Simba Study: Undergraduate module in simulation training and basic life support to improve undergraduate confidence in paediatrics

摘要

There are significant differences in resuscitation algorithms for children versus adults. We aimed to enhance confidence of our students in the assessment and management of sick children by developing a simple program with emphasis on Basic Airway management, CPR, and clinical assessment and treatment of children using the A/B/C/D/E system. \ud\udThe course consisted of three parts in small group sessions (10–15 students):\ud\udBLS, basic Airway and Cardiac arrest management, lasting (1.5 h); \ud\udDVD and serious illness scenarios on traditional mannequins (2h); \ud\udSerious illness scenarios in the Simulation baby laboratory (0.5 h).\ud\udAll participants were given a pre course hand out. The course was led by qualified APLS instructors and student confidence was evaluated by a pre and post course questionnaire. \ud\udPre course 18.8% of the students would not feel confident to approach a situation with a sick child outside the hospital versus 3.2 % after the course. Three times more Students felt confident manageing a child outside the hospital. Confidence in assessing and managing common paediatric problems in hospital, increased by 22 %, with the greatest increase regarding children with respiratory and cardiac problems. \ud\ud75% liked the mixture of lectures and practical sessions. Overall more than 80% felt they benefitted from all different parts of the course. Confidence to approach, assess and manage a sick child increased by an average of 18.5%. \ud\udMedical students found the interactive resuscitation training useful. Formalized simulation and resuscitation training improved medical student confidence and equipped them for in and out-of -hospital paediatric management.