Difficult Delivery and Neonatal Resuscitation: A Novel Simulation for Emergency Medicine Residents

Introduction: Newborn delivery and resuscitation are rare, but essential, emergency medicine (EM) skills. We evaluated the effect of simulation on EM residents ’ knowledge, confidence, and clinical skills in managing shoulder dystocia and neonatal resuscitation.Methods:We developed a novel simulation that integrates a shoulder dystocia with neonatal resuscitation and studied a convenience sample of EM residents. Each 15-minute simulation was run with one learner, a simulated nurse, and a standardized patient in situ in the emergency department. The learner was required to reduce a shoulder dystocia and then perform neonatal resuscitation. We debriefed with plus/delta format, standardized teaching points, and individualized feedback. We assessed knowledge with a nine-question multiple choice test, confidence with five-point Likert scales, and clinical performance using a checklist of critical actions. Residents repeated all measures one...
Source: Western Journal of Emergency Medicine - Category: Emergency Medicine Source Type: research