This course is designed to act as a bridge between the non-clinical and clinical years of medical school, linking patient symptoms, exam findings, and management plans to students' basic science knowledge of anatomy, pathophysiology, and pharmacology. Texas Children's Hospital Simulation Center 19 th floor Feigin Tower 1102 Bates Avenue Houston, Texas 77030 . It features 26 index cases, which are classic clinical scenarios - all covering a spectrum of pediatric anesthesia, neuro-anesthesia, cardiac anesthesia, regional anesthesia, and anesthesia and critical care medicine. Anesthesiology. Sim Wars: A Pediatric Anesthesia Simulation Scenario with Audience Participation Upon completion of this presentation, the participant will have experienced an innovative approach to active learning and evaluation, learn about crisis- resource management during an acute pediatric perioperative event, discuss the importance of communication . There have been colossal technological advances in the use of simulation in anesthesiology in the past 2 decades. This chapter describes the practical management of some clinical scenarios in pediatric anesthesia. Division of Pediatric Anesthesiology 505-272-2610 JDillow@ salud.unm.edu Hi - I am a pediatric anesthesiologist who is triple boarded in anesthesiology, pediatric anesthesiology, and pediatrics. METHODS: Ten simulation scenarios were designed to reflect situations encountered in perioperative pediatric anesthesia care. The scenarios created for the study are similar to premorbid conditions that have led to clinical deterioration prompting a RRT call at other tertiary care pediatric hospitals. simulation with other common learning modalities Lectures Online lectures Small group discussions/ PBLDs Practice quizzes Fellow topic presentations 1. 2010; 81 (3):331-6 . Course participants will experience and observe difficult patient . Sponsored Content: Kaiser Permanente Healthcare Simulation Trigger Films All Anesthesiology residents rotate through the Division of Pediatric Anesthesiology for a minimum of three months throughout their training continuum. The scenario is used for practice, evaluation, and self-identification of weaknesses in the learner's knowledge base in regard to perioperative management of the pediatric patient. Abstract Abstract This resource is a pediatric simulation scenario featuring a seizing infant in the postanesthesia care unit (PACU). Our first goal was to design and construct a set of simulated scenarios that a resident who was board-eligible in anesthesiology would be expected to manage capably. Pediatric anesthesia is a subspecialty that has become increasingly refined and technically advanced, with the advancement of complex surgical techniques and patients with a low tolerance for error. Pediatric Anesthesiology MOCA Simulation Course with AHA PALS Recertification . On February 17, the Department of Anesthesia hosted the Fourth Annual Pediatric Anesthesia Winter Bootcamp for fellowship trainees at NC Children's Hospital. Venue: OR Procedural Simulation Suite (ORSIM) and Hospital PACU Room (In-situ) Frequency: Each module 4 times per year (12 sessions per academic year). Our simulation courses can range from procedural skills training, to mannequin-based scenarios for anesthesiologists, all the way to interprofessional team sessions in situ. 1 , 2 Current ethical practice allows for adult patients with decision-making capacity to refuse blood . Simulation with the pediatric anesthesia fellows/ENT residents is a useful learning experience. The goal of this study was to develop an inventory of simulated scenarios that mimic pediatric crises and determine if the resident scores could be used to establish the reliability and validity of a multiple-scenario assessment. This simulation was created as part of our core anesthesiology simulation curriculum for residents and fellows. Effective, targeted simulation training can help reduce the gap between the text book and reality. Anesthesia SimSTAT is a powerful virtual simulation used to help physicians learn about anaesthesia, patient monitoring and managing anaesthesia-related emergencies. Participants will be exposed to and become comfortable using various ventilation and intubation . Scenarios the simtech Scenarios Medical Simulation Scenarios are text documents outlining the various details of a simulation - everything from patient simulator settings to debriefing notes. The tools and strategies specific to this scenario include: brief, huddle, situation It features 26 index cases, which are classic clinical scenarios - all covering a spectrum of pediatric anesthesia, neuro-anesthesia, cardiac anesthesia, regional anesthesia, and anesthesia and critical care medicine. There are one or two weekend shifts per month from 7 a.m. to 7 p.m. SICU Below are tips to help the facilitator conduct the simulation. Simulation-based assessment of pediatric anesthesia skills. Simulation provides low-stakes exposure to the high-stakes skills required in the operating room. You will be presented with 3 separate scenarios. Gain exposure to resources available for a simulation scenario content development; Acquire an appreciation for the role of guided debriefing . The study's primary purpose was to compare clinical competency scores among nurse The "basic assumption" - that everyone is present recordings. Competency-based medical education has seen widespread adoption in the field along with ongoing work in the areas of . Journal Clubs. Dorfling, McLarney, and Sloan 3 developed a simulation scenario for one-lung ventilation, but it was not specific to pediatrics. Methods: Ten simulation scenarios were designed to reflect situations encountered in perioperative pediatric anesthesia care. review, edit, and update the critical event checklists, checklist simulation scenario; Research Committee . Dr. . Reliability and validity of a scoring instrument for clinical performance during pediatric advanced life support simulation scenarios. al. Dorfling, McLarney, and Sloan 3 developed a simulation scenario for one-lung ventilation, but it was not specific to pediatrics. Throughout this scenario, participants will be tasked with identifying opportunities to apply effective communication and efficient teamwork skills, such as the ones recommended by TeamSTEPPS. . Instruction comes in a variety of forms: Monthly Journal Club; Pediatric Intra-operative Lecture Series; Simulation-based pediatric scenarios; A didactic program for those in Clinical Anesthesia . Hence, it can be used as an adjunct to improve both cognitive and technical skill acquisition for perioperative transplant anesthesia. 20 brand new scenarios in anesthesia, midwifery, pediatric, disaster, and other . Anesthesiology. Each scenario will begin with a short case description. . Basic scenarios using high fidelity simulation (hypotension due to blood loss, hypoxia due to bronchospasm, etc.) Resuscitation. This is particularly important for core cases and low-frequency, high-stakes procedures and encounters. Participants were . Simulation Scenarios Contents Adrenal Insufficiency 1 Blunt Abdominal TraumaHypovolemic Shock 4 Cardiogenic Shock Due to Congenital Heart Disease 8 Altered Mental Status 10 Diabetic Ketoacidosis and Cerebral Edema 12 Hyperthermia 15 HypothermiaNear Drowning 18 Iron Overdose 22 MyocarditisCardiogenic Shock 25 Thus, to the best of our knowledge, this is the first report of an educational . recordings. TeamSTEPPS 2.0 Specialty Scenarios - 105 Specialty Scenarios L&D Scenario 86 Appropriate for: L&D Setting: Hospital Sally Rodgers, a 25-year-old nullip in labor at term who is dilated 3 cm. Debriefing is conducted in informal group settings. Scenario Set-up Room configuration - OR set-up Equipment Needed: Anesthesia machine with pediatric circuit, pediatric drug cart, pediatric airway equipment, IV setup and equipment, drugs in syringes (atropine, epinephrine, glycopyrrolate, propofol, rocuronium, fentanyl) Mannequins/task trainer/standardized patient needed - child sized mannequin Pediatric and Adult Anesthesiology Simulation Education is designed to be used by both academic programs and private . 1 it is a relatively frequent complication that occurs with varying frequency dependent on multiple factors. Over the years, the use of simulation has gone from low fidelity to high fidelity models that mimic human responses in a startlingly realistic manner, extremely life-like mannequin that breathes, generates E.K.G, and has pulses, heart sounds, and an airway that can be programmed . 2011; 115(6):1308-15 (ISSN: 1528-1175) . 272-3666 or Pediatric Specialties (877) 607-5280. . Sim Wars: A Pediatric Anesthesia Simulation Scenario with Audience Participation Upon completion of this presentation, the participant will have experienced an innovative approach to active learning and evaluation, learn about crisis- resource management during an acute pediatric perioperative event, discuss the importance of communication . In this project, we used simulation technology to assess pediatric anesthesia skills in trainees in anesthesiology who are learning to administer anesthesia to children. OBJECTIVE:. . Simulation Anesthesia. In this scenario, the candidate is called to see a 6-month-old, 15-pound male infant who has just arrived in the PACU. The case will involve managing pediatric status epilepticus and including escalating anti-epileptics, intubation, and handing over to pediatrics. New airway scenarios will be added regularly. Simulation provides a safe environment where learning is enhanced through the deliberate practice of skills and controlled management of a variety of clinical encounters. Education. Sim Wars - A Pediatric Anesthesia Simulation Scenario with Audience Participation Upon completion of this presentation, the participant will experience an innovative approach to active learning and evaluation, learn about crisis-resource management during an acute pediatric perioperative event, discuss the importance of communication during and . The Multidisciplinary Pediatric Airway Course is designed to teach the basics of airway management as well as advanced skills to manage different airway scenarios for pediatric patients to all disciplines of medicine involved in the care of children. Pediatric anesthesia is a subspecialty that has become increasingly refined and technically advanced, with the advancement of complex surgical techniques and patients with a low tolerance for error. This event was created to facilitate the transition from trainee to faculty by providing the learners the opportunity to experience independent practice. METHODS: Ten simulation scenarios were designed to reflect situations encountered in perioperative pediatric anesthesia care. Non-technical skills rather than a lack of expertise were identified to be the main cause of errors in medicine, particularly in emergency situations. the sig also maintains a standardized, national curriculum of disseminated simulation activities including within interprofessional education, crisis resource management training related to pediatric anesthesiology as well as the development of standardized scenarios, assessment tools and development of multi-institutional collaboratives in Basic knowledge of thoracic and pediatric anesthesia is required, but specific experience with pediatric lung isolation is not. Program Director, Dr. Richard Cherry The Fellowship in Medical Simulation through the Department of Anesthesia and Perioperative Medicine at Western is designed to equip the clinician with the necessary knowledge, skills and attitudes to provide simulation based education curricula at the academic level and to appreciate the focus and direction that simulation based . All simulation scenarios include debriefing after the scenario concludes. 10:45 - 11:45 - Simulation Scenario 2; 11:45 - 12:45 - Simulation Scenario 3; 12:45 - 13:15 - LUNCH; 13:15 - 14:15 - Simulation Scenario 4; 14:15 - 15 . Medical ethicists have studied patient objection to blood transfusion, specifically in regard to the Jehovah's Witness faith. The simulation features high-fidelity scenarios that will challenge you and enhance your competency in solving . To find our simulation sets and supporting curricular materials, search under "Airway Management Education Center." When you see The Difficult Airway Course logo, you'll know you have the right ones! Fellows also provide simulation instruction. 8:30 am Case Scenario #1 and debriefing 9:30 am Break 9:45 am Case Scenarios #2 and #3, each followed by debriefing 11:45 am Lunch (Q&A, airway tools, additional discussion) 12:15 pm Case Scenarios #4 and #5, each followed by debriefing 2:15 pm Break (optional) 2:30 pm Case Scenario #6 and debriefing 3:30 pm Wrap-up, Course Evaluation, Review . Within UK's training program, residents and learners are exposed to a wide variety of complicated anesthesia scenarios with the use of high-fidelity simulators. Sim Wars - A Pediatric Anesthesia Simulation Scenario with Audience Participation Upon completion of this presentation, the participant will experience an innovative approach to active learning and evaluation, learn about crisis-resource management during an acute pediatric perioperative event, discuss the importance of communication during and . MEPA aims to give anesthetic trainees the opportunity to develop management strategies for emergencies in pediatric anesthesia using high-fidelity simulation. 3 . Pediatric Anesthesia Call Residents are assigned to take one week of night shift per month 3 p.m.to 11 p.m. We report a case of successful resuscitation of bupivacaine-induced . This acclaimed text for nursing faculty provides detailed, step-by-step guidance on all aspects of clinical s . The scenarios take place in various settings around UNC Children's Hospital including the sedation suite and Pediatric Intensive Care Unit (PICU). The main goal is to establish a safe learning environment for the learner [9, 13]. . ADVANCED SIMULATION EXERCISE Title: Pediatric Massive Hemorrhage Protocol Creation date: March 2020 Contributors: Suzanne Beno (MPH Pediatric WG), Teresa Skelton (MPH Pediatric WG), Heather O'Reilly (Department of Anesthesiology and Pain Medicine, CHEO) Original Scenario: Devin Singh, J Pirie, Natasha Collia References: Pediatric MHP toolkit . 2011; 115(6):1308-15 (ISSN: 1528-1175) . 2010; 81 (3):331-6 . In addition, CA-2 and CA-3 residents create and direct training scenarios for these sessions. The Anesthesia Simulation Program fulfills the training requirement for Part IV of the Maintenance of Certification in Anesthesiology Program (MOCA).