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.