The Indian Journal of Pediatrics

, Volume 56, Issue 1, pp 35–54 | Cite as

Teaching technical skills in pediatrics

  • Steven M. Selbst
  • M. Douglas Baker
  • Louis M. Bell
  • Kathy N. Shaw
  • Cynthia Briede
  • G. Anthony Woodward
  • Stephen Ludwig
Symposium: Teaching and Learning Pediatrics


Technical skills are an important and difficult part of managing a very sick or injured child. However, technical procedures are more often learned from experience than practice. This article reviews a variety of technical skills and procedures commonly performed in a pediatric emergency department. Each technical procedure can be practiced using live or artificial model for simulation.


Technical Skill External Jugular Vein Medullary Cavity Infusion Catheter Pediatric Emergency Medicine 


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  1. 1.
    Intravenous techniques In:Textbook of Advanced Cardiac Life Support. American Heart Assoc., 1987; 141–153.Google Scholar
  2. 2.
    Broennle AM, Gewitz MH, Handler SD, et al. Illustrated techniques of pediatric emergency procedures. In: Fleisher G, Ludwig S (eds).Textbook of pediatric emergency medicine, Williams and Wilkins, Baltimore, MD, 1983, 1210–1289Google Scholar
  3. 3.
    Drinker CH, Drinker KR, Lund CC. The circulation in the mammalian bone marrow.Am J Physiol 1922; 62: 1–92Google Scholar
  4. 4.
    Josefson A. A new method of treatment—intraosseous injections.Acta Med Scand 1934; 81: 550–564CrossRefGoogle Scholar
  5. 5.
    Tocantins LM, O'Neill JF. Infusion of blood and other fluids into circulation via the bone marrow.Proc Soc Exp Biol Med 1940; 45: 782–783Google Scholar
  6. 6.
    Spivey WH, Lahers CM, Malone DR et al. Comparison of intraosseous, central and peripheal routes of sodium bicarbonate administration during CR in pigs.Ann Emerg Med 1985; 14: 1135–1140PubMedCrossRefGoogle Scholar
  7. 7.
    McNamaa RM, Spivey WH, Unger MD et al. Emergency applications of intraosseous infusion.J Emerg Med 1987; 5: 97–101CrossRefGoogle Scholar
  8. 8.
    Rossetti VA, Thompson BM, Miller J et al. Intraosseous infusion: an alternative route of pediatric intravascular access.Ann Emerg Med 1985; 14: 885–888CrossRefGoogle Scholar
  9. 9.
    Spivey WH. Intraosseous infusions.J Pediatr 1987; 111: 639–643PubMedCrossRefGoogle Scholar
  10. 10.
    Advanced Trauma Life Support Course: Instruction Manual. Committee on Trauma, American College of Surgeons, 1984, 155–179Google Scholar
  11. 11.
    Standards and Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiac Care (ECC).JAMA 1986 255: 2841–3044.Google Scholar
  12. 12.
    Fleisher G and Ludwig S (eds):Textbook of pediatric emergency medicine. Williams and Wilkins, Baltimore, 1983.Google Scholar
  13. 13.
    McPhersen SP.Respiratory therapy equipment. C.V. Mosby, St. Louis, Missouri 1985.Google Scholar
  14. 14.
    Kettrick RG, Ludwig S. Resuscitation—pediatric basic and advanced life support. In: Fleisher G, Ludwig S (eds),Textbook of pediatric emergency medicine. Williams and Wilkins, Baltimore, MD, 1983, 1–30Google Scholar
  15. 15.
    Orlowski JP. Cardiopulmonary resuscitation in pediatric patients.Ped Clin NA 1980; 27: 495Google Scholar
  16. 16.
    Templeton JJ, Broennle AM. Emergency department anesthetic management. In: Fleisher G and Ludwig S (eds),Textbook of pediatric emergency medicine. Williams and Wilkins, Baltimore, MD, 1983, 43–53Google Scholar
  17. 17.
    Jennings PB, Alden ER, Brenz RW. A teaching model for pediatric intubation utilizing ketamine sedated kittens.Pediatrics 1974; 53: 283–284PubMedGoogle Scholar
  18. 18.
    Wayne MA. Clinical evaluation of the antishock trousers: retrospective analysis of five years experience.Ann Emerg Med 1983; 12: 342–347PubMedCrossRefGoogle Scholar
  19. 19.
    Garcia V, Eichelberger M, Zeigler M et al: Use of military antishock trouser in a child.J Ped Surg 1981; 16: 544–546CrossRefGoogle Scholar
  20. 20.
    Concannon JE, Matre WM, Verhagen AD. Antishock trousers in pediatrics—a case management report.Clin Pediatr 1984; 23: 78–80CrossRefGoogle Scholar
  21. 21.
    Brunnette DG, Fifield G, Ruiz E. Use of pneumatic antishock trousers in the management of pediatric pelvic hemorrhage.Ped Emerg Care 1987; 3: 86–90CrossRefGoogle Scholar
  22. 22.
    Oertel T, Loehr MM. Bee sting anaphylaxis. The use of medical antishock trousers.Ann Emerg Med 1984; 13: 459–461PubMedCrossRefGoogle Scholar
  23. 23.
    Pepe PE, Bass RR, Mattox KL. Clinical trials of the pneumatic antishock garment in the ruban-prehospital setting.Ann Emerg Med 1986; 15: 1407–1410PubMedCrossRefGoogle Scholar
  24. 24.
    Stair TO. The mechanism of MAST: stalking the elusive autotrams fusion.Am J Emerg Med 1983; 1: 112–113PubMedCrossRefGoogle Scholar
  25. 25.
    American College of Surgeons Committee on Trauma:Advanced trauma life support course manual, 1985, Chapter 3, Shock, 179–191.Google Scholar
  26. 26.
    Roberts JR and Hedges JR.Clinical procedures in emergency medicine, W.B. Saunders, 1985, 650–660Google Scholar
  27. 27.
    Alfano SN, Leicht MJ, Skiendzielewski JJ, et al. Lidocaine toxicity following subcutaneous administration.Ann Emerg Med 1984; 13: 465–467PubMedCrossRefGoogle Scholar
  28. 28.
    Pryor GJ, Kilpatrick WR, Opp DR. Local anesthesia in minor lacerations. Topical TAC vs. lidocaine infiltration.Ann Emerg Med 1980; 9: 568–571PubMedCrossRefGoogle Scholar
  29. 29.
    Callahan M. Treatment of common dog bites: infection risk factors.J Am Coll Emerg Phys 1978; 7: 83–87CrossRefGoogle Scholar
  30. 30.
    Stevenson TR, Thacker JG, Rodeheaver GT, et al. Cleansing the traumatic wounds by high pressure syringe irrigation.J Am Coll Emerg Phys 1976; 5: 17–21CrossRefGoogle Scholar
  31. 31.
    Committee on Infectious Diseases, American Academy of Pediatrics.Red Book, A.A.P., Elk Grove, IL., 1986, 355–359.Google Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 1989

Authors and Affiliations

  • Steven M. Selbst
    • 1
  • M. Douglas Baker
    • 1
  • Louis M. Bell
    • 1
  • Kathy N. Shaw
    • 1
  • Cynthia Briede
    • 1
  • G. Anthony Woodward
    • 1
  • Stephen Ludwig
    • 1
  1. 1.Department of Pediatrics, Division of General PediatricsThe Children's Hospital of PhiladelphiaPhiladelphiaU.S.A.

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