A5024637463- Simulation-Based Education in Healthcare
- Cardiac, Anesthesia and Surgical Outcomes
- Airway Management and Intubation Techniques
- Clinical Reasoning and Diagnostic Skills
- Patient Safety and Medication Errors
- Foreign Body Medical Cases
- Innovations in Medical Education
- Anesthesia and Pain Management
- Anesthesia and Neurotoxicity Research
- Anesthesia and Sedative Agents
- Surgical Simulation and Training
- Restraint-Related Deaths
- Nausea and vomiting management
- Cardiac Arrest and Resuscitation
- Esophageal and GI Pathology
- Family and Patient Care in Intensive Care Units
- Appendicitis Diagnosis and Management
- Neurosurgical Procedures and Complications
- Big Data and Business Intelligence
- Body Contouring and Surgery
- Intensive Care Unit Cognitive Disorders
- Electrolyte and hormonal disorders
- Q Methodology Applications
- Medical Malpractice and Liability Issues
- Abdominal Trauma and Injuries
Hospital for Sick Children
2014-2024
University of Toronto
2013-2024
SickKids Foundation
2013-2024
Pain and Rehabilitation Medicine
2022
Great Ormond Street Hospital
2019
Western Health
2019
Alberta Children's Hospital
2019
University College London
2019
University of Ottawa
2013-2017
Great Western Hospital
2014
Summary A key factor that may contribute to communication failures is status asymmetry between team members. We examined the effect of a consultant anaesthetist's interpersonal behaviour on trainees’ ability effectively challenge clearly incorrect clinical decisions. Thirty‐four trainees were recruited participate in video‐recorded scenario an airway crisis. They randomised group which confederate was scripted recreate either strict/exclusive or open/inclusive dynamic. The allowed four...
Although the incidence of major adverse events in surgical daycare centres is low, these critical may not be managed optimally due to absence resources that exist larger hospitals. We aimed study impact operating theatre event checklists on medical management and teamwork during whole-team crisis simulations staged a facility. studied 56 simulation encounters (without with checklist available) divided between an initial session then retention several months later. Medical were quantified via...
Summary Introduction The use of simulation‐based assessments for high‐stakes physician examinations remains controversial. Managing Emergencies in Paediatric Anaesthesia course uses simulation to teach evidence‐based management anesthesia crises trainee anesthetists the United Kingdom ( UK ) and Canada. In this study, we investigated feasibility reliability custom‐designed scenario‐specific performance checklists a global rating scale GRS assessing readiness independent practice. Methods...
The authors' objectives were to design, refine, validate and implement a behavior-anchored postburn pruritus scale for children aged 5 years or less. We engaged range of professionals involved in the care with burns. used Q-methodology interprofessional team exercises identify stratify itch behaviors into categories increasing severity, then iteratively refined these draft scale. quantitative qualitative techniques assess utility, feasibility, validity it accordingly. During implementation...
<h3>Objectives</h3> The practice of regional anesthesia techniques (thoracic, epidural, paravertebral) in pediatric cardiac surgery enhances perioperative outcomes such as improved analgesia, decreased stress response, early extubation, and shortened hospital stay. However, these blocks can be technically challenging associated with unacceptable failure rate complications infants. For reasons, is sometimes avoided surgery. We describe the simple effective serratus plane block for thoracotomy...
Problem Implementation of competency-based medical education has necessitated more frequent trainee assessments. Use simulation as an assessment tool is limited by access to trained examiners, cost, and concerns with interrater reliability. Developing automated for pass/fail trainees in could improve accessibility quality assurance This study aimed develop model using deep learning techniques assess performance anesthesiology a simulated critical event. Approach The authors retrospectively...
Objective Evaluate implementation of an institutional protocol to reduce the time removal esophageal button battery (BB) and increase use mitigation strategies. Methods We developed a for BB management [Zakai's Protocol (ZP)]. All cases impaction managed at tertiary care center before after from 2011 2023 were reviewed. Time removal, adherence critical steps, strategies (honey/sucralfate, acetic acid) evaluated. Results Fifty‐one patients (38 pre‐ZP, 13 post‐ZP) included. Median age was 2.3...
Despite the well-known benefits of spinal anesthesia (SA), this technique remains underutilized among pediatric anesthesiologists. According to data from Pediatric Regional Anesthesia Network, SA accounted for less than 5% all neuraxial techniques. Some factors underutilization include: Limited duration, unfamiliarity with in younger children, and surgeon preference general anesthesia. The safe successful use children involves recognition anatomical physiological differences between adults...
Introduction Crises in the operating theatre during a paediatric case are rare with incidence of anesthesia-related cardiac arrest non-cardiac patients being 1.4/10,000. In order to address this, Society for Pediatric Anesthesia (SPA) developed cognitive aids (CAs) form Critical Event Checklists (SPA CECs). Several studies have demonstrated benefit CAs improving performance critical tasks. Despite presence CAs, individuals often do not use consistently. The objective our study was...
Introduction/Background The Managing Emergencies in Paediatric Anaesthesia (MEPA) course was conceived the UK 2006.1 Initially, a collaboration comprising few simulation centres with core faculty of paediatric anesthesiology educators, spirit has been maintained as group grown to include MEPA delivering standardized curriculum multiple on four continents. We describe evolution program from local an international network. Methods Post-graduate training is insufficient duration encounter those...
1Sheffield Children's Hospital, Dept of Anaesthesiology & Intensive Care, Sheffield, United Kingdom, 2Hospital for Sick Children, Anaesthesiology, Toronto, Canada, 3Great Ormond Street Hospital London, 4Royal Manchester Childrens Manchester, Kingdom
Abstract Background Ultrasound assistance improves success rates and reduces adverse outcomes of lumbar punctures (LPs) among adult patients in the emergency room operating room, but has not been evaluated pediatric with cancer. Our objectives were (1) to determine whether oncologists could perform ultrasound‐assisted LPs following a structured teaching curriculum, (2) feasibility recruiting cancer clinical trial this procedure. Methods Three completed curriculum composed didactic followed...
Most button battery (BB) ingestions in children are unwitnessed leading to prolonged exposures and severe complications. One third of occur from free BB, that stored or awaiting disposal. Recommendations have been made cover the terminals discarded BB with adhesive tape; however, it is unclear if this practice prevents injury. Our aim was determine tape could prevent oesophageal injury a cadaveric porcine model.Electrical, masking, packing duct were compared. left untaped. Taped BBs placed...