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DOI: 10.1148/radiol.2451061381
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Enhancing Pediatric Safety: Using Simulation to Assess Radiology Resident Preparedness for Anaphylaxis from Intravenous Contrast Media1

Ana Maria Gaca, MD, Donald P. Frush, MD, Susan M. Hohenhaus, MA, RN, Xuemei Luo, PhD, Anjanett Ancarana, RTR, Angela Pickles, MD, and Karen S. Frush, MD

1 From the Division of Pediatric Radiology, Department of Radiology (A.M.G., D.P.F., A.A.), and Division of Emergency Medicine, Departments of Pediatrics and Surgery (S.M.H., X.L., K.S.F.), Duke University Health Systems, 1905 McGovern-Davison Children's Health Center, Box 3808 DUMC, Durham, NC 27710; and Department of Radiology, Janeway Child Health Centre, St. John's, Newfoundland and Labrador, Canada (A.P.). Received August 9, 2006; revision requested October 12; revision received November 7; accepted December 18; final version accepted February 1, 2007. Address correspondence to A.M.G. (e-mail: ana.gaca{at}duke.edu).


Figure 1
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  		Figure 1: Pediatric intravenous contrast material reaction scenario. Purple zone from Broselow-Luten pediatric emergency tape shows precalculated medications for emergency department resuscitation of patients weighing 10–11 kg.

 

Figure 2
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  		Figure 2: Information sheet, modified from Broselow-Luten tape, with radiology-specific information for use in pediatric intravenous (IV) contrast material reaction emergencies. KCL = potassium chloride, LR = lactated Ringer solution, NS = normal saline, PO = by mouth, PRN and prn = as occasion requires, SC = subcutaneous.

 

Figure 3
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  		Figure 3: Scoring sheet for evaluating radiology resident's responses to pediatric contrast material reaction. IV = intravenous.

 




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