Table 2.
Comparison of first attempt success rates between first and second training for each task (n=16)
| Scenario and skills | Training 1 Frequency of first attempt success (%) |
Training 2 Frequency of first attempt success (%) |
p* |
| Shock: 1 year old (15 kg) | |||
| Obtain supplies to place intravenous and send laboratories | 72% | 88% | 0.19 |
| Assemble equipment to manually deliver a 300 mL bolus of normal saline | 84% | 100% | 0.09 |
| Assemble and prepare equipment to initiate a dopamine infusion at 5 mcg/kg/min | 88% | 88% | 0.94 |
| Assemble and prepare equipment to initiate an epinephrine infusion at 0.1 mcg/kg/min | 28% | 59% | 0.04† |
| Hypoglycaemia: 1 month (5 kg) and 4 years old (20 kg) | |||
| Draw up 2 mL/kg of D10W | 66% | 88% | 0.09 |
| Draw up 1 mL/kg of D50W | 100% | 100% | – |
| Respiratory distress: 1 year old (10 kg) | |||
| Provide bag-mask ventilation with oxygen | 72% | 100% | 0.02† |
| Find Yankauer and flexible suction catheters | 66% | 59% | 0.64 |
| Draw up 100 mcg atropine | 84% | 82% | 0.86 |
| Draw up 20 mg propofol | 97% | 100% | 0.46 |
| Draw up 10 mg rocuronium | 100% | 100% | – |
| Obtain supplies to place a nasogastric tube | 94% | 100% | 0.29 |
| Ventricular fibrillation: 4 years old (20 kg) | |||
| Place bed in CPR mode, place backboard | 97% | 100% | 0.46 |
| Obtain supplies for intraosseus catheter | 97% | 100% | 0.46 |
| Obtain paediatric defibrillator pads and prepare for delivery of 40J shock | 97% | 100% | 0.46 |
| Draw up 0.2 mg of epinephrine | 78% | 88% | 0.38 |
| Draw up 20 mg of lidocaine | 100% | 100% | – |
| Draw up 100 mg of amiodarone | 94% | 100% | 0.29 |
| Draw up 20 meq of sodium bicarbonate | 91% | 82% | 0.4 |
| Draw up 400 mg of calcium chloride | 100% | 100% | – |
| Supraventricular tachycardia: 5 years old (18 kg) | |||
| Draw up 1.8 mg of adenosine and describe administration | 78% | 82% | 0.73 |
| Charge defibrillator for 10J synchronised cardioversion | 91% | 82% | 0.4 |
*p values calculated via χ2 test.
†Bold values are statistically significant. CPR, cardiopulmonary resuscitation; J, joules; W, water.