WIP 116 - Broselow Tape vs the PediSTAT App: A Simulation-Based Comparison of Accuracy and Efficiency of Medication Administration in Pediatric Emergency Resuscitation
Fellow University of Texas at Austin Dell Medical School Pflugerville, Texas, United States
Background: The Broselow Tape is a color-coded tape that is used throughout the world for pediatric emergencies. Using height, it places a child into one of eight zones that outline medication dosing and equipment information for resuscitation. PediSTAT is a recently developed mobile phone application (app) for medical personnel caring for children. Users can enter age, height, weight, or Broselow Tape color to view data on drug dosages and management. Objective: The purpose of this study is to conduct simulations of life-threatening medical emergencies using Broselow Tape or PediSTAT app to compare the rate of correct medication choice and time to medication delivery by clinicians between the two modalities. Design/Methods: Resident and Fellow participants will be randomized to either use of Broselow Tape or the PediSTAT app during each of the simulations. All participants will be given the PediSTAT app ahead of time to gain comfort using the app. Each participant will undergo a brief orientation to the Broselow Tape and PediSTAT app and complete a survey about experience with resuscitation, Broselow Tape, and PediSTAT.
Participants will lead three scenarios, each a life-threatening emergency requiring prompt intervention (status epilepticus, respiratory arrest, cardiac arrest). The scenarios will be simulated using mannequins and embedded participants. The study participant will use only their assigned tool to lead the scenario. SimCapture will be used to record, review, and annotate (time-stamp) the scenarios.
The following outcomes will be measured: Percent of correct medication dose for weight (primary), correct equipment identification, time to correct medication identification, time to correct dose determination, and energy dose if shock is needed (secondary). After each scenario, a debrief and recap of the scenario and learning opportunities will occur.
Simulations are currently underway (IRB approved) and are scheduled throughout October and November. We anticipate completion of all simulations by November 30, 2023 and manuscript completion by May 2024.
