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Simulator Training for Endovascular Neurosurgery

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Simulation-Based Training in Intraosseous Access: Improving Procedural Skills in Pediatric Residents.

Reem S Saadoon¹, Ramya J Sivasubramanian², Christina Kim³

¹University of Illinois Chicago, Peoria, IL, USA.

Sage Open Pediatrics

|December 30, 2025

Summary

Simulation training significantly improved pediatric residents' intraosseous (IO) access skills and knowledge. This approach enhances procedural competency for critical pediatric resuscitation when intravenous access is difficult.

Keywords:

intraosseous access pediatrics residents simulation simulation center organization skill acquisition

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Area of Science:

Pediatric Emergency Medicine
Medical Simulation
Procedural Training

Background:

Intraosseous (IO) access is a critical emergency procedure for pediatric resuscitation when traditional intravenous (IV) access is not feasible.
Effective IO access requires specialized knowledge and hands-on skills, which can be challenging to acquire and maintain during residency training.

Purpose of the Study:

To develop and evaluate a simulation-based procedural training curriculum for pediatric residents.
The curriculum aimed to enhance both knowledge and practical skills related to intraosseous access.

Main Methods:

A curriculum combining an online didactic module with a hands-on simulation session using IO drills was implemented.
Pediatric residents from various training years participated.
Knowledge and skills were assessed at baseline and approximately 4.8 months post-intervention.

Main Results:

A significant improvement in IO access skills was observed, with median scores increasing from 0 to 5 (P < .001).
Knowledge scores also showed a significant increase, rising from a median of 19 to 25 (P < .001).
72% of the 68 participants completed both baseline and post-intervention assessments.

Conclusions:

Simulation-based training is effective in improving pediatric residents' intraosseous access knowledge and skills.
Integrating such curricula into residency programs can enhance procedural competency and promote skill retention.
Further investigation is warranted to evaluate the transfer of these learned skills into actual clinical practice.