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Translational simulation in action: using simulation-based multidisciplinary teaching to introduce ward-level high-flow oxygen care in bronchiolitis
  1. Peter Mallett1,
  2. Barbara Maxwell2,
  3. Ruth Harte2,
  4. Ben McNaughten1,
  5. Thomas Bourke1,3,
  6. Andrew Thompson1,
  7. Dara O’Donoghue2,3
  1. 1Department of Paediatric Education and Simulation, Royal Belfast Hospital for Sick Children, Belfast, UK
  2. 2Department of Paediatric Respiratory Medicine, Royal Belfast Hospital for Sick Children, Belfast, UK
  3. 3Centre for Medical Education, Queens University Belfast, Belfast, UK
  1. Correspondence to Dr Peter Mallett, Paediatric Simulation & Education Department, Royal Belfast Hospital for Sick Children, Belfast BT12 6BA, USA; peter.mallett{at}

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Introduction and aims

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 hospitalisation.1 In severe cases, children are admitted to paediatric intensive care (PICU) for ventilation and supportive treatment. An admission to a critical care unit is an extremely stressful time for children and their families. It also has significant implications on workload and resources.

High-flow nasal cannula oxygen (HFNCO) is a treatment where oxygen is delivered at high rates via a tight-fitting nasal mask. This treatment has recently been increasingly used to manage bronchiolitis. Recent evidence has suggested that this may have a role as rescue therapy to reduce the proportion of children requiring high-cost intensive care.2 Prior to this initiative, this treatment option was only available in PICU in our trust.

In 2016, our team acquired one HFNCO unit in a bid to introduce this treatment at ward level. These attempts to do so, prior to developing an introductory simulation-based collaborative teaching event, …

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  • Contributors PM, TB, DOD and AT devised and developed the concept. BMcN and DOD adapted the local guideline. BM, RH, PM and DOD delivered the teaching. PM finalised the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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