Thirty million pediatric visits (<18 years old) occur across 5,000 US emergency departments (EDs) each year, with most of these cases presenting to community EDs. Simulation-based training is an effective method to improve and sustain EDs’ readiness to triage and stabilize critically ill infants and children, but large simulation centers are mostly concentrated at academic hospitals. The use of pediatric simulation-based training has been limited in the community ED setting due to the high cost of equipment and limited access to content experts in pediatric critical care. We designed an innovative “off-the-shelf” simulation-based training resource, “American College of Emergency Physicians (ACEP) SimBox,” that provides a free low-technology manikin along with teaching aids and train-the-trainer materials to community EDs to run a simulation drill in their own workspaces with local educators. The goal was to develop an “off-the-shelf,” free, open-access, simulation-based resource to improve the readiness of community EDs to triage, resuscitate, and transfer critically ill infants as measured by presimulation and postsimulation surveys measuring opinions regarding the scenario, session experience, and most valuable aspect of the session. Between January 2018 and December 2019, 179 ACEP SimBoxes were shipped across the United States, reaching 36 of 50 states. Facilitators and participants who completed the postsimulation survey evaluated the session as a valuable use of their time. All facilitator respondents reported that the low-technology manikins, paired with their institution-specific equipment, were sufficient for learning, thus reducing costs. All participant respondents reported an increased commitment to pediatric readiness for their ED after completing the simulation session. This innovation resulted in the implementation of a unique simulation-based training intervention across many community EDs in the United States. The ACEP SimBox innovation demonstrates that an easy to use and unique simulation-based training tool can be developed, distributed, and implemented across many community EDs in the United States to help improve community ED pediatric readiness.

每年在美国 5,000 个急诊科 (ED) 发生 3000 万次儿科就诊（<18 岁），其中大部分病例出现在社区 ED。基于模拟的培训是提高和维持急诊室对危重婴儿和儿童进行分流和稳定的准备的有效方法，但大型模拟中心大多集中在学术医院。由于设备成本高昂以及对儿科重症监护内容专家的接触有限，在社区急诊机构中，基于儿科模拟的培训的使用受到限制。我们设计了一种创新的“现成的”模拟培训资源，“美国急诊医师学院 (ACEP) SimBox，”，它向社区教育工作者提供免费的低技术模型以及教具和培训师培训材料，让他们在自己的工作空间与当地教育工作者进行模拟演练。目标是开发一种“现成的”、免费的、开放访问的、基于模拟的资源，以提高社区 ED 对危重婴儿进行分类、复苏和转移的准备，这通过衡量意见的预模拟和模拟后调查来衡量关于场景、会议体验和会议最有价值的方面。2018 年 1 月至 2019 年 12 月期间，179 个 ACEP SimBox 运往美国各地，到达 50 个州中的 36 个。完成模拟后调查的协调员和参与者认为这次会议是对他们时间的宝贵利用。所有辅导员受访者都表示，技术含量低的人体模型与其机构专用设备搭配使用，足以进行学习，从而降低成本。所有参与者受访者都表示，在完成模拟会话后，他们对 ED 的儿科准备工作的承诺有所增加。这项创新导致在美国的许多社区 ED 中实施了独特的基于模拟的培训干预。ACEP SimBox 创新表明，可以在美国的许多社区 ED 中开发、分发和实施一种易于使用且独特的基于模拟的培训工具，以帮助提高社区 ED 儿科准备情况。所有参与者受访者都表示，在完成模拟会话后，他们对 ED 的儿科准备工作的承诺有所增加。这项创新导致在美国的许多社区 ED 中实施了独特的基于模拟的培训干预。ACEP SimBox 创新表明，可以在美国的许多社区 ED 中开发、分发和实施一种易于使用且独特的基于模拟的培训工具，以帮助提高社区 ED 儿科准备情况。所有参与者受访者都表示，在完成模拟会话后，他们对 ED 的儿科准备工作的承诺有所增加。这项创新导致在美国的许多社区 ED 中实施了独特的基于模拟的培训干预。ACEP SimBox 创新表明，可以在美国的许多社区 ED 中开发、分发和实施一种易于使用且独特的基于模拟的培训工具，以帮助提高社区 ED 儿科准备情况。