Implementation and evaluation of a shock curriculum using simulation in Manila, Philippines: a prospective cohort study

• DOI: 10.1186/s12909-022-03669-0
• Publication Date: 2022-08-05T10:07:22Z
• Authors: Sarah E. Gardner ...; Lorelie Cañete Ramos; Carolyn J. Reuland; Paula Pilar G. Ev...; Nicole A. Shilkofski
• Keywords: Interquartile range; Educational measurement

Abstract Background Shock causes significant morbidity and mortality in children living resource-limited settings. Simulation has been successfully used as an educational tool for medical professionals internationally. We sought to improve comfort knowledge regarding shock recognition fluid management by implementing a pediatric curriculum using simulation assessment trainees Manila, Philippines. Methods assessed focused on patients with malnutrition prospective cohort study, written test videotaped simulation-based objective standardized clinical examination. Implementation occurred March 2020 24 Filipino residents at single institution Manila. Outcomes included time initiation of resuscitation, improvement confidence, assessment, performance simulation. Results were compared pre- post-intervention Wilcoxon signed-rank test. The fluids did not change between the baseline (median [interquartile range] = 71.5 seconds [52–116.5]) final (68 [52.5–89]; P 0.42). Confidence identifying malnutrition, managing hypovolemic shock, septic placing intraosseous access all increased ( < 0.01) post-intervention. Written scores showed no improvement, but simulation, measured checklist, improved from total score 10 [8.5–11] 15 [13-16] 0.01). Conclusion In our study education program, we confidence resuscitation checklist. It is feasible establish successful program low-resource setting.