Coronavirus-19 Multisystem Inflammatory Syndrome in Children (MIS-C): A Pediatric Simulation Case for Residents,...

Area of Science:

• Pediatric Emergency Medicine
• Infectious Diseases
• Medical Simulation

Background:

• Multisystem inflammatory syndrome in children (MIS-C) is a rare but severe hyperinflammatory condition associated with SARS-CoV-2.
• Early recognition and management are critical for pediatric patients presenting with MIS-C, often requiring intensive care and resuscitation.

Purpose of the Study:

• To evaluate the effectiveness of a high-fidelity simulation case in training healthcare providers to recognize and manage MIS-C.
• To enhance provider confidence and competence in managing MIS-C and its associated sequelae.

Main Methods:

• A real-patient-based, high-fidelity simulation scenario was developed for pediatric emergency medicine fellows, residents, and advanced practice providers.
• The simulation involved recognizing MIS-C and managing shock and arrhythmia using resuscitation principles.
• A 25-minute simulation was followed by a 15-20 minute debriefing and written evaluation.

Main Results:

• Twenty-five healthcare providers participated in the simulation over three months.
• All 20 participants who completed the evaluation reported increased confidence, comfort, and knowledge in managing MIS-C.
• Participants rated their increased knowledge and comfort with an average score of 5 out of 5.

Conclusions:

• High-fidelity simulation provides an effective platform for healthcare providers to gain confidence and proficiency in managing MIS-C.
• This training approach can improve the readiness of pediatric care teams to address this critical condition.