Thomas Bourke
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View article: 922 5 minute training sessions can improve Cardiopulmonary Resuscitation (CPR) quality
922 5 minute training sessions can improve Cardiopulmonary Resuscitation (CPR) quality Open
Aims Annual CPR training is recommended for healthcare professionals. Evidence suggests that this is not sufficient to maintain skill proficiency and that three monthly training could be optimum.1 More frequent training has to be balanced …
View article: G504 Strategies employed to enhance recruitment and retenion in paediatrics: a scoping review
G504 Strategies employed to enhance recruitment and retenion in paediatrics: a scoping review Open
Background In the UK, the proportion of places available in medical school, the total number of foundation doctors, and the number of trainees applying to Paediatrics are falling. The NHS is at 'breaking point', exacerbated by workforce sh…
View article: G196 The fear of losing a child!
G196 The fear of losing a child! Open
Background Paramedics in Northern Ireland are expected to treat unwell children; perform life-saving interventions, in challenging surroundings with limited resources. Surprisingly, Northern Irish paramedic baseline paediatric education is…
View article: G512(P) #Choosepaediatrics- career’s fair!
G512(P) #Choosepaediatrics- career’s fair! Open
Background With the launch of the #ChoosePaediatrics Campaign, there is national recognition that recruitment and retention are the biggest issues facing the future of the Royal College of Paediatrics. There has been a 30% decline in appli…
View article: ACTup: advanced communication training simulation enhanced by actors trained in the Stanislavski system
ACTup: advanced communication training simulation enhanced by actors trained in the Stanislavski system Open
Strong communication, empathy and interpersonal skills are crucial to good clinical practice. Actors trained in interpretations of the Stanislavski system draw on their own life experience to develop the character. We hypothesised that sim…
View article: Theatre LISTS: Learning from Incidents, finding Safety Threats with Simulation
Theatre LISTS: Learning from Incidents, finding Safety Threats with Simulation Open
Serious adverse incidents (SAIs) are events in healthcare that justify a heightened level of response as their impact on patients, staff or systems is so great.1 The National Health Service has a framework for reporting of SAIs, never even…
View article: SC39 Using sim-competition to enhance and augment interest and participation: an inaugural national sub-speciality contest in paediatrics
SC39 Using sim-competition to enhance and augment interest and participation: an inaugural national sub-speciality contest in paediatrics Open
Background Simulation-based education is now a well-established part of undergraduate and postgraduate healthcare education. However, many healthcare teams still experience challenges with providing this due to limited staff engagement. 'P…
View article: O34 Environmental priming improves performance in simulated paediatric emergencies – a randomised control trial
O34 Environmental priming improves performance in simulated paediatric emergencies – a randomised control trial Open
Introduction Time delays in the delivery of emergency treatment in a resuscitation can be detrimental to patient care.1 Multiple factors have been implicated as causes of such delays. These include hospital related factors such as the time…
View article: O17 ACTup – An interdisciplinary approach to preparing senior paediatric trainees for challenging clinical scenarios
O17 ACTup – An interdisciplinary approach to preparing senior paediatric trainees for challenging clinical scenarios Open
Background In recent years there has been an increasing recognition of the importance of non-technical skills training in medical education. Strong communication and interpersonal skills are crucial to good clinical practice. These are of …
View article: SC36 Teaching new staff to raise concerns using the PACE approach and high fidelity simulation
SC36 Teaching new staff to raise concerns using the PACE approach and high fidelity simulation Open
Background Hierarchy and leadership are essential within any multidisciplinary team. However, team leaders can make mistakes irrespective of seniority. It is essential that everyone within the team feels confident in raising concerns to en…
View article: SC14 An innovative simulation-based course to incentivise and attract interest and recruitment to paediatrics
SC14 An innovative simulation-based course to incentivise and attract interest and recruitment to paediatrics Open
Background Paediatrics, like many specialties, is experiencing a decline in applications for specialty training.1 Reasons include perceptions of poor flexibility; arduous training programme and lack of adequate career guidance and support.…
View article: Intubation drug pack containing pre-filled syringes reduces the time to endotracheal intubation in a simulated paediatric emergency
Intubation drug pack containing pre-filled syringes reduces the time to endotracheal intubation in a simulated paediatric emergency Open
To determine if an intubation drugs pack containing pre-filled syringes can reduce the time to endotracheal intubation compared with standard care during a simulated paediatric emergency. Twenty doctors (10 consultants and 10 registrars) w…
View article: Translational simulation in action: using simulation-based multidisciplinary teaching to introduce ward-level high-flow oxygen care in bronchiolitis
Translational simulation in action: using simulation-based multidisciplinary teaching to introduce ward-level high-flow oxygen care in bronchiolitis Open
Acute bronchiolitis is the most common respiratory condition under 1 year of age. In the UK and Ireland, approximately one in three infants will develop bronchiolitis in the first year of life and ~2%–3% of all infants require hospitalisat…
View article: Enhancing perceptions of paediatrics and stimulating specialty recruitment using simulation
Enhancing perceptions of paediatrics and stimulating specialty recruitment using simulation Open
Paediatrics, like many specialties within the UK and Ireland, is experiencing a decline in applications for specialty training.1 Reasons include perceptions of poor flexibility, an arduous training programme and lack of adequate career gui…
View article: Meningococcal Disease in Northern Ireland - Past, Present & Future: MeningoNI Forum.
Meningococcal Disease in Northern Ireland - Past, Present & Future: MeningoNI Forum. Open
Meningococcal disease has had devastating consequences in Northern Ireland since its first description locally in 1859. The incidence of this disease has significantly declined in recent years, however it is important to understand reasons…
View article: Clinicians’ gaze behaviour in simulated paediatric emergencies
Clinicians’ gaze behaviour in simulated paediatric emergencies Open
Aim Differences in the gaze behaviour of experts and novices are described in aviation and surgery. This study sought to describe the gaze behaviour of clinicians from different training backgrounds during a simulated paediatric emergency.…
View article: G169(P) Act<sup>up</sup>– an interdisciplinary approach to preparing senior paediatric trainees for challenging clinical scenarios
G169(P) Act<sup>up</sup>– an interdisciplinary approach to preparing senior paediatric trainees for challenging clinical scenarios Open
Aims In recent years there has been an increasing recognition of the importance of non-technical skills training in medical education. Strong communication and interpersonal skills are crucial to good clinical practice. These are of partic…
View article: G168 An observational study of clinician’s gaze behaviour during simulated paediatric emergencies
G168 An observational study of clinician’s gaze behaviour during simulated paediatric emergencies Open
Aims Clinicians collect, prioritise and respond to visual cues when making decisions about patient care. This is of particular importance in the resuscitation environment where they are required to absorb and process large volumes of compl…
View article: G106(P) Targeted technical skills simulation training helps paediatric trainees with college core procedures
G106(P) Targeted technical skills simulation training helps paediatric trainees with college core procedures Open
Aims Acute Paediatrics is a stimulating and challenging training programme. The Royal College of Paediatrics and Child Health (RCPCH) provide a comprehensive curriculum for trainees during these years. In Level 1 Training (ST1–3), there ar…
View article: Off-ward paediatric in situ simulation: are we ready?
Off-ward paediatric in situ simulation: are we ready? Open
In our tertiary paediatric centre, we carry out frequent unannounced in situ simulations. While conducting simulations on acute wards, we have encountered a variety of latent safety threats (LSTs) and barriers to effective patient care. Th…
View article: Fifteen-minute consultation: the child with pica
Fifteen-minute consultation: the child with pica Open
Pica is defined as the persistent ingestion of non-nutritive substances for more than 1 month at an age at which this behaviour is deemed inappropriate. It occurs most commonly in children, in patients with learning disabilities and in pre…
View article: Simulation-based training bundle significantly reduces time to oxygen delivery via needle cricothyroidotomy in airway emergency
Simulation-based training bundle significantly reduces time to oxygen delivery via needle cricothyroidotomy in airway emergency Open
Needle cricothyroidotomy is a simple but potentially life-saving emergency airway manoeuvre used to provide oxygenation during a ‘cannot intubate, cannot ventilate’ (CICV) emergency.1 ,2 The procedure involves inserting a large bore cannul…