#PEST2021: Paediatric Emergency Simulation Training day

#PEST2021: Paediatric Emergency Simulation Training day

Shane Fitzgerald
Sim Blog
““The more I practice, the luckier I get.””
— Gary Player

On our annual PEST day, we welcome colleagues from emergency medicine, paediatrics, anaesthetics as well as nurses and ACP’s to our simulation lab to run a full day of high fidelity scenarios. Whilst we simulate paediatric emergencies and drills each week, the inter-departmental collaboration between specialties and support on the day from 5 paediatric emergency medicine (PEM) consultants contributing their experience to each debrief and case discussion makes this event so enjoyable for trainees. PEST day is not an assessment, but a safe space to improve the practical application of our knowledge which we then apply in our roles within the department.

#PEST Day cases (past & present)
PEST Case 4: We're going to need a bigger boat!
Shane Fitzgerald
PEST Case 4: We're going to need a bigger boat!
Shane Fitzgerald

17-year-old female presents with abdominal pain, unaware that she is pregnant, and unexpectedly goes into labour!

Shane Fitzgerald
PEST Case 3: The hunt for foreign objects
Shane Fitzgerald
PEST Case 3: The hunt for foreign objects
Shane Fitzgerald

12-month-old boy is rushed into the PED unresponsive in his mother’s arms. He was last seen playing with some toys in the living room…

Shane Fitzgerald
PEST Case 2: Sink or swim?
Shane Fitzgerald
PEST Case 2: Sink or swim?
Shane Fitzgerald

18-month-old boy is brought in with a two-day history of vomiting and being off form. His mother becomes stressed and leaves during the assessment.

Shane Fitzgerald
PEST Case 1: What lies beneath…
Shane Fitzgerald
PEST Case 1: What lies beneath…
Shane Fitzgerald

2-week-old child with cough and coryzal symptoms for two days is brought into PED looking pale with significantly increased work of breathing.

Shane Fitzgerald
#PEST2021: Paediatric Emergency Simulation Training day
Shane Fitzgerald
#PEST2021: Paediatric Emergency Simulation Training day
Shane Fitzgerald

After a year focussed heavily on COVID-19 we wanted to give our trainees the opportunity to get their heads above water and see what else is going on in paediatric emergency medicine

Shane Fitzgerald
PEST Case 5: Patient Experience
Jennifer Mann
PEST Case 5: Patient Experience
Jennifer Mann

"A 15 year old girl is brought through to the triage nurse by a concerned receptionist."

Jennifer Mann
PEST Case 4: When The Algorithm Runs Out
Jennifer Mann
PEST Case 4: When The Algorithm Runs Out
Jennifer Mann

A 'Red Call' is made for a 4 month old who has been found unresponsive in his cot at home.

Jennifer Mann
PEST Case 3: Know Your Final Destination
Jennifer Mann
PEST Case 3: Know Your Final Destination
Jennifer Mann

Day 3 of our PEST Day #Simblogs: Know Your Final Destination

Jennifer Mann
PEST Case 2: Using Your Team
Jennifer Mann
PEST Case 2: Using Your Team
Jennifer Mann

9-month-old child arrives in Resus. He is drowsy with a temperature of 39°C.

Jennifer Mann
PEST Case 1: Horizon Scanning
Jennifer Mann
PEST Case 1: Horizon Scanning
Jennifer Mann

A 5-day-old infant is brought to the ED with difficulty feeding and fast breathing.

Jennifer Mann
#PEST2015: SUDIC/NAI
Rebecca Prest
#PEST2015: SUDIC/NAI
Rebecca Prest

4-month-old unsettled over the afternoon then found unresponsive in cot. Mum out shopping, baby being looked after by her new partner.

Rebecca Prest
#PEST2015: Diabetic Ketoacidosis
Rebecca Prest
#PEST2015: Diabetic Ketoacidosis
Rebecca Prest

15-year-old, self-presentation. 1-week history of vomiting and lethargy, feeling worse overnight, receptionist concerned patient looks unwell.

Rebecca Prest
#PEST2015: Major Trauma
Rebecca Prest
#PEST2015: Major Trauma
Rebecca Prest

14-year-old pedestrian hit by a van in hit & run incident at at least 40mph. Loss of consciousness at scene. Scooped & ran as felt too unstable for transfer to Major Trauma Centre (MTC).

Rebecca Prest
#PEST2015: Meningococcal Sepsis
Rebecca Prest
#PEST2015: Meningococcal Sepsis
Rebecca Prest

9-month-old unwell & febrile at 39deg , HR 190, peripherally shut down & lethargic.

Rebecca Prest
#PEST2015: Neonate with Respiratory Distress
Rebecca Prest
#PEST2015: Neonate with Respiratory Distress
Rebecca Prest

3-week-old baby. Cough & cold symptoms for a few days, worsening breathing over last 48 hours.

Rebecca Prest

Feedback from the day

“A lot of effort clearly goes into organising these sessions with amazing buy-in from the ED consultant body. Thanks so much for welcoming us and organising everything.”

“Great faculty and really well designed day”.

“Thank you to the organisers, very supportive team”.

PEST Case 1: What lies beneath…

PEST Case 1: What lies beneath…
Lightning Learning: Bronchiolitis in Children (2021)

Lightning Learning: Bronchiolitis in Children (2021)

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