1. Development and validation of a generalizable tool
to assess pediatric resuscitations
Yasaman Shayan and Arielle Levy
Pediatric Emergency Department
Sainte-Justine Hospital, Montreal, Canada

2. Background
• Resuscitation of a pediatric patient presents many challenges
• Competency in pediatric resuscitation skills gained by:
▫ Formal training (PALS)  Rapid decline in skills
▫ Experience  Rarity of pediatric cardiopulmonary arrest
• These points highlight the importance of simulation as an
essential teaching tool
▫ Essential to have a valid and reliable assessment tool

3. Objectives
• To develop a short, objective, easy to use and
generalizable scoring tool to assess trainees
during simulated pediatric resuscitations
▫ To determine its validity
▫ To analyse its inter-rater reliability

4. Tool development
Content Validity
Identification
Review of
AHA 2010 of specific
scoring items
objective
PALS elements for
by subject-
curriculum matter
each domain
experts
(C-A-B)

5. Tool validation
• Convenience sample of residents rotating through ped ED
First week During the rotation Last week
5 video-taped 12-16 ER shifts 5 video-taped
simulated + simulated
resuscitation Simulation- resuscitation
scenarios based courses scenarios
- Asystole/PEA
Scored - Arrhythmias Scored
- Status epilepticus/ asthmaticus
- Shock

6. Discussion
• What does the “perfect tool” look like to you?
▫ Checklist vs. Global Rating Scale
▫ Length
• Should we include crisis resource management
skills (communication, leadership) in our tool?
▫ If so, how much weight should be allotted to CRM skills?
• Should we assess construct validity based on
pre/post-rotation scores or pre/post-PALS course?