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Tiny Tots and Trauma Training

Tiny Tots and Trauma Training. Ella Scott CNC GESCHN Sydney Children's Hospital Alicia Jackson CNC Royal North Shore Hospital. Preventable mortality. Inappropriate care in children occurs frequently Education may be the most effective method of reducing preventable trauma deaths.

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Tiny Tots and Trauma Training

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  1. Tiny Tots and Trauma Training Ella Scott CNC GESCHN Sydney Children's Hospital Alicia Jackson CNC Royal North Shore Hospital

  2. Preventable mortality • Inappropriate care in children occurs frequently • Education may be the most effective method of reducing preventable trauma deaths. • Esposito, T et al 1999

  3. Childhood injury • Survival is dependent on resuscitation and access to emergency surgery

  4. Frequent errors • Inadequate airway control • Failure to recognise and manage chest trauma • Inadequate venous access • Inadequate volume replacement • Delays of definitive diagnosis and treatment

  5. Current courses • TNCC • ENPC • ATLS (EMST) • APLS

  6. Pitfalls • Long waiting lists • Cost • Tyranny of distance • Lack the team approach • Little time spent on human factors • Minimal time allocated to Paediatric specifics eg skills stations

  7. Objectives • Address the specific characteristics of managing injured children • Practical skills • Specifics of burns management • Communication and team work

  8. Who attends ? • Registered Nurses • Ambulance officers • Paramedics • Residents • Registrars • Consultants

  9. Trauma Training For Tiny Tots • Commenced February 2003 • Total of 100 participants • City and rural remote areas • Multidisciplinary team approach • Human Factors

  10. Faculty

  11. Health care outcomes It is likely that health care outcomes for infants and children are better when providers are exposed to a large volume of experience within their area of practice. Athey J et al Paediatric Emergency Care 17(3) 2001 170-174

  12. Participant Feedback • Method • Response • Conclusion

  13. Skills In The Resus Situation used Since Completing the Course. 29 29 Participants 12

  14. Improved confidence Levels 24 Participants 12 4 0

  15. Most Useful Aspects of the Course 24 16 Participants 13 11 10 9 9 7 7 Note: Scenarios and Skills are most useful part of the course with lecture content rating high

  16. Objectives of Lectures covering relevant background 23 Participants 17 0 0 0

  17. Was the Course Useful to You ? 25 15 Participants 0 0 0

  18. The Future • Sim scenarios • Competencies • More courses! • Accessibility • Participant evaluation

  19. Summary • Prevention remains a key issue • Tiny Tots has improved confidence levels • Highly relevant to clinical practice • Sim scenarios are considered most useful.

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