Multidisciplinary pediatric trauma team training using high-fidelity trauma simulation

J Pediatr Surg. 2008 Jun;43(6):1065-71. doi: 10.1016/j.jpedsurg.2008.02.033.


Background: Trauma resuscitations require a high level of team performance. This study evaluated the impact of a comprehensive effort to improve trauma care through multidisciplinary education and the use of simulation training to reinforce training and evaluate performance.

Methods: For a 1-year period, expanded trauma education including monthly trauma simulation sessions using high-fidelity simulators was implemented. All members of the multidisciplinary trauma resuscitation team participated in education, including simulations. Each simulation session included 2 trauma scenarios that were videotaped for debriefing as well as subsequent analysis of team performance. Scored simulations were divided into early (initial 4 months) and late (final 4 months) for comparison.

Results: For the first year of the program, 160 members of our multidisciplinary team participated in the simulation. In the early group, the mean percentage of appropriately completed tasks was 65%, whereas in the late group, this increased to 75% (P < .05). Improvements were also observed in initial assessment, airway management, management of pelvic fractures, and cervical spine care.

Conclusions: Training of a multidisciplinary team in the care of pediatric trauma patients can be enhanced and evaluated through the use of high-fidelity simulation. Improvements in team performance using innovative technology can translate into more efficient care with fewer errors.

MeSH terms

  • Acrylic Resins
  • Child
  • Clinical Competence*
  • Humans
  • Injury Severity Score
  • Interdisciplinary Communication
  • Patient Care Team / organization & administration*
  • Patient Simulation
  • Pediatrics / education*
  • Resuscitation / education
  • Total Quality Management
  • Traumatology / education*
  • Wounds and Injuries / diagnosis*
  • Wounds and Injuries / therapy*


  • Acrylic Resins
  • Triad resin