PG11 Film one, do one, teach one. Using video to educate and innovate in a Covid-19 world

Problem Due to the highly infectious nature of Covid-19, aerosol generating procedures (AGP’s) have had to evolve to ensure the safety of the patients and staff. At the same time social distancing measures and a reduction in education time has created an environment where it is challenging to educate teams around these changes. Solution We designed and filmed a short series of simulated videos showing a team of medical professionals safely completing a Paediatric Rapid Sequent Intubation, and managing a Paediatric Cardiac Arrest. Method We invited multi-disciplinary clinicians from Paediatrics, Anaesthetics, Paediatric Intensive Care (PIC) and Paediatric Emergency Medicine (PEM) to discuss the dangers of each scenario and develop a series of safe and effective countermeasures to the observed risks. We then conducted a simulation of both scenarios using a multi-camera high definition audio/visual system to record the simulations in real time. We included camera footage from the patient’s room, the anteroom used for kit and drug preparation and the corridor outside to illustrate the difficulties encountered and potential solutions. We used editing software to create two 20min videos of the each scenario. The multi-camera system allowed us to display the activity in different areas in tandem, illustrating for example how the drug and kit preparation can take place outside of the patient’s room whilst resuscitation is on-going inside. We also spliced images of our local guidelines into the video at relevant points for reference. The videos were shown to the clinical leads for PIC, the Paediatric Emergency Department, and the Resuscitation Service, to given an opportunity for feedback. Their comments were then incorporated into the videos. Finally we uploaded the videos to the Hospital Intranet allowing them to be accessed and viewed by all staff in the Hospital at any time. Results Feedback has been unanimously excellent from staff from across the MDT and across many different levels of seniority. Staff describe feeling more comfortable with these difficult situations, and have fed back that the videos have helped alleviate the fear of conducting AGP’s in the time of Covid-19. Future Work Social distancing is likely to be with us for a significant period of time, therefore any strategy to improve training and education, whilst reducing the need to attend training days will be of great value. We will continue to develop videos of other AGP’s and upload them to our hospital intranet.