Emergency Medicine: All Areas
Emergency Medicine 11
Manish I. Shah, MD, MS (he/him/his)
Baylor College of Medicine / Texas Children's Hospital
Houston, Texas, United States
Nationally Emergency Medical Services (EMS) transports 20,000 children annually for active seizures. One-third of these patients arrive at an emergency department with ongoing seizures, and half receive an incorrect dose of seizure abortive medication. The PediDOSE study is implementing prehospital, standardized, age-based midazolam dosing in 20 cities to improve pediatric seizure treatment. Essential for PediDOSE is training paramedics to identify pediatric seizures and understand how to apply the new seizure protocol to manage pediatric seizures.
The purpose of this study is to evaluate the curriculum developed to teach paramedics for PediDOSE and to assess paramedic self-efficacy in its use.
We collected data on 14 participants. The pilot and initial site training showed paramedics rated overall relevance to their EMS practice at a median 4 out of 5 (interquartile range (IQR) 1.25) with 1= not at all and 5= a great deal. Paramedics reported high self-efficacy after the training in managing a seizing child with this protocol with median 4.5/5 (IQR 1). Paramedics also reported the online module made them feel better prepared to manage the cases during in-person training with median 4.5/5 (IQR 1).
We have successfully developed a blended learning curriculum for training paramedics as part of the PediDOSE study. The initial findings show paramedics gain confidence in the management of a seizing child and their knowledge of a new protocol.