Computer-based simulation Pediatric disaster Triage Training for Emergency Medica

摘要 孩子们不是小大人。没有什么比事后的理解更重要的了 灾难事件发生时，医疗保健提供者紧张的资源必须定向到哪里 他们可以用最少的时间做最好的事情。不幸的是，前线应急者很少 接受过儿科灾难分诊原则和实践方面的培训，经常不理解 在采取果断行动时必须考虑的特殊儿科需求和考虑 并在压力大的情况下迅速采取行动，这种情况往往是混乱的，而且总是繁重的。 耶鲁大学医学院(YSM)的研究人员开发了一种现场模拟 关于儿科灾难分类的培训议定书已被证明是有效的，但也 相对昂贵，资源密集，因此难以广泛传播。耶鲁大学 纽黑文医疗保健解决方案健康系统中心(YNHHS-CHS)已经采取了这一行动 挑战，建议将YNHHS-CHS的专业知识用于在线培训解决方案和网络 开发以创建和实施基于计算机的模拟，该模拟将建立在现场 模拟模型并将研究带入一种新的媒介，该媒介将更具成本效益和 能够更广泛地参与和教育更多的紧急医疗服务 提供商(EMSP)。拥有设计和培训技能的YNHHS-CHS专家将使用 YSM儿科急救医学专家Mark Cicero的专业知识，他开发了 现场模拟训练，Marc Auerbach，MD，以及YNHHS-CHS网络 联系应急管理人员，让EMSP参与此学习过程。这台电脑- 将向新英格兰南部的600名EMSP提供基于模拟的培训 (康涅狄格州、罗德岛州和马萨诸塞州)，并对未来更广泛的传播进行了评估。 将进行基于情景和决策树驱动的多项保留评价： 在线培训结束后，每隔三个月和六个月进行一次培训 确定培训在传递信息和培养应用能力方面的价值 在模拟的场景中。10%的随机抽样参与者也将进行现场直播 模拟留存评估，以进一步评估和展示培训的有用性。 该项目的目标是达到80%的学习者进行儿科治疗的成功率 灾难分类，准确率为&gt；/=90%。

ABSTRACT Children are not small adults. Nowhere is this understanding more critical than in the aftermath of a disaster event, when the strained resources of healthcare providers must be directed where they can do the most good in the least time. Frontline responders are unfortunately rarely trained in the principles and practice of pediatric disaster triage and often do not understand the special pediatric needs and considerations they must take into account when acting decisively and quickly to direct actions in a stressful situation that is often chaotic and always taxing. Researchers at Yale University School of Medicine (YSM) have developed a live simulation training protocol on pediatric disaster triage that has been shown to be effective but also relatively expensive, resource-intensive and therefore difficult to disseminate widely. The Yale New Haven Health System Center for Healthcare Solutions (YNHHS-CHS) has taken up this challenge, proposing to use YNHHS-CHS expertise with online training solutions and web development to create and implement a computer-based simulation that will build on the live simulation model and carry the research into a new medium that will be more cost-effective and able to more broadly engage and educate greater numbers of emergency medical service providers (EMSPs). YNHHS-CHS specialists with design and training skills will use the expertise of YSM pediatric emergency medicine specialists Mark Cicero, MD, who developed the live simulation training, and Marc Auerbach, MD, and the YNHHS-CHS network of emergency management contacts to engage EMSPs in this learning process. The computer- based simulation training will be delivered to 600 EMSPs in southern New England (Connecticut, Rhode Island and Massachusetts) and evaluated for future broader dissemination. Multiple retention evaluations, scenario-based and decision-tree driven, will be conducted: immediately at the end of the online training and at three- and six-month intervals post-training to determine the value of the training in delivering information and fostering the ability to apply it in simulated scenarios. A 10% random sampling of participants will also take an in-person live simulation retention evaluation to further assess and demonstrate the usefulness of the training. The project objective is to achieve a success rate of >80% of learners performing pediatric disaster triage with accuracy that is >/=90%.