Table 2: Goals and objectives.
(a)

Goals

(1) Demonstrate the qualities and behaviors of an effective pediatric trauma team leader
(2) Demonstrate the qualities and behaviors of an effective pediatric trauma team member (non-leadership role)
(3) Demonstrate utilization of crisis resource management principles
(4) Demonstrate effective primary and secondary surveys with initiation of immediate life and limb saving interventions

(b)

Description of simulation cases with objectives

#1 and #2: dual trauma (test cases)
(a) Electrical Injury
  (i) Demonstrate effective management of high-voltage electrical injuries (including dysrhythmias, rhabdomyolysis, and compartment syndrome)
  (ii) Demonstrate effective pain management and fluid resuscitation in burn victims
  (iii) Demonstrate an understanding of the criteria to transfer to a burn a center
  (iv) Demonstrate effective closed loop communication
(b) Neck impalement
  (i) Prepare for and obtain a difficult airway
  (ii) Demonstrate effective management of an impaled foreign object in the neck
  (iii) Demonstrate effective needle decompression followed by emergent placement of a chest tube for tension pneumothorax
  (iv) Demonstrate effective closed loop communication
#3: burn with trauma (jump out of a burning building)
  (i) Identify and manage airway compromise in a burn victim
  (ii) Recognize and manage full thickness burns of the chest
  (iii) Demonstration of escharotomy for circumferential chest/back burns
  (iv) Demonstrate proper fluid resuscitation in a major burn patient (e.g. Parkland)
  (v) Identify carbon monoxide and cyanide exposure as potential diagnoses
#4: abdominal and Pelvic Trauma (motor vehicle collision)
  (i) Demonstrate effective management of a severe head injury
  (ii) Demonstrate ability to perform a FAST exam
  (iii) Demonstrate ability to apply a pelvic binder
  (iv) Demonstrate ability to utilize the massive transfusion protocol
#5: building collapse with compartment syndrome
  (i) Recognize and treat crush syndrome
  (ii) Demonstrate effective use of tourniquets
  (iii) Demonstrate understanding of team safety above patient care
#6: gunshot with penetrating neck, chest, and abdominal injuries
  (i) Demonstrate ability to prepare and acquire a difficult airway
  (ii) Recognize potential for intra-abdominal pathology with penetrating injuries to the chest
  (iii) Demonstrate ability to emergently place a chest tube
  (iv) Demonstrate ability to utilize the massive transfusion protocol
#7: blunt chest trauma with pericardial effusion
  (i) Demonstrate ability to manage blunt chest trauma
  (ii) Demonstrate ability to execute FAST exam
  (iii) Demonstrate ability to perform emergent pericardiocentesis
#8. Neurogenic shock
  (i) Identify neurologic deficits in the primary survey
  (ii) Recognize signs of neurogenic shock secondary to spinal injury
  (iii) Demonstrate ability to rule out other cause of hypotension before initiating treatment for neurogenic shock
  (iv) Demonstrate ability to manage neurogenic shock including utilization of vasopressors and cardiac pacing
#9 and #10: dual trauma (test cases)
(a) Motor vehicle collision with intracranial hemorrhage
  (i) Demonstrate ability to obtain a difficult airway
  (ii) Demonstrate ability to manage a severe head trauma with signs of herniation
  (iii) Demonstrate effective closed loop communication
(b) Lower limb amputation with hemorrhagic shock
  (i) Demonstrate effective exsanguinating hemorrhage control techniques including the utilization of tourniquets
  (ii) Demonstrate appropriate management of a distal extremity amputation
  (iii) Provide appropriate analgesia for an unstable conscious victim
  (iv) Demonstrate effective closed loop communication