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Development and validation of a generalizable tool to assess pediatric resuscitationsYasaman Shayan and Arielle LevyPediatric Emergency DepartmentSainte-Justine Hospital, Montreal, Canada
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
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
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)
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
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?