Iridia Helps Deliver Innovative Pediatric Simulation

sim baby

If you’ve visited Surrey Memorial Hospital’s new Pediatric Emergency Department, you will be pleased to know that Iridia’s founder Dr. Allan Holmes played a key role in development and delivery of a Pediatric Emergency Medicine Simulation course prior to the department opening.  

Physicians, nurses, respiratory therapists and clinical pharmacists used state of the art SIM-man and SIM-baby simulators to practice their clinical skills, inter-professional communications and teamwork. It provided an ideal way to master managing critical medical situations with no risk to real patients.

A First for Fraser Health

Last September, before the new Emergency opened, Surrey Memorial hosted a Pediatric Emergency Medicine (PEM) Simulation Course in our new Pediatric Emergency Department. This course was the first of its kind in for Fraser Health.

Eighty People, Four Simulations

Over 30 physicians and nearly 50 clinical staff attended. This included nurses, respiratory therapists, and clinical pharmacologists.

Using infant and child manikins, they rotated through four hands-on, interactive simulation scenarios: Pediatric Airway, Breathing, Circulation/Shock, and Disability/Seizure. This included basic life support, respiratory distress and failure, cardiac arrest algorithms, vascular access, recognition and management of shock, CNS emergencies, status epilepticus, and trauma.

It was also an excellent opportunity for participants to further orient themselves in the new Emergency Department and with new resuscitation equipment before it opened to patients in October.

A Collaboration

BC Children’s Hospital (BCCH) and SMH co-designed and ran the course. Key players were Drs. Navid Dehghani and Garth Meckler of BCCH, and Drs. Wade Sabados of SMH, Edward Mak of OHM Medical Training Services and Dr. Allan Holmes and Diana Paraan of Iridia Medical.   

PEM is a great example of how Fraser Health and Child Health BC collaborate to support professional development within the Surrey Memorial Hospital Pediatric Emergency Department.

pediatric simulation

Custom Designed Course

The course was custom-designed for the SMH setting to ensure it was practical and relevant for participants. To maximize learning, PEM was led by highly experienced physicians and nurse instructors plus the student-to-instructor ratio was kept low. Laerdal provided 3 manikins and their senior product manager also attended.

‘Great Instructors’ and ‘Great Experience’

The Pediatric Emergency Medicine Course was a resounding success. Participants especially liked the hands-on realistic scenarios, and the multi-disciplinary approach to learning. Many even said they’d like to attend PEM again and would recommend the course to colleagues!

PEM definitely met the goal of increasing the confidence of participants in dealing with pediatric emergencies. 


All About Airway – Endotracheal Tubes

This week I want to highlight two airway discussion points which have recently come to my attention: cuffed vs. non-cuffed endotracheal tubes (ETTs) in pediatric patients and the possible, negative side effects of supraglottic airways.

Endotracheal Tubes: Cuffed vs non-cuffed

In June, 2012, a memo was released by the BC Children’s Trauma Program advising the use of cuffed ETTs over non-cuffed. I copied the wording below, click the link to see the memo.

“BC Children’s Hospital’s Trauma Program and Pediatric Intensive Care Physicians are requesting that all pediatric trauma and burn patients who require intubation at another facility, be intubated with a CUFFED endotracheal tube. This is currently the standard in the BCCH Emergency Room, Pediatric ICU, and Operating Room.”
 endotracheal tubes
“Uncuffed endotracheal tubes run the risk of large air leaks which make effective ventilation difficult, and may require reintubation with a cuffed tube. The risk of reintubating these patients can be of particular concern in the burn population.”

What does this mean to me? I understand how critical airway management and ventilation is to the unstable pediatric patient. The memo specifies pediatric burn and trauma patients. I wonder how this recommendation applies to a primary respiratory or cardiac arrest pediatric patient?

I look forward to your thoughts and discussions.

Stay tuned for tomorrow’s post on supraglottic airways.