EAST multicenter trial of simulation-based team training for pediatric trauma: Resuscitation task completion is highly variable during simulated traumatic brain injury resuscitation

Aaron R Jensen; Francesca Bullaro; Richard A Falcone; Margot Daugherty; L Caulette Young; Cory McLaughlin; Caron Park; Christianne Lane; Jose M Prince; Daniel J Scherzer; Tensing Maa; Julie Dunn; Laura Wining; Joseph Hess; Mary C Santos; James O'Neill; Eric Katz; Karen O'Bosky; Timothy Young; Emily Christison-Lagay; Omar Ahmed; Randall S Burd; Marc Auerbach

doi:10.1016/j.amjsurg.2019.07.037

EAST multicenter trial of simulation-based team training for pediatric trauma: Resuscitation task completion is highly variable during simulated traumatic brain injury resuscitation

Am J Surg. 2020 Jun;219(6):1057-1064. doi: 10.1016/j.amjsurg.2019.07.037. Epub 2019 Aug 5.

Authors

Aaron R Jensen¹, Francesca Bullaro², Richard A Falcone³, Margot Daugherty⁴, L Caulette Young⁵, Cory McLaughlin⁶, Caron Park⁷, Christianne Lane⁸, Jose M Prince⁹, Daniel J Scherzer¹⁰, Tensing Maa¹¹, Julie Dunn¹², Laura Wining¹³, Joseph Hess¹⁴, Mary C Santos¹⁵, James O'Neill¹⁶, Eric Katz¹⁷, Karen O'Bosky¹⁸, Timothy Young¹⁹, Emily Christison-Lagay²⁰, Omar Ahmed²¹, Randall S Burd²², Marc Auerbach²³

Affiliations

¹ UCSF Benioff Children's Hospital Oakland, Oakland, CA, USA. Electronic address: aaron.jensen@ucsf.edu.
² Cohen Children's Medical Center of Northwell Health, New Hyde Park, NY, USA. Electronic address: fbullaro@northwell.edu.
³ Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. Electronic address: richard.falcone@cchmc.org.
⁴ Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. Electronic address: margot.daugherty@cchmc.org.
⁵ Children's Hospital Los Angeles, Los Angeles, CA, USA. Electronic address: lyoung@chla.usc.edu.
⁶ Children's Hospital Los Angeles, Los Angeles, CA, USA. Electronic address: cory.mclaughlin@bswhealth.org.
⁷ Southern California Clinical and Translational Science Institute, University of Southern California, Los Angeles, CA, USA. Electronic address: caronpar@usc.edu.
⁸ Southern California Clinical and Translational Science Institute, University of Southern California, Los Angeles, CA, USA. Electronic address: christianne.lane@med.usc.edu.
⁹ Cohen Children's Medical Center of Northwell Health, New Hyde Park, NY, USA. Electronic address: jprince@northwell.edu.
¹⁰ Nationwide Children's Hospital, Columbus, OH, USA. Electronic address: daniel.scherzer@nationwidechildrens.org.
¹¹ Nationwide Children's Hospital, Columbus, OH, USA. Electronic address: Tensing.Maa@nationwidechildrens.org.
¹² University of Colorado Health-Medical Center of the Rockies, Loveland, CO, USA. Electronic address: julie.dunn@uchealth.org.
¹³ University of Colorado Health-Medical Center of the Rockies, Loveland, CO, USA. Electronic address: laura.wining@uchealth.org.
¹⁴ Penn State Children's Hospital, Hershey, PA, USA. Electronic address: jhess1@pennstatehealth.psu.edu.
¹⁵ Penn State Children's Hospital, Hershey, PA, USA. Electronic address: msantos2@pennstatehealth.psu.edu.
¹⁶ Wake Forest Baptist Health, Winston-Salem, NC, USA. Electronic address: joneill@wakehealth.edu.
¹⁷ Wake Forest Baptist Health, Winston-Salem, NC, USA. Electronic address: ekatz@wakehealth.edu.
¹⁸ Loma Linda University Medical Center and Children's Hospital, Loma Linda, CA, USA. Electronic address: kobosky@llu.edu.
¹⁹ Loma Linda University Medical Center and Children's Hospital, Loma Linda, CA, USA. Electronic address: tpyoung@llu.edu.
²⁰ Yale Children's Hospital, New Haven, CT, USA. Electronic address: emily.christison-lagay@yale.edu.
²¹ Children's National Medical Center, Washington, DC, USA. Electronic address: oahmed3@childrensnational.org.
²² Children's National Medical Center, Washington, DC, USA. Electronic address: rburd@childrensnational.org.
²³ Yale Children's Hospital, New Haven, CT, USA. Electronic address: marc.auerbach@yale.edu.

Abstract

Background: Best practices for benchmarking the efficacy of simulation-based training programs are not well defined. This study sought to assess feasibility of standardized data collection with multicenter implementation of simulation-based training, and to characterize variability in pediatric trauma resuscitation task completion associated with program characteristics.

Methods: A prospective multicenter observational cohort of resuscitation teams (N = 30) was used to measure task completion and teamwork during simulated resuscitation of a child with traumatic brain injury. A survey was used to measure center-specific trauma volume and simulation-based training program characteristics among participating centers.

Results: No task was consistently performed across all centers. Teamwork skills were associated with faster time to computed tomography notification (r = -0.51, p < 0.01). Notification of the operating room by the resuscitation team occurred more frequently in in situ simulation than in laboratory-based simulation (13/22 versus 0/8, p < 0.01).

Conclusions: Multicenter implementation of a standardized pediatric trauma resuscitation simulation scenario is feasible. Standardized data collection showed wide variability in simulated resuscitation task completion.

Publication types

Multicenter Study
Observational Study
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

MeSH terms

Brain Injuries, Traumatic / therapy*
Clinical Competence / standards*
Feasibility Studies
Humans
Prospective Studies
Resuscitation / education*
Simulation Training*

Abstract

Publication types

MeSH terms

Grants and funding