ArticleInternal and emergency medicine2019
In situ simulation in the management of anaphylaxis in a pediatric emergency department.
Article in Internal and emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- GENESISS 2-Generating Standards for In-Situ Simulation project: a systematic mapping review.BMC medical education · 2022Pooled it
- Crisis Resource Management and Non-Technical Skills Training in Anesthesia: A Narrative Review.Medical science monitor : international medical journal of experimental and clinical research · 2026Review
- Severe anaphylactic reaction to contrast agent: teams are well prepared but should simulate the situations regularly.The British journal of radiology · 2025Article
- Evaluating teachers' knowledge and attitude toward food allergy and anaphylaxis: a pilot simulation-based questionnaire study in Rabigh elementary schools.Frontiers in public health · 2025Article
- Epidemiology of Paediatric Italian Food Allergy: Results of the EPIFA study.The journal of allergy and clinical immunology. Global · 2024Article
- Translational simulation revisited: an evolving conceptual model for the contribution of simulation to healthcare quality and safety.Advances in simulation (London, England) · 2024Article
- Hidden and Rare Food Allergens in Pediatric Age.Nutrients · 2023Review
- Simulation-based education to improve management of refractory anaphylaxis in an allergy clinic.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2023Article
- Triage Grading and Correct Diagnosis Are Critical for the Emergency Treatment of Anaphylaxis.Children (Basel, Switzerland) · 2022Article
- Manikins versus simulated patients in emergency medicine training: a comparative analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Effects of a standardized patient-based simulation in anaphylactic shock management for new graduate nurses.BMC nursing · 2022Article
- Article
- Prevalence of parent-reported food allergy among children in China: A population-based cross-sectional survey.Frontiers in immunology · 2022Article
- Characteristics associated with clinical response to Comano thermal spring water balneotherapy in pediatric patients with atopic dermatitis.Italian journal of pediatrics · 2021Observational
- Assessing patients' characteristics and treatment patterns among children with atopic dermatitis.Italian journal of pediatrics · 2021Observational
- Oral Immunotherapy for Food-Allergic Children: A Pro-Con Debate.Frontiers in immunology · 2021Review
- Netherton Syndrome in Children: Management and Future Perspectives.Frontiers in pediatrics · 2021Review
- Unusual Reactions to Hymenoptera Stings: Current Knowledge and Unmet Needs in the Pediatric Population.Frontiers in medicine · 2021Review
- Penicillin Allergy Delabeling: A Multidisciplinary Opportunity.The journal of allergy and clinical immunology. In practice · 2020Review
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Anaphylaxis is a potentially life-threatening, rapid-onset hypersensitive reaction, usually treated in the emergency department (ED). Failure to recognize anaphylaxis leads to under-treatment with epinephrine and even when correctly diagnosed, epinephrine is not always administered. In addition, often patients who are treated in the ED are not referred for allergy work-up. Simulation is a tool that increases exposure to events in a safe environment, allowing trainers to develop skills without harming patients. The main purpose of our study was to determine whether in situ simulation training increases the frequency of epinephrine use. The secondary aim was to observe whether simulation modifies the number of children investigated over the years before and after the setting up of the simulation training. All patients with anaphylaxis referred to the Pediatric Emergency Department (PED) of the Anna Meyer Children's Hospital from 2004 to 2010 [pre-simulation (PRE-s) period], and from 2011 to 2016 [post-simulation (POST-s) period], were retrospectively included in this observational study. Simulation was carried out using a high-fidelity patient simulator mannequin (SimBaby, Laerdal Medical, Inc, Stavanger, NY). The diagnosis of anaphylaxis was based on the EAACI guidelines. The use of epinephrine significantly increased (p < 0.05) between the PRE-s and POST-s time periods: 2.4% versus 10% patients, respectively. During the two time periods, we also observed a significant increase (p = 0.011) in the number of patients who underwent a complete allergy work-up: 36% versus 51% patients, respectively. According to our results, the in situ simulation program improved the correct management of anaphylaxis in terms of prompt use of epinephrine, and it also led to a higher number of patients being referred to the allergy unit for evaluation.
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Registered trials
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