alert 2014-new-wermter3

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

International Network for Simulation-based Pediatric Innovation, Research and Education

1. Pediatric Simulation Research Collaborative South Tyrol (ITA)2. PICU Medical School Hannover (DEU)3. Med-Sta Graz (AUT)4. IFN Institute for Emergency Medicine Hamburg (DEU)5. Kim Oats Australian Paediatric Simulation Center, Sydney (AUS)6. Rural SimCenter CSU Chico (USA)7. World Federation of Pediatric Intensive & Critical Care Societies8. Children’s Hospital of Philadelphia (USA)9. Clinical Pediatrics / Internal Medicine, Northeast Ohio Medical University (USA)

INSPIRE @ IMSH 2014: San Francisco, California,USA

• With the program “Helping Babies Breathe”, we have learned that implementation of well-designed, 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?


Background 1

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

4

Background 3

• P: Children from birth to puberty

• I: Training intervention

• C: Compare standard training with

extended training

• O:Better clinical outcomes post training


PICO Question

• 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

Approach / Design


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_SESAM-ALASIC_Coimbra2009_081109final.pdf

• video:

http://www.provinz.bz.it/se/west/mup-paednotmed/orf.wmv



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

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?

3 Questions to improve study


Burkhard J. Wermter

PSRCS Pediatric Simulation Research

Collaborative Southtyrol

[email protected]

+39 380 680 6021

www.provinz.bz.it/se/PaedNotmed

Contact Information


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