• Pediatric emergency care · Apr 2017

    Development and Assessment of an Advanced Pediatric Airway Management Curriculum With Integrated Intubation Videos.

    • Joshua Nagler, Alisa Nagler, and Richard G Bachur.
    • From the *Division of Emergency Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA; and †Office of Graduate Medical Education, Duke University Hospital, Durham, NC.
    • Pediatr Emerg Care. 2017 Apr 1; 33 (4): 239-244.

    ObjectivesOpportunities to learn advanced airway management skills on pediatric patients in the emergency department are limited. Current strategies have focused largely on traditional didactics coupled with procedural skills training using simulation. However, these approaches are limited in their exposure to anatomic variation and realism. Here, we describe the development and assessment of an advanced airway curriculum that integrates videolaryngoscopic recordings obtained during actual patient intubations into a series of interactive educational sessions.MethodsTrainees and attending physicians were surveyed anonymously to assess the impact of participation in the curriculum. A mixed methods approach to statistical analysis was used. Rating questions were used to evaluate the relative impact of this approach over other traditional strategies and recurrent themes within open-ended questions were identified.ResultsParticipants reported this to be a highly effective means of learning about pediatric laryngoscopy and endotracheal intubation and regarded it more highly than other traditional educational approaches. Identified benefits included repetitive exposure, approaches to laryngoscopy, the realism of teaching using real and varied anatomy, and the opportunities to identify and troubleshoot difficulty in a learning environment.ConclusionsAn advanced pediatric airway curriculum that integrates intubation videos obtained during videolaryngoscopy was highly regarded by pediatric emergency medicine providers. Content emphasis can be shifted to meet the needs of pediatric emergency medicine providers with all levels of skill and experience.

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