Pre-calculated Doses of Medication for Pediatric Resuscitation, a Simulation Experimental Trial

St. Justine's Hospital

Status: Completed

Conditions: Healthy

Treatments: Other: Handbook; Other: Medication chart

Study type: Interventional

Funder types: Other

Identifiers

NCT02563912

Resuscitaion book

Details and patient eligibility

About

Dosage errors are common in the stressful situation of a pediatric resuscitation. In addition to that, studies have reported that delays to provide medication is associated to worst survival rate for very sick children. To minimize delays and error, the investigators recently published a resuscitation handbook who provides drug dosages for each weight for children thus eliminating the need for dosage calculation. Once the weight of the patient is known, the physicians only have to open the book at the page corresponding to the weight and all the medications with their calculated dosage are provided. The primary goal of this study is to evaluate the number of dosage error during simulated pediatric resuscitation comparing residents using the handbook vs. utilisation of a chart providing non-calculated dosage. This will be an experimental crossover trial among 40 residents performing four simulated case-scenarios in a high-fidelity simulation lab.

Enrollment: 40 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Residents doing a rotation in pediatrics emergency medicine

Exclusion criteria

• Resident who participated in a previous month

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Handbook

Experimental group

Description:

Resuscitation handbook who provides drug dosages for each weight for children. For example, at the page of 15 kg, it is written that the dosage of epinephrin is 1.5 cc of 1: 10 000.

Treatment:

Other: Handbook

Medication chart

Active Comparator group

Description:

Medication chart who provides drug dosages for each weight for children. For example,it is written that the dosage of epinephrin is 0.01 mg/kg.

Treatment:

Other: Medication chart