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Code Team Training: Demonstrating Adherence to AHA Guidelines During Pediatric Code Blue Activations.

Claire Stewart1, Jamie Shoemaker2, Rachel Keller-Smith2

  • 1From the Division of Critical Care, Nationwide Children's Hospital.

Pediatric Emergency Care
|October 18, 2017
PubMed
Summary

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This summary is machine-generated.

Training pediatric code teams using high-fidelity simulation improved adherence to some American Heart Association guidelines, but not all. Further research is needed to optimize pediatric resuscitation training and outcomes.

Area of Science:

  • Pediatric Emergency Medicine
  • Medical Simulation
  • Cardiopulmonary Resuscitation Training

Background:

  • Pediatric code blue events have high mortality.
  • Effective training is crucial for adherence to American Heart Association (AHA) Resuscitation Guidelines.
  • Skill decay necessitates ongoing training for pediatric resuscitation teams.

Purpose of the Study:

  • To train a multidisciplinary code team using simulation.
  • To assess team adherence to AHA guidelines during simulated pediatric resuscitations.

Main Methods:

  • High-fidelity, in situ simulation sessions were conducted regularly.
  • Sessions were filmed and reviewed for adherence to 5 AHA guidelines.
  • Code team structure and training methods were modified after the initial study period.

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Main Results:

  • 31 simulation sessions were analyzed.
  • Initially, only 1 session adhered to all AHA guidelines.
  • Post-intervention, no sessions met all guidelines, but ventilation and chest compression rates improved.

Conclusions:

  • A simulation-based training method for large, multidisciplinary code teams was developed.
  • While some performance aspects improved, consistent adherence to all AHA guidelines was not achieved.
  • Further refinement of pediatric resuscitation training is necessary.