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Alert 2014-new-wermter3

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Alert 2014-new-wermter3

  1. 1. Improving realism of PALS-courses with smart simulation tools & children Burkhard J. Wermter1 Jenny Siebdrat1,2 Ina Geisler1 Michael Weldi1,3 Rudolf Janz1,3 Stefan Oppermann4 Ella Scott5 Ruth Lollgen5 Becky Damazo6 Tex Kissoon7 Aaron Donoghue8 Paul Lecat9 1. 2. 3. 4. 5. 6. 7. 8. 9. Pediatric Simulation Research Collaborative South Tyrol (ITA) PICU Medical School Hannover (DEU) Med-Sta Graz (AUT) IFN Institute for Emergency Medicine Hamburg (DEU) Kim Oats Australian Paediatric Simulation Center, Sydney (AUS) Rural SimCenter CSU Chico (USA) World Federation of Pediatric Intensive & Critical Care Societies Children’s Hospital of Philadelphia (USA) Clinical Pediatrics / Internal Medicine, Northeast Ohio Medical University (USA) INSPIRE @ IMSH 2014: San Francisco, California,USA International Network for Simulation-based Pediatric Innovation, Research and Education
  2. 2. Background 1 • With the program “Helping Babies Breathe”, we have learned that implementation of welldesigned, low-cost training is lowering newborn mortality. • What can we learn to improve implementation of Pediatric Advanced Life Support (PALS) courses elaborated by EXPRESS-study group with low budget simulation? International Network for Simulation-based Pediatric Innovation, Research and Education
  3. 3. Background 2 • How imitate clinical reality? • 1) images of real ill patients (video clip) • 2) a vital parameter monitor (app for tablet PC) • 3) registered sound (heart and lung) from real patients. Sequences of evolution • 4) more realistic maniquins in key issues: behaviour of ventilation (NeoNathalie/infant CPR anytime) and weight/temperature • 5) real children (respiratory and Trauma scenarios) • 6) change of skin colour • 7) a cloud of perceptions creates mental processes which lead to decisions and actions 3
  4. 4. Background 3 4
  5. 5. PICO Question • P: Children from birth to puberty • I: Training intervention • C: Compare standard training with extended training • O:Better clinical outcomes post training International Network for Simulation-based Pediatric Innovation, Research and Education
  6. 6. Approach / Design • Only use of BLS- and ALS mannequins during PALS courses. Limitate the budget. • Introduction of tablet patient monitors an all PALS stations. • Use of real sound sequences on 2 of 3 practical stations comparing learning outcomes of students in differently equipped teaching stations. • Integration of real children. • Change of skin colour International Network for Simulation-based Pediatric Innovation, Research and Education
  7. 7. Approach / Design 2 Further information: 1) tablet Patient Monitor: SimMon www.castleandersen.dk DART sim http://ecg-simulator.com 2) sound sequences: Ventriloscope www.ventriloscope.com 3) RealChildren in Simulation: webinar, poster, video • webinar: http://ipss.adobeconnect.com/p9ohhths9dx/ • Poster: www.provinz.bz.it/se/west/mup-paednotmed/poster_real_children_in_simulation_SESAMALASIC_Coimbra2009_081109final.pdf • video: http://www.provinz.bz.it/se/west/mup-paednotmed/orf. International Network for Simulation-based Pediatric Innovation, Research and Education
  8. 8. Timeline • • • • ALERT Presentation: IMSH Jan. 2014 – San Francisco (USA) Grant Proposal (if applicable): after IPSSW Apr. 2014 Vienna (A) IRB Submission: spring/summer 2014 Recruitment / Data Collection: – Pilote project: June 2013 – April 2014 – Training of instructors June – October 2013 – First formal PALS courses with extended tools in Dec. 2013 and Jan. 2014 with participants and instructors from Italy, Switzerland, Austria and Germany at Brixen/Southtyrol (Italy) www.brixen.org European Alpine space area and EU-Regio Tirol • • • • Study: summer 2014 – winter 2015 Data Analysis: winter/spring 2015 Abstract Presentation: IPSSW 2015 Manuscript Preparation : spring 2015 International Network for Simulation-based Pediatric Innovation, Research and Education
  9. 9. 3 Questions to improve study 1. Search for more trial centers: How would you like to participate? 2. How can we improve measurement of educational impact? 3. Can we link educational impact & patient outcome? International Network for Simulation-based Pediatric Innovation, Research and Education
  10. 10. Contact Information Burkhard J. Wermter PSRCS Pediatric Simulation Research Collaborative Southtyrol psrc_suedtirol@outlook.com +39 380 680 6021 www.provinz.bz.it/se/PaedNotmed International Network for Simulation-based Pediatric Innovation, Research and Education
  11. 11. Appendix • HBB: http://www.helpingbabiesbreathe.org/docs/HBB%20Tanzania.pdf • EXPRESS: http://www.inspiresim.com/index.php/default.html • 1st PALS-AHA/AAP-course after official release in Oct. 2011 (page 6): http://www.sesam-web.org/index.cfm?event=downloadfile&famid=294992 • IMPLEMENTATION OF SIMULATION WITH NEW BUISINESS MODELS http://www.provinz.bz.it/se/west/mup-paednotmed/Paedsim_ipssw2011mix.pdf • A PAEDIATRIC SIMULATION BASED COURSE FOR ALL BUDGETS: http://www.provinz.bz.it/se/west/mup-paednotmed/Paedsim_sydney_toulouse.pdf International Network for Simulation-based Pediatric Innovation, Research and Education

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