scholarly journals Pediatric Resuscitation Education in the Age of COVID-19

2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Jesse Abelson ◽  
Mary Ann McNeil ◽  
Leeore Levinstein ◽  
Samuel Abelson
Keyword(s):  
Global Health ◽  
Life Support ◽  
Healthcare Providers ◽  
Advanced Life Support ◽  
Heart Association ◽  
Pediatric Emergency ◽  
University Of Minnesota ◽  
Middle Income ◽  
Delivery Of Care ◽  
Pediatric Resuscitation

Despite improving medical care worldwide, vast healthcare disparities remain in low- and middle-income countries (LMIC). In Haiti, the under-5 mortality rate is more than double the rate of the Dominican Republic on the other side of the island. Through a partnership with St. Damien and Hospital Bernard Mevs in Port-Au-Prince, Haiti, and the Department of Emergency Medicine, University of Minnesota Medical School, healthcare providers have collaborated to improve pediatric emergency care and outcomes by teaching American Heart Association (AHA) courses in Haiti. Due to COVID-19, many global health initiatives, including through the University of Minnesota, have been postponed indefinitely. In efforts to continue working toward improved delivery of care, we sought to pilot a remote AHA Pediatric Advanced Life Support (PALS) course in Haiti. We delivered a complete AHA PALS course through videoconferencing, with participants engaging in hands-on procedures and simulations. We surveyed participants’ confidence in relevant skills and knowledge pre- and post-course. Results showed significantly improved ratings in 12 of the 18 surveyed items (p<0.05). Participant satisfaction in the video-based delivery of the course indicated that videoconferencing may be an effective method of course delivery. Videoconferencing shows promise as a successful tool to continue global health education.

Pediatric Advanced Life Support (PALS): The Pharmacist's Role

1996 ◽  
Vol 9 (1) ◽  
pp. 42-56
Author(s):  
Paul C. Blahunka
Keyword(s):  
Pharmaceutical Care ◽  
Life Support ◽  
Advanced Life Support ◽  
Heart Association ◽  
Role Playing ◽  
Medication Administration ◽  
Patient Specific ◽  
Needle Stick Injury ◽  
Pediatric Resuscitation ◽  
Syncytial Virus

The provision of pharmaceutical care to the patient undergoing cardiopulmonary resuscitation (CPR) is an important evolving concept. Pediatric resuscitation and advanced cardiac life support (ACLS) presents a particularly challenging situation for the practicing pharmacist. Etiologies of pediatric arrests include pulmonary conditions such as bronchopulmonary dysplasia, respiratory distress syndrome, respiratory syncytial virus (RSV) infection, and a myriad of accidental factors. Important initial determinations on arriving at a pediatric arrest are described, such as determining the correct weight of the patient, assessing the need for vascular access and/or intubation, and establishing the "code" leader. Recent American Heart Association guidelines for the pharmacotherapy of pediatric ACLS are discussed in detail. Included are recommendations on oxygen delivery, routes of fluid and medication administration, recent changes in epinephrine dosing, and guidelines for the proper use of adjunct medications. A detailed description of a method of using adult emergency drug syringes in the pediatric arrest is provided. Proper use of this method can expedite drug dispensing in an arrest, minimize the potential for needle-stick injury, and optimize the delivery of a patient-specific dose of medication. A "mock code" program is described that includes involvement with pharmacists, nurses, medical residents, and respiratory therapists. This program provides a hands-on role-playing model of a simulated pediatric arrest and serves as a valuable teaching tool for those charged with the responsibility of patient care during an actual arrest. While the ultimate role of the pharmacist in the pediatric arrest continues to be defined, developing the competency to provide pharmaceutical care in this clinical setting can be extremely rewarding. Copyright © 1996 by W.B. Saunders Company

scholarly journals Development of the Pediatric Advanced Life Support Skills Self-Efficacy Inventory to Assess Rural Healthcare Providers

2020 ◽  
Vol 28 (1) ◽  
pp. 126-137
Author(s):  
Stacy M. Stellflug ◽  
Nancy K. Lowe
Keyword(s):  
Psychometric Properties ◽  
Self Efficacy ◽  
Simulation Training ◽  
Life Support ◽  
Healthcare Providers ◽  
Advanced Life Support ◽  
Comfort Level ◽  
Rural Healthcare ◽  
Pediatric Resuscitation ◽  
Support Skills

Background and PurposeRural healthcare provider's willingness to implement pediatric resuscitation may be impeded by comfort level. The purpose of this study was to evaluate the psychometric properties of the Pediatric Advanced Life Support Skill Self-Efficacy Inventory (PALS-SSEI).MethodsA 19-item inventory was created based on PALS skills. The PALS-SSEI was completed by 94 participants in a study to test the effects of simulation training on PALS knowledge and skill.ResultsSix clinical content experts rated the content validity of the PALS-SSEI as high. Item and factor analysis supported the tool's construct validity. A Cronbach's alpha coefficient of 0.88 supported the internal consistency of the tool.ConclusionsThe PALS-SSEI demonstrated good initial psychometric properties. The tool can be used to assess self-efficacy for PALS skills among healthcare providers.

Pediatric Resuscitation

2020 ◽  
pp. 67-74
Author(s):  
Matthew Mendes ◽  
Taylor McCormick
Keyword(s):  
Respiratory Failure ◽  
Life Support ◽  
Early Recognition ◽  
Cardiopulmonary Arrest ◽  
Advanced Life Support ◽  
High Stakes ◽  
Pediatric Resuscitation ◽  
Critically Ill Child ◽  
Equipment Sizing ◽  
Equipment System

Respiratory failure is the most common cause of cardiopulmonary arrest in children. Early recognition of the critically ill child and aggressive management of respiratory failure and shock are crucial to preventing cardiopulmonary arrest. Although caring for a sick child can be highly stressful for emergency physicians, pediatric resuscitation largely mirrors that of adults, with special consideration of a few key anatomic and physiologic differences. It is important to have a systematic approach to patient assessment, medication dosing, and equipment sizing in order to cognitively offload the emergency provider. The following will help maximize performance in these high-stakes situations: the Pediatric Assessment Triangle combined with the familiar airway, breathing, circulation, disability, exposure approach; an age-, weight-, or length-based medication/equipment system; and routine application of Pediatric Advanced Life Support algorithms.

scholarly journals South African paramedic perspectives on prehospital palliative care

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Caleb Hanson Gage ◽  
Heike Geduld ◽  
Willem Stassen
Keyword(s):  
Higher Education ◽  
Palliative Care ◽  
South African ◽  
Medical Service ◽  
Life Support ◽  
Healthcare Providers ◽  
Advanced Life Support ◽  
Early Palliative Care ◽  
Audio Recordings ◽  
Valuable Role

Abstract Background Palliative care is typically performed in-hospital. However, Emergency Medical Service (EMS) providers are uniquely positioned to deliver early palliative care as they are often the first point of medical contact. The aim of this study was to gather the perspectives of advanced life support (ALS) providers within the South African private EMS sector regarding pre-hospital palliative care in terms of its importance, feasibility and barriers to its practice. Methods A qualitative study design employing semi-structured one-on-one interviews was used. Six interviews with experienced, higher education qualified, South African ALS providers were conducted. Content analysis, with an inductive-dominant approach, was performed to identify categories within verbatim transcripts of the interview audio-recordings. Results Four categories arose from analysis of six interviews: 1) need for pre-hospital palliative care, 2) function of pre-hospital healthcare providers concerning palliative care, 3) challenges to pre-hospital palliative care and 4) ideas for implementing pre-hospital palliative care. According to the interviewees of this study, pre-hospital palliative care in South Africa is needed and EMS providers can play a valuable role, however, many challenges such as a lack of education and EMS system and mindset barriers exist. Conclusion Challenges to pre-hospital palliative care may be overcome by development of guidelines, training, and a multi-disciplinary approach to pre-hospital palliative care.

The Potential Impact of Cardiopulmonary Cerebral Resuscitation (CPCR) Education

1985 ◽  
Vol 1 (S1) ◽  
pp. 70-74
Author(s):  
Peter Safar
Keyword(s):  
Life Support ◽  
Advanced Life Support ◽  
Heart Association ◽  
Pilot Project ◽  
World Federation ◽  
Ambulance Personnel ◽  
Knowledge And Skills ◽  
Training Systems ◽  
Resuscitation Training ◽  
Potential Impact

This is an introduction for a one-day CPCR course for intended instructors-coordinators. The course is a pilot project using a new manual. Its goal is to explore the feasibility of instructors using semi-self-training modes to acquire the necessary knowledge and skills for the organization of basic and advanced life support courses in CPR for all types of personnel, ranging from the lay public via ambulance personnel and nurses to physician generalists and physician specialists. The American Heart Association (AHA) CPR courses for instructors-to-be were originated in Pittsburgh in the early 1960s; this present course, sponsored by the World Federation of Societies of Anesthesiologists (WFSA) CPR Committee was given in 1981. The traditional 2 to 3 days CPR instructors' courses for physicians have spread knowledge and skills slowly. We believe that the dissemination and uniformity of resuscitation training could be enhanced by wider use of self-training systems, not only for doers but also instructors-to-be.

scholarly journals LO38: Does spaced instructional design result in improved retention of pediatric resuscitation skills? A randomized education study

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S20-S20
Author(s):  
C. Patocka ◽  
A. Cheng ◽  
M. Sibbald ◽  
J. Duff ◽  
A. Lai ◽  
...  
Keyword(s):  
Rating Scales ◽  
Life Support ◽  
Spacing Effect ◽  
Advanced Life Support ◽  
Course Completion ◽  
Skill Learning ◽  
Global Rating ◽  
Procedural Skills ◽  
Pediatric Resuscitation ◽  
Significant Difference

Introduction: Survival from cardiac arrest has been linked to the quality of resuscitation care. Unfortunately, healthcare providers frequently underperform in these critical scenarios, with a well-documented deterioration in skills weeks to months following advanced life support courses. Improving initial training and preventing decay in knowledge and skills are a priority in resuscitation education. The spacing effect has repeatedly been shown to have an impact on learning and retention. Despite its potential advantages, the spacing effect has seldom been applied to organized education training or complex motor skill learning where it has the potential to make a significant impact. The purpose of this study was to determine if a resuscitation course taught in a spaced format compared to the usual massed instruction results in improved retention of procedural skills. Methods: EMS providers (Paramedics and Emergency Medical Technicians (EMT)) were block randomized to receive a Pediatric Advanced Life Support (PALS) course in either a spaced format (four 210-minute weekly sessions) or a massed format (two sequential 7-hour days). Blinded observers used expert-developed 4-point global rating scales to assess video recordings of each learner performing various resuscitation skills before, after and 3-months following course completion. Primary outcomes were performance on infant bag-valve-mask ventilation (BVMV), intraosseous (IO) insertion, infant intubation, infant and adult chest compressions. Results: Forty-eight of 50 participants completed the study protocol (26 spaced and 22 massed). There was no significant difference between the two groups on testing before and immediately after the course. 3-months following course completion participants in the spaced cohort scored higher overall for BVMV (2.2 ± 0.13 versus 1.8 ± 0.14, p=0.012) without statistically significant difference in scores for IO insertion (3.0 ± 0.13 versus 2.7± 0.13, p= 0.052), intubation (2.7± 0.13 versus 2.5 ± 0.14, p=0.249), infant compressions (2.5± 0.28 versus 2.5± 0.31, p=0.831) and adult compressions (2.3± 0.24 versus 2.2± 0.26, p=0.728) Conclusion: Procedural skills taught in a spaced format result in at least as good learning as the traditional massed format; more complex skills taught in a spaced format may result in better long term retention when compared to traditional massed training as there was a clear difference in BVMV and trend toward a difference in IO insertion.

scholarly journals Part 14: Pediatric Advanced Life Support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

Circulation ◽  
2010 ◽  
Vol 122 (18_suppl_3) ◽  
pp. S876-S908 ◽  
Author(s):  
M. E. Kleinman ◽  
L. Chameides ◽  
S. M. Schexnayder ◽  
R. A. Samson ◽  
M. F. Hazinski ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
American Heart Association ◽  
Life Support ◽  
American Heart ◽  
Advanced Life Support ◽  
Heart Association ◽  
Cardiovascular Care

Does the pediatric advanced life support course improve knowledge of pediatric resuscitation?

2002 ◽  
Vol 18 (3) ◽  
pp. 168-170 ◽  
Author(s):  
YEHEZKEL WAISMAN ◽  
LISA AMIR ◽  
MARC MIMOUNI
Keyword(s):  
Life Support ◽  
Advanced Life Support ◽  
Pediatric Resuscitation
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