Advanced Simulation Day in the Pediatric ER

Ziv's pediatric emergency team initiated an advanced simulation day together with MSR on Wheels, a project of the Israel Center for Medical Simulation.

The medical and nursing teams used an advanced simulator to perform two lifesaving exercises on digital resuscitation dolls. The entire scenario was photographed by closed circuit video and later analyzed.
Dr. Danna Krupik, director of the Pediatric Emergency Medicine Department at Ziv Medical Center, said that the day of practice had been very successful: "Practice in medicine and especially in the field of emergency medicine is very important, particularly in situations of resuscitation. The staff members all agree that this advanced practice will help them in real time. It is critical in the field of emergency medicine to practice functioning as a team in times of stress and emergency. The Pediatric Emergency simulator team is presently writing an annual simulation program using the advanced equipment, and in the future the practice will be extended to include other departments with whom we cooperate in life-threatening emergencies.”

MSR on Wheels is a mobile unit of the lsrael Center for Medical Simulation, established in 2013 to offer medical teams simulation-based training for situations they will encounter on-site. Advanced simulation is today one of the leading tools for learning and preparedness for emergencies, perfecting skills and aiding in detecting patient deterioration, CPR management, aiding teamwork and more. The resuscitation dolls simulating children are equipped with simulators that enable programming of the desired training activities and are connected to the monitors in the Emergency Department which provide information of the vital signs programmed into the simulator, including: pulse rate, blood pressure, blood oxygen saturation, body temperature and more. It is possible to practice intubation (inserting a tube to open the air passage), defibrillation up to 360 kilowatts (CPR), opening a vein for intravenous feeding, checking heart and lungs with a stethoscope, respiration and cardiac massage. Many studies have shown the positive results of this practice on the quality and safety of emergency care in real life situations.