title: Effective performance of a new post-operative cardiac resuscitation simulation training scheme in the Paediatric Intensive Care Unit.
abstract: OBJECTIVE
  This feasibility study aimed to describe and evaluate the effectiveness of a novel chest re-opening paediatric resuscitation scenario training scheme.
  
  
  METHODS
  A novel scheme offering training on specialist skills required for post-operative cardiac patients such as chest re-opening and cardiac pacing via simulation was described. A prospective audit of the first 23 consecutive training sessions was conducted to assess the scheme's effectiveness. Parameters assessed included timing of chest re-opening or cardiac pacing orders, and any delays in carrying out these orders.
  
  
  RESULTS
  The median time required for the medical team leader to order chest re-opening was 4 min. New medical leaders took significantly longer to order chest re-opening than experienced medical team leaders (P = 0.02, Mann-Whitney U test). The performance of the team-in-training deteriorated with the introduction of new members but was correctable with serial training.
  
  
  CONCLUSIONS
  Effective simulation training integrating chest re-opening and cardiac pacing into standard paediatric resuscitation guidelines may be achieved without high fidelity simulation equipment.
authors.affiliation: Department of Paediatric Critical Care Medicine, Hospital for Sick Children, University Avenue, Toronto, Canada. mils.lo@doctors.org.uk
authors.forename: T Y Milly
authors.initials: TY
authors.lastname: Lo
authors.forename: Rachel
authors.initials: R
authors.lastname: Morrison
authors.forename: Kathryn
authors.initials: K
authors.lastname: Atkins
authors.forename: Fiona
authors.initials: F
authors.lastname: Reynolds
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D006801:Humans; D015278:Intensive Care Units, Pediatric / Q000706:statistics & numerical data*; D008348:Manikins; D011184:Postoperative Period; D012153:Retention, Psychology; D013663:Teaching