Abstract

Introduction:Status Epilepticus (SP) is a life-threating pediatric emergency. The prevalence is 17 to 23 cases per 100,000 children per year and 10% mortality in pediatric intensive care unit (PICU). The treatment in emergency units is the benzodiazepines. Several clinical guidelines are available for SE management. However, adherence to these guidelines is a challenge. At the same time, these guidelines are neither a substitute for a rapid real-time assessment and clinical decisions in an emergency seizure pediatric patient. Medical simulation has been associated with improvement of knowledge, skills, and behaviors and moderate effects in clinical practice outcomes. The simulation allows educators to control quality and quality of learning objectives and giving monitoring and feedback to students. The aims of this study were evaluated whether the simulation to improve the pediatric recognition of SE in undergraduate students and determinate whether double exposures to simulation are more effective than a single or no-exposure. Material and methods: A prospective observational cohort study was done at the Medical Simulation Center at the Hospital Doctor Sótero del Río between October 2017 to June 2018. The participants were undergraduate students during the 6th year medicine in their rotation in pediatric ward. Students were assigned to a single(SS) or double(DS) simulation intervention during their clerkship pediatric medicine ward rotation,and one control group (CG) consisted of a previous rotation student group during 2017, who didn ́t participate in any pediatric simulation setting. SS or DS group had astandard simulation scenario and debriefings. All demographic data was registred,and performance scenario assessment checklist and final scores in pediatric OSCE were used to evaluated learning. Results: 98 undergraduate students were recruited during December 2017 to June 2018, 36 participants for the control group, 32 for single simulation group (SS)and double simulation group (DS). 6 times was the simulation scenario completed, there were non-participants. There is no significant difference between groups in age, male sex proportion, first contact to simulation or first ward pediatric rotation. There is a significant difference in global score task assessment in DS group compared to SS and control group, and a significant decrease in anticonvulsant first doses administration time and better performance in approach to seizures. Finally, there was an improvement in seizure OSCE station score in the DS group, but not in global OSCE score. Conclusions: Double simulation is a good strategy to improve the pediatric seizure assessment in undergraduate students.