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Inspire levy shayan2010
1. Development and validation of a generalizable tool
to assess pediatric resuscitations
Yasaman Shayan and Arielle Levy
Pediatric Emergency Department
Sainte-Justine Hospital, Montreal, Canada
2. Background
âą Resuscitation of a pediatric patient presents many challenges
âą Competency in pediatric resuscitation skills gained by:
â« Formal training (PALS) ï Rapid decline in skills
â« Experience ï Rarity of pediatric cardiopulmonary arrest
âą These points highlight the importance of simulation as an
essential teaching tool
â« Essential to have a valid and reliable assessment tool
3. Objectives
âą To develop a short, objective, easy to use and
generalizable scoring tool to assess trainees
during simulated pediatric resuscitations
â« To determine its validity
â« To analyse its inter-rater reliability
4. Tool development
Content Validity
Identification
Review of
AHA 2010 of specific
scoring items
objective
PALS elements for
by subject-
curriculum matter
each domain
experts
(C-A-B)
5. Tool validation
âą Convenience sample of residents rotating through ped ED
First week During the rotation Last week
5 video-taped 12-16 ER shifts 5 video-taped
simulated + simulated
resuscitation Simulation- resuscitation
scenarios based courses scenarios
- Asystole/PEA
Scored - Arrhythmias Scored
- Status epilepticus/ asthmaticus
- Shock
6. Discussion
âą What does the âperfect toolâ look like to you?
â« Checklist vs. Global Rating Scale
â« Length
âą Should we include crisis resource management
skills (communication, leadership) in our tool?
â« If so, how much weight should be allotted to CRM skills?
âą Should we assess construct validity based on
pre/post-rotation scores or pre/post-PALS course?