EAST multicenter trial of simulation-based team training for pediatric trauma: Resuscitation task completion is highly variable during simulated traumatic brain injury resuscitation

Aaron R. Jensen, Francesca Bullaro, Richard A. Falcone, Margot Daugherty, L. Caulette Young, Cory McLaughlin, Caron Park, Christianne Lane, Jose M. Prince, Daniel J. Scherzer, Tensing Maa, Julie Dunn, Laura Wining, Joseph Hess, Mary C. Santos, James O'Neill, Eric Katz, Karen O'Bosky, Timothy Young, Emily Christison-LagayOmar Ahmed, Randall S. Burd, Marc Auerbach

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Best practices for benchmarking the efficacy of simulation-based training programs are not well defined. This study sought to assess feasibility of standardized data collection with multicenter implementation of simulation-based training, and to characterize variability in pediatric trauma resuscitation task completion associated with program characteristics. Methods: A prospective multicenter observational cohort of resuscitation teams (N = 30) was used to measure task completion and teamwork during simulated resuscitation of a child with traumatic brain injury. A survey was used to measure center-specific trauma volume and simulation-based training program characteristics among participating centers. Results: No task was consistently performed across all centers. Teamwork skills were associated with faster time to computed tomography notification (r = −0.51, p < 0.01). Notification of the operating room by the resuscitation team occurred more frequently in in situ simulation than in laboratory-based simulation (13/22 versus 0/8, p < 0.01). Conclusions: Multicenter implementation of a standardized pediatric trauma resuscitation simulation scenario is feasible. Standardized data collection showed wide variability in simulated resuscitation task completion.

Original languageEnglish (US)
Pages (from-to)1057-1064
Number of pages8
JournalAmerican Journal of Surgery
Volume219
Issue number6
DOIs
StatePublished - Jun 2020

All Science Journal Classification (ASJC) codes

  • Surgery

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