339 Developing a novel multi-disciplinary in-situ simulation education programme for paediatric emergency training for nchds, at university hospital galway, Ireland. (11th October 2021)

• Record Type: Journal Article
• Authors: Flynn, Aoife; Jee, Marcus; Davis, Jamie; Khamoudes, Daniel; Ryan, Ethel; Reade, Elaine
• Is Part Of: Archives of disease in childhood. Volume 106(2021)Supplement 2
• Page Start: A142
• Page End: A143
• Publication Date: 2021-10-11
• Subjects: Children -- Diseases -- Periodicals; Infants -- Diseases -- Periodicals; 618.920005
• DOI: 10.1136/archdischild-2021-europaediatrics.339
• Languages: English
• ISSNs: 0003-9888

Abstract

Abstract : Introduction: In the Emergency Department at University Hospital Galway, a tertiary teaching hospital in Ireland, we observed that the Paediatric team predominantly managed medical emergencies while our Emergency Medicine colleagues managed only surgical/trauma cases. Therefore, we developed a novel interdisciplinary education programme that utilises in-situ simulation to enhance training in management of Paediatric emergencies by NCHDs. Aims: In response to preparing NCHDs for a variety of Paediatric emergency scenarios, our programme aimed to share insights through practice and enhance the simulated education experience; by standardising the approach using a pre-brief/de-brief format, and improving interdisciplinary knowledge, communication and engagement, through preparation, role allocation and pre-briefing for participants. Methods: We conducted a series of interdisciplinary, in-situ simulations which involved a multidisciplinary response to a medical/surgical case. The scenarios were written by Specialist Registrars from both teams, with a standardised format/template. We implemented a weekly rota whereby the Paediatric team ran the surgical/trauma based cases and the ED team ran the medical based emergences, with facilitation by Specialist Registrars, supervision by both ED and Paediatric Consultants. Participants, who were pre-selected, were privy to scenarios/resources/guidelines beforehand. Considering restrictions, due to COVID19 outbreak, we implemented video sessions to reduce the number of observers present while extending education to the full complement of both faculties. Results: Based on pre/post-simulation questionnaires, over 70% of participants reported the simulations improved their skillset and they felt more confident in participating in future; 100% now felt better equipped to manage Paediatric Emergencies. Engagement in the video streaming was most encouraging, in an era of social distancing and virtual based education. Conclusion: In conclusion, implementing a novel approach to an innovative and multidisciplinary education programme, through the modality of in-situ simulation, can enhance the learning experience and broaden the knowledge base, of NCHDs. We hope that our experience may be used as foresight by others in developing their own multidisciplinary in-situ programme.