Evidence map›Paper›PMID 39915435›Full record

ArticleCJEM2025

Ultrasound in pediatric emergency medicine simulation: evaluation of a longitudinal curriculum.

Hadas Katz-Dana, Dana Singer-Harel, Elana Thau, Maduomethaa Pathmaraj, Laura Simone, Paul Olszynski, Jonathan Pirie, Maya Harel-Sterling

Abstract read
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In one paragraph

Article in CJEM, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Hadas Katz-DanaDivision of Paediatric Emergency Medicine, Department of Paediatrics, The Hospital for Sick Children, Toronto, ON, Canada.
Dana Singer-HarelDivision of Paediatric Emergency Medicine, Department of Paediatrics, The Hospital for Sick Children, Toronto, ON, Canada.
Elana ThauDivision of Paediatric Emergency Medicine, Department of Paediatrics, The Hospital for Sick Children, Toronto, ON, Canada.
Maduomethaa PathmarajDivision of Paediatric Emergency Medicine, Department of Paediatrics, The Hospital for Sick Children, Toronto, ON, Canada.
Laura SimoneDivision of Paediatric Emergency Medicine, Department of Paediatrics, The Hospital for Sick Children, Toronto, ON, Canada.
Paul OlszynskiDepartment of Emergency Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Jonathan PirieDivision of Paediatric Emergency Medicine, Department of Paediatrics, The Hospital for Sick Children, Toronto, ON, Canada.
Maya Harel-SterlingDivision of Paediatric Emergency Medicine, Department of Paediatrics, The Hospital for Sick Children, Toronto, ON, Canada. maya.harel-sterling@sickkids.ca.ORCID 0000-0003-4431-7061

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPediatric resuscitations involving shock and trauma are rare but they are high-stakes events in the pediatric emergency department (ED). Effective use of point-of-care ultrasound (POCUS) can expedite diagnosis and treatment in such cases. This study aimed to assess the impact of a longitudinal pediatric emergency medicine simulation curriculum and high-fidelity POCUS simulator on residents' clinical practice, comfort level, and motivation to learn resuscitative ultrasound.

methodsThis mixed-methods study involved 12 pediatric emergency medicine residents who participated in a 12-month simulation curriculum integrating resuscitative ultrasound. The POCUS simulator was integrated and made available for use during all simulations. Assessment and program evaluation occurred at multiple levels, according to Kirkpatrick's hierarchy, using both qualitative and quantitative methods. The residents were surveyed at baseline, 4, 8 and 12 months. Semi-structured interviews were conducted at the end of the 12-month study period.

resultsTwelve residents participated in 23 simulation cases over the 12-month longitudinal curriculum. The hybrid POCUS simulator was used by participants in 18/23 (78.2%) cases. Comparing pre- and post-curriculum changes, large effect sizes were seen in residents' comfort using ultrasound in resuscitation (including in cases of trauma and undifferentiated shock). Accordingly, the mean number of POCUS scans performed per resident clinically on shift increased from a mean (SD) of 5.7 (± 2.3) scans/month to 12.4 (± 5.1) scans/month. Qualitative analysis highlighted several themes, including the value of simulation for teaching the integration of resuscitative ultrasound in high-acuity low-occurrence events and the effect of repeat exposures to resuscitative ultrasound.

conclusionOur study demonstrated that a longitudinal, simulation-based curriculum focused on resuscitative ultrasound increased residents' confidence, their motivation and likelihood of using these skills in the clinical setting. Repeated simulation exposures to resuscitative ultrasound can help participants translate this critical skill into use at the bedside, especially in high-acuity low-occurrence events.

Indexed as

Clinical CompetenceCurriculumEducation, Medical, GraduateEmergency MedicineInternship and ResidencyPediatric Emergency MedicinePediatricsPoint-of-Care SystemsResuscitationSimulation TrainingChildFemaleHumansLongitudinal StudiesMaleUltrasonographyMedical educationPediatric emergency medicinePoint-of-care ultrasoundResuscitationSimulation

Identifiers

PMID39915435

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.