Resident pediatric specific cardiopulmonary resuscitation experience prior to entering a second year PICU rotation

Vinay Nadkarni, Edward Cullen, Stephen Lawless, John McCloskey, David Corddry

Research output: Contribution to journalArticle

Abstract

Introduction: Pediatric (PL2) and Emergency Medicine (EM2) residents usually rotate through PICUs during their second year of residency training. Knowledge of prior personal experience might help guide resuscitation intervention training in the PICU setting for basic and advanced life support. We report resident exposure to specific pediatric resuscitation interventions prior to their PICU rotation. Methods: 25 Post-graduate residents (n=10 PL2, n=15 EM2), were surveyed during their first day of PICU rotation over an 8 month period. Knowledge of the hospital code blue team activation number, personal experience delivering Chest Compressions (CC), Mechanical Ventilation (MV), or Mouth to Mouth or Barrier ventilation (MM) during infant or child CPR were self-reported. Analysis by Fisher Exact Test. Results: 72% of residents (90% PL2 vs 60% EM2, p=.179) had performed CC, 68% within the last 2 years. 80% (100% PL2 vs 50% EM2, p=.008) had performed MV, 64% within the last 2 years. 28% (30%PL2 vs 27% EM2, p>.05) had performed MM, 8% within the last 2 years. Only 28% (60% PL2 vs 7%EM2, p<.007) knew the correct phone number to activate a "code blue", although this is part of general hospital orientation. Conclusions: Post-graduate year 2 residents beginning a PICU rotation often have prior experience performing CC or MV during actual pediatric CPR, but have rarely provided MM ventilation. CC and MV were generally experienced within the last 2 years, with MM prior to starting the residency program. PL2 residents have more personal pediatric specific resuscitation intervention experience than EM2 residents at this time in their career. Specific reinforcement of resuscitation interventions that are rarely used (i.e. activation number for hospital code blue team and MM ventilation) may require extra emphasis and reinforcement early on in PICU resident rotations.

Original languageEnglish (US)
Pages (from-to)A102
JournalCritical care medicine
Volume27
Issue number1 SUPPL.
DOIs
StatePublished - 1999

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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