Denmark K, Longshore S. Pediatric trauma interprofessional simulation- 5 year-old pedestrian struck by a motor vehicle. MedEdPORTAL. 2013;9:9323. https://doi.org/10.15766/mep_2374-8265.9323