Original Publication
Open Access

Pediatric Emergency Medicine Simulation Curriculum: Ventricular Fibrillation

Published: August 22, 2014 | 10.15766/mep_2374-8265.9888

Included in this publication:

  • Pediatric Emergency Medicine Curriculum-Ventricular Fibrillation.pdf

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Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.

Abstract

Introduction: Anesthesia residents and other professionals are far removed from their experiences in gross anatomy dissection. To address this, efforts were made to create videos that would remind residents of the important gross anatomy underlying the procedures that they were performing. This resource includes a set of four videos for teaching upper extremity peripheral nerve block anatomy and technique to anesthesia residents. Methods: One week before the nerve block lecture, residents were assigned the four videos to review in order to get a sense of the procedure. Each video begins with a cadaver dissection of the gross anatomy pertinent to the nerve block being taught, then the physical landmarks are demonstrated on a standardized patient, and finally, ultrasound images and techniques for guiding the injection are displayed. At the beginning of the lecture parts of the videos were reviewed and questions were addressed. More detailed instruction and technique was then given, including medication and instrument specifics. The residents were then given permanent access to the videos. Results: When first implemented in 2012, an initial paper survey and quiz was administered to 20 residents. The most preferred feature was the ultrasound demonstration with the patient and cadaver. Before watching the videos a mean previous knowledge score among all residents was 5/10 with a SD of 1.8. After watching the videos the mean knowledge assessment score was 8.2/10 with a SD of 1.2. In early 2014 a survey was administered to 22 second-year medical students to assess the videos as a tool for clinical correlation. Qualitative feedback, while overall positive in nature, suggested greater power over varying speeds, more illustration, and cosmetic changes. The survey also showed an increase in the mean knowledge assessment score from 65% to 87.9% before and after viewing the videos. Discussion: While there are videos on performing peripheral nerve blocks, these videos include gross anatomy. Having gross anatomy, surface landmarks, and ultrasound in the same instruction helps to make important connections and we have yet to find a set of videos available that meets this same objective. In addition, this format allows students to progress at their own pace and convenience, while minimizing needless repetition from instructors.


Educational Objectives

By the end of this session, learners will be able to:

  1. Discuss upper extremity nerve blocks and the underlying anatomical structure to form a foundation for hands-on learning.
  2. Recognize connections between superficial landmarks, anatomical structure, and ultrasound to allow them to successfully perform a safe nerve block.
  3. Recognize dangers of these procedures and be able to avoid them.

Author Information

  • Jennifer Reid, MD: Seattle Children's Hospital
  • Kimberly Stone, MD: Seattle Children's Hospital

Disclosures
None to report.

Funding/Support
None to report.



Citation

Reid J, Stone K. Pediatric Emergency Medicine Simulation Curriculum: ventricular fibrillation. MedEdPORTAL. 2014;10:9888. https://doi.org/10.15766/mep_2374-8265.9888

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