Effectiveness of High Fidelity Video-Assisted Real-Time Simulation: A Comparison of Three Training Methods for Acute Pediatric Emergencies

Table 2

Example checklist scenario 2 (meningococcal sepsis). Scoring takes place in a yes or no manner with an item score ranging from 0 to 2.— areas indicate critical actions. These critical item scores are tripled, creating a weighted score. A total score per scenario was calculated for each student (percentage of checklist items performed) with a range from 0 to 100%.

	Airway management	Score
(1) Assess airway	0-no assessment; 2-look/listen/feel, talks to pt
(2) Oxygen applied (high-flow NRM)	0- no oxygen applied; 1->60 seconds; 2-<60 seconds	—
	Breathing
(1) Asks for signs of respiratory distress	0-no; 1-yes
(2) Assess respiratory rate	0-no; 1-yes
(3) Auscultation	0-no; 1-yes
(4) Assess thorax excursions	0-no; 1-yes
(5) Percussion	0-no; 1-yes
(6) Checks monitor for saturation	0-no; 1-yes
	Circulation
(1) Checks monitor for BP and HR (time to recognition of vitals)	0-no monitoring; 1->60 seconds; 2-<60 seconds
(2) Asses pulses; (central/distal)	0-no; 1-incomplete; 2-yes
(3) Assess CRT; (5 seconds sternum)	0-no; 1-incorrect; 2-correct
(4) Time to IV access	0-no access; 1->5 minutes; 2-<5 minutes	—
Duration primary survey (ABC completed)	0->5 minutes; 1-1–5 minutes; 2-<1 minute	—
Adherence to ABC structure	0-no; 1-partially; 2-yes	—
	Therapy
(1) Antibiotic therapy	0-no or incorrect dose; 1-yes, asks pediatrician for dose; 2-yes, and knows correct dose	—
(2) Dexamethasone	0-no; 1-yes, asks pediatrician for dose; 2-yes, and knows correct dose
(3) Blood culture	0-no; 1-yes
(4) Checks glucose	0-no; 2-yes
(5) Fluid bolus; (20 mL/kg NaCl 0.9%)	0-no; 1->5 minutes; 2-< 5 minutes	—
	Therapy
(6) Recognizes need for second fluid bolus	0-no; 2- yes
(7) Proposes inotrope therapy after fluid resuscitation	0-no; 2-yes
Reassess ABC	0-no; 2-yes
Diagnosis (meningococcal sepsis)	0-incorrect; 2-correct	—
	Total score
	% maximum (67)