 |
|
Performance of Advanced Resuscitation Skills by Pediatric Housestaff
Jeanette R. M. White, MD;
Richard Shugerman, MD;
Cindy Brownlee, RN, CCRN;
Linda Quan, MD
Arch Pediatr Adolesc Med. 1998;152:1232-1235.
Objective To describe pediatric housestaff resuscitation experience and their ability to perform key resuscitation skills.
Design Cohort study of 63 pediatric residents in a university-based training program.
Participants and Methods Investigators observed, scored, and timed resident performance on 4 key resuscitation skills. Cognitive ability was tested with 4 written scenarios. Housestaff provided self-reports of the number of months since their last American Heart Association Pediatric Advanced Life Support course, number of mock and actual codes attended, number of times skills were performed, and self-confidence with respect to resuscitation.
Results A total of 45 pediatric residents (71%) participated. Median cognitive score was 5 (range, 1-5). Of all residents, 44 (97%) successfully bag mask–ventilated the mannequin; 24 (53%) and 36 (80%) used the correct bag and mask size, respectively. Thirty-nine residents (87%) placed a tube in the mannequin trachea, 12 (27%) checked that suction was working prior to intubation, and 30 (67%) chose the correct endotracheal tube size. Forty residents (89%) discharged the defibrillator, and 25 (56%) and 32 (71%) correctly chose asynchronous mode and infant paddles, respectively. Thirty-eight residents (84%) inserted an intraosseous line; 35 (78%) had correct placement. Median times for successful skill completion were 83 seconds for bag mask ventilation, 136 seconds for intubation, 149 seconds for defibrillation, and 68 seconds for intraosseous line placement.
Conclusion Pediatric housestaff previously trained in pediatric advanced life support were generally able to reach the end point of 4 key resuscitation skills but less frequently performed the specific subcomponents of each skill. This poor performance and the prolonged time to skill completion suggest the need for greater attention to detail during training.
From the Division of Pediatric Anesthesia and Critical Care, The Johns Hopkins Hospital, Baltimore, Md (Dr White); and the Department of Pediatrics, University of Washington School of Medicine, Seattle (Drs Shugerman and Quan and Ms Brownlee).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
A Simulator-Based Tool That Assesses Pediatric Resident Resuscitation Competency
Brett-Fleegler et al.
Pediatrics 2008;121:e597-e603.
ABSTRACT
| FULL TEXT
Pediatric Resuscitation: Not a Job for a Rookie!
Dubik
AAP Grand Rounds 2008;19:22-23.
FULL TEXT
Initial Airway Management Skills of Senior Residents: Simulation Training Compared With Traditional Training
Kory et al.
Chest 2007;132:1927-1931.
ABSTRACT
| FULL TEXT
Assessing Procedural Skills Training in Pediatric Residency Programs
Gaies et al.
Pediatrics 2007;120:715-722.
ABSTRACT
| FULL TEXT
Resuscitation competencies in paediatric specialist registrars
Gemke et al.
Postgrad. Med. J. 2007;83:265-267.
ABSTRACT
| FULL TEXT
Evaluation of a Novel Web-Based Pediatric Advanced Life Support Course
Gerard et al.
Arch Pediatr Adolesc Med 2006;160:649-655.
ABSTRACT
| FULL TEXT
Paediatric cardiac resuscitation: can we do better?
Tasker
Arch. Dis. Child. 2005;90:1102-1103.
FULL TEXT
Teaching Resuscitation to Pediatric Residents: The Effects of an Intervention
Nadel et al.
Arch Pediatr Adolesc Med 2000;154:1049-1054.
ABSTRACT
| FULL TEXT
Training and dealing with errors or mistakes in medical practical procedures
TASKER
Arch. Dis. Child. 2000;83:95-98.
FULL TEXT
|
