Simulating pediatric emergency situations can be challenging. We do it in a way that makes sense, taking the provider through the cycle of infant to youth growth and engaging the learner in a way that allows us to achieve our objectives. In some cases, we start the scenario with the birthing simulator. The crew responds to a 28-year-old female, about to give birth. Upon arrival, the team finds the female in distress and the baby’s arrival imminent. The crew is expected to help finish the delivery of the baby, and intervene as needed for their second patient, the mother. With a scenario this difficult, how does the crew respond? Do they look for additional resources? Which patient do they treat first, the unresponsive mom with a low blood pressure or the baby, who’s not breathing. Center for MEDICS can simulate this environment so the providers will know what to do based on the findings. Not only do providers develop competency in this situation, they also become confident in their ability to interact and use critical thinking skills to make a difference in the lives of these patients.
In our simulation, one crew member treats the mom while the other member turns to our Sim NewB. Developed in partnership with the American Academy of Pediatrics, this neonatal simulator integrates technology with physiological response. The Sim NewB accurately represents a full-term neonate measuring 21 inches and weighing 7 pounds. Many patient conditions can be simulated, including a limp presentation, strong muscle tone, seizure activity and cyanosis.
Center for MEDICS also employs SimBaby, an infant trainer that allows providers to practice the high acuity, low occurrence patient care techniques that would be necessary to treat an 8-month-old with no risk. Using pre-planned pediatric scenarios created by experts in the field or creating a case of our own allows the provider to see real time changes in vital signs and presentation as a result of the course of treatment decisions.
Rounding out our pediatric simulation family, SimJunior allows providers to make tough decisions regarding the appropriate care of an average size 8-year-old while allowing for a variety of skills to be performed. Pre-hospital providers do not see sick children as often as they see sick adults. Continual re-education and practice with simulation is the only way to maintain competency and stay sharp on the quick critical decisions that need to be made for the sick pediatric patients.
The Pediatric Simulation family allows our simulation specialists to work with our field providers, our paramedic students, and other agency and fire department partners to increase competency and confidence, allowing for a smoother call and better response to the family of the pediatric patient.