Evaluation of a Pilot Project to Introduce Simulation-Based Team Training to Pediatric Surgery Trauma Room Care

Table 1

The different scenarios with their respective medical and CRM priorities.

Trauma scenario	Category	Training goal	CRM goal
Hypovolemic shock in a child with blunt abdominal trauma	C	Recognition and treatment of hypovolemic shock	Reevaluation; effective communication
Maintenance two patients after MVA in the trauma room (double scenario)	A B C D	Recognition and treatment of respiratory failure, rapid sequence intubation, CPR; Detecting and treating a hematothorax	Team and time management; prioritization; Mobilization of all available resources; Get help early
Tracheal tube dislocation after repositioning the patient	A B	DOPES	Avoidance of fixing errors of the tracheal tube; Mobilization of all available resources
Battered child	B D	Differential diagnosis of unconsciousness; CPR algorithm	Dealing with parents; Double check; Use of any information
Tension pneumothorax in a major injured child with thoracic contusion	A B C	Differential diagnosis of acute circulatory insufficiency; Treatment of a tension pneumothorax; CPR	Prioritization; team leadership; anticipation
Traumatic brain injury (TBI) with secondary deterioration and seizure following sledge accident	D	Treatment of TBI and seizure; neuroprotection	Prioritization; (diagnostic procedures versus surgical care)

A = airway, B = breathing, C = circulation, D = disability; CRM = crisis resource management; CPR: cardiopulmonary resuscitation. DOPES: D = displacement (tube), o = Obstruction (tube), P = pneumothorax, E = equipment failure, S = stomach pressure; MVA = motor vehicle accident.