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A Remotely Supported Pediatric Simulation-Based Procedural Training Curriculum for EMS Clinicians: Partnering PECCs
Sang Hoon Lee1, Lauren C Riney1, Brant Merkt2
1Department of Pediatrics, College of Medicine, University of Cincinnati School of Medicine, Cincinnati, Ohio.
Prehospital Emergency Care
|January 21, 2026
Summary
A new remote training program for emergency medical services (EMS) clinicians proved non-inferior to traditional on-site methods for pediatric procedural skills. This approach enhances pediatric emergency care education accessibility for EMS providers.
Area of Science:
- Medical Education
- Emergency Medical Services
- Pediatric Critical Care
Background:
- Emergency medical services (EMS) clinicians infrequently perform critical pediatric procedures, requiring ongoing training for skill maintenance.
- Traditional simulation-based training (SBT) relies on on-site experts, posing challenges in accessibility and resource allocation.
- Pediatric Emergency Care Coordinators (PECCs) are key to delivering specialized training within EMS agencies.
Purpose of the Study:
- To evaluate the non-inferiority of a remotely-supported SBT program (Remote Phase 2) compared to an on-site expert-led program (On-Site Phase 1).
- To assess the effectiveness of PECCs delivering pediatric procedural training with remote expert support.
- To analyze procedural performance in bag-valve-mask (BVM) ventilation, supraglottic device (SGD) placement, and intraosseous (IO) catheterization.
Main Methods:
- A non-randomized, prospective study involving EMS technicians and paramedics from three agencies.
- PECCs delivered the SBT curriculum, incorporating it into regular training schedules over one year.
- Participants' first-person videos were submitted for remote expert assessment across two sessions; data analyzed longitudinally.
Main Results:
- The remotely-supported program (Remote Phase 2) was non-inferior to the on-site program (On-Site Phase 1) for all assessed procedures (p=1.0).
- Procedural performance in Remote Phase 2 Session 1 was comparable to On-Site Phase 1; BVM and SGD performance improved by Session 2 (p<0.05).
- Qualitative feedback indicated scheduling challenges for PECCs due to competing tasks.
Conclusions:
- A remotely-supported simulation-based training model is a viable alternative for pediatric procedural education in EMS.
- This approach demonstrates potential to overcome barriers related to time, cost, and accessibility in prehospital pediatric education.
- PECCs can effectively deliver recurring, evidence-based pediatric training with remote expert support, maintaining high skill levels.
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