Scott E 1, Lennon R2, Morris R1, Watterson L1, Wulf S1, Webber C3

1 Sydney Medical Simulation Centre, Royal North Shore Hospital, Sydney, Australia

2 Royal North Shore and Manly Hospitals, Sydney, Australia

3 N.E.T.S. N.S.W. Australia

Objective:  Transporting the critically sick child or neonate by helicopter, fixed wing aircraft or road is a challenge to emergency retrieval personnel. In Sydney, regionalised tertiary centres provide specialised care for specific illnesses and specific age groups. Often, it is imperative to transport a sick child or neonate to one of these centres where specialised medical and nursing care plus technical and diagnostic facilities are provided. The need for rapid transport to these facilities has resulted in a well developed service N.E.T.S. (N.S.W. newborn and paediatric emergency transport service).   Each team consists of medical and nursing staff trained in retrieval medicine. Our objective for this program is to provide hands on training for paediatric and neonatal retrieval staff using realistic case scenarios.

Method:  The concept of simulation based training has long been recognised in the aviation world. The Sydney Medical Simulation Centre was opened in 1997 and equipped with a full patient simulator. Our anaesthetic colleagues have established courses in specialty areas with a focus on crisis resource management including anaesthetic Crisis Resource Management (A.C.R.M), Intensive Care, and Emergency Medicine. This crisis resource management technique utilising simulation technology has contributed to the success of a recently developed “in house” paediatric resuscitation course P.E.T.A.L.S. (Paediatric Emergency Training in Advanced Life Support). Following this we have since identified the possibility of developing a tailor made curriculum for training the staff of the N.S.W. based Paediatric and Neonatal retrieval teams. For this purpose the Laerdal megacode kid and ALS baby have been modified and used as an adjunct to the adult system. The pilot program for this course consists of an eight-hour day with a total of four sessions (two neonatal and two paediatric scenarios) in the simulated environment of a referring hospital. Debriefing utilising video play back follows each session. There is a focus on teamwork, communication, and how to deal with emergencies effectively.

Results:  The result of this simulation-based training program enhances the educational devices required to meet the needs of Paediatric and Neonatal retrieval teams. It is our belief with further development and critical appraisal from both the faculty and participants retrieval staff will be more prepared for the unexpected and scary circumstances unique to the retrieval environment.

Conclusion:  Details of this course, evaluation and data will be discussed in the presentation.