International Journal of Pediatrics / 2012 / Article / Tab 2

Clinical Study

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 managementScore

(1) Assess airway0-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 distress0-no
1-yes

(2) Assess respiratory rate0-no
1-yes

(3) Auscultation0-no
1-yes

(4) Assess thorax excursions0-no
1-yes

(5) Percussion0-no
1-yes

(6) Checks monitor for saturation0-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 access0-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 structure0-no
1-partially
2-yes

Therapy

(1) Antibiotic therapy0-no or incorrect dose
1-yes, asks pediatrician for dose
2-yes, and knows correct dose

(2) Dexamethasone0-no
1-yes, asks pediatrician for dose
2-yes, and knows correct dose

(3) Blood culture0-no
1-yes

(4) Checks glucose0-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 bolus0-no
2- yes

(7) Proposes inotrope therapy after fluid resuscitation0-no
2-yes

Reassess ABC0-no
2-yes

Diagnosis (meningococcal sepsis)0-incorrect
2-correct

Total score
% maximum (67)