The Use of Remote Learning Techniques for Pediatric Cardiopulmonary Resuscitation Simulation Highlighting the Intersection Between Pediatric Advanced Life Support (PALS) and Advanced Cardiac Life Support (ACLS) Pathways

Q: What is the objective of the tele-simulation module in this study?

To deliver a remote platform with three pediatric cardiopulmonary resuscitation simulation cases, highlighting diagnoses and scenarios that may require adult treatment-minded approaches using ACLS methodology alongside PALS pathways.

Q: How were the simulation cases delivered and assessed?

Sessions were presented over an online video platform with visual aids to simulate a patient room. Assessment included comfort with case content, information recall up to two years later, and pre- and post-test evaluations of clinical knowledge improvement.

Q: What outcomes did the study report after the remote training?

Clinicians showed statistically significant increases in comfort across learning objectives, with the largest gains related to ACLS algorithm use and knowing when to terminate unsuccessful resuscitation efforts; pre- and post-tests also demonstrated significant knowledge transfer in ACLS and PALS content (p<0.001).

Sep 23, 2026

Uploaded by Đào

Medical simulation education extends into remote formats to support learners constrained by time or geography. This open-access study developed a tele-simulation module for pediatric cardiopulmonary resuscitation, emphasizing when pediatric clinicians should apply adult-oriented Advanced Cardiac Life Support (ACLS) approaches alongside Pediatric Advanced Life Support (PALS). A virtual, video-based format presented three cases with multimodal assessment of comfort, recall, and knowledge gains. Results showed significant improvements in ACLS/PALS knowledge, especially ACLS algorithm use and appropriate termination of unsuccessful resuscitation efforts.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages10

Reading Time25 min

AccessFree to download

Introduction

Pediatric resuscitation training and remote learning context

Methods

Simulation curriculum design and assessment

Results

Course evaluations and knowledge transfer

Conclusion

Utility of tele-simulation for pediatric ACLS reinforcement

Review began 10/14/2024 Review ended 11/27/2024 Published 12/02/2024 © Copyright 2024 Stokes et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0. , which permits unrestricted use , distribution , and reproduction in any medium , provided the original author and source are credited. DOI: 10.7759/cureus.74974 Open Access Original Article The Use of Remote Learning Techniques for Pediatric Cardiopulmonary Resuscitation Simulation Highlighting the Intersection Between Pediatric Advanced Life Support (PALS) and Advanced Cardiac Life Support (ACLS) Pathways Stacey T. Stokes 1 , Lana Ismail 1, Kevin M. Creamer 1 1. Department of Pediatrics/Division of Hospital Medicine, Children 's National Hospital, Washington, DC, USA Corresponding author: Stacey T. Stokes, [stacey.stokes@childrensnational.org](stacey.stokes@childrensnational.org) Abstract Introduction: Medical simulation education has expanded in the remote learning sphere, providing educational opportunities to under-resourced areas and the ability to engage learners limited by time or geographic location. Pediatric resuscitation training has historically been in-person relying on Pediatric Advanced Life Support (PALS) algorithms, yet many pediatric providers are often faced with treating adult or adult-sized patients. Our goal was to develop a tele-simulation remote learning module highlighting possible diagnoses and scenarios that require adult treatment-minded approaches for the pediatric clinician, including the use of Advanced Cardiac Life Support (ACLS) algorithms. Methods: This simulation curriculum was offered in 2020 and 2022 . The sessions were created for pediatric hospitalists and presented over an online video platform with visual aids to simulate being in a patient room. All three cases had the same base stem scenario and focused on a narcotic overdose, massive pulmonary embolism (PE), and torsades de pointes from polypharmacy-induced QTc prolongation. Amultimodal assessment approach captured post-simulation comfort level with case content, information recall up to two years later, and pre-and post-test assessments of clinical knowledge improvement. Results: Eighty-one simulation slots were filled by 56 clinicians over two years. Fifty-one completed course evaluations averaged a score of 4 .95 on a 5-point Likert scale survey. Increased comfort level was statistically significant across all learning objectives. The most significant improvements were in the domains ofACLS algorithm use and understanding when to terminate unsuccessful resuscitation efforts. Pre-and post-test results demonstrated statistically significant (p<0 .001) evidence of knowledge transfer in ACLS and PALS content. Conclusion: Tele-simulation using an online video platform and well-defined visual aids is a useful option when in-person resuscitation simulation is not available. Practice and reinforcement of ACLS algorithms in pediatrics was found to be meaningful to clinicians who take care of patients of varying ages and sizes. Categories: Pediatrics, Medical Education, Medical Simulation Keywords: pals, pediatric education, pediatric hospital medicine, simulation in medical education, tele-education Introduction The case for medical simulation as an educational tool has previously been made by several studies that look at overall outcomes, necessary skill practice, and physician skill recall [1-14]. Much of this research and associated recommendations has been in the setting of in-person, hands-on simulation, through uninterrupted case simulation, rapid cycle deliberate practice, or a combination of the two [1-4]. During the COVID-19 pandemic, remote learning intensified and extended into prior underutilized areas, including simulation education. Historically, rural and under-resourced programs documented successful implementation of remote simulation [5-7]. More recently, there has been incr

FAQs

What is the objective of the tele-simulation module in this study?

To deliver a remote platform with three pediatric cardiopulmonary resuscitation simulation cases, highlighting diagnoses and scenarios that may require adult treatment-minded approaches using ACLS methodology alongside PALS pathways.

How were the simulation cases delivered and assessed?

Sessions were presented over an online video platform with visual aids to simulate a patient room. Assessment included comfort with case content, information recall up to two years later, and pre- and post-test evaluations of clinical knowledge improvement.

What outcomes did the study report after the remote training?

Clinicians showed statistically significant increases in comfort across learning objectives, with the largest gains related to ACLS algorithm use and knowing when to terminate unsuccessful resuscitation efforts; pre- and post-tests also demonstrated significant knowledge transfer in ACLS and PALS content (p<0.001).

Sep 23, 2026

Uploaded by Đào