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Development and validation of a generalizable tool to assess pediatric resuscitationsYasaman Shayan and Arielle LevyPediat...
Background• Resuscitation of a pediatric patient presents many challenges• Competency in pediatric resuscitation skills ga...
Objectives• To develop a short, objective, easy to use and  generalizable scoring tool to assess trainees  during simulate...
Tool development                                Content Validity               Identification                             ...
Tool validation• Convenience sample of residents rotating through ped ED  First week             During the rotation      ...
Discussion• What does the “perfect tool” look like to you? ▫ Checklist vs. Global Rating Scale ▫ Length• Should we include...
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  1. 1. Development and validation of a generalizable tool to assess pediatric resuscitationsYasaman Shayan and Arielle LevyPediatric Emergency DepartmentSainte-Justine Hospital, Montreal, Canada
  2. 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. 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. 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. 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. 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?

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