Effects of Blindfold on Leadership in Pediatric Resuscitation Simulation: A Randomized Trial

Article Article scientifique Article Effects of Blindfold on Leadership in Pediatric Resuscitation Simulation: A Randomized Trial eng 2019 author Buyck Michael 0000-0001-6847-1800 631946 author Manzano Sergio 0000-0001-9603-5520 88371 author Haddad Kevin author Moncousin Anne-Catherine 92313 author Galetto-Lacour Annik 32921 Annick Galetto-Lacour author Blondon Katherine 105577 author Karam Oliver Laurent 96723 10.3389/fped.2019.00010 30838188 2296-2360 https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/30838188/ Background: Pediatric resuscitations are rare events. Simulation-based training improves clinical and non-clinical skills, as well as survival rate. We assessed the effectiveness of using blindfolds to further improve leadership skills in pediatric simulation-based training. Methods: Twelve teams, each composed of 1 pediatric emergency fellow, 1 pediatric resident, and 2 pediatric emergency nurses, were randomly assigned to the blindfold group (BG) or to the control group (CG). All groups participated in one session of five simulation-based resuscitation scenarios. The intervention was using a blindfold for the BG leader for the scenarios B, C, and D. Three evaluators, who were blinded to the allocation, assessed leadership skills on the first and last video-recorded scenarios (A and E). Questionnaires assessed self-reported changes in stress and satisfaction about skills after the first and the last scenarios. Results: Improvement in leadership skills doubled in the BG compared with the CG (11.4 vs. 5.4%, p = 0.04), whereas there was no increase in stress or decrease in satisfaction. Conclusion: Blindfold could be an efficient method for leadership training during pediatric resuscitation simulated scenarios. Future studies should further assess its effect at a follow-up and on clinical outcomes after pediatric resuscitation. Emergency medicine Leadership Non-clinical skills Pediatric Simulation-based training Dewey 616 Dewey 618 217 Centre de recherche clinique 201 56 Département de médecine 221 58 Département de pédiatrie, gynécologie et obstétrique 223 false 149 Etiologie des pneumonies et marqueurs inflammatoires chez l'enfant fébrile 183 Frontiers in Pediatrics 7 10 e5b8a266-8833-4fb4-bfca-b3cd11614b4e Article (Published version) Public fped-07-00010(1).pdf 596724 application/pdf CC BY openAccess Faculté de médecine / Centre de recherche clinique Faculté de médecine / Section de médecine clinique / Département de médecine Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique

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Effects of Blindfold on Leadership in Pediatric Resuscitation Simulation: A Randomized Trial	Frontiers in Pediatrics			2019	326	189

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Moncousin, Anne-Catherine