Pediatric Mock Code Resources

Pediatric emergencies typically elicit anxiety and discomfort in many healthcare professionals. The actions by the staff that arrive to manage a pediatric patient in cardiopulmonary arrest (CPA) or other crisis event are critical. Yet, simulation of pediatric mock codes and other crisis scenarios has demonstrated that there are significant delays in the ABC steps of resuscitation including application of oxygen, initiation of cardiopulmonary resuscitation (CPR) and defibrillation. These delays are detrimental to pediatric survival rates.

Frequent practice via pediatric mock codes can increase confidence, enhance communication between healthcare team members, and improve performance. Pediatric mock codes are an effective form of simulation training, which provide an opportunity for multidisciplinary practice in a safe, clinical environment without fear of patient injury.

In an effort to assist healthcare organizations in developing and enhancing their pediatric mock code programs, Illinois EMSC has developed the following resources that are accessible on this Web page.

Pediatric Mock Code Toolkit, 2nd Edition
‌This document outlines the process for conduction and evaluation of pediatric mock codes. Several sample forms and templates are available within the document. **These forms are available below in Word format so healthcare practitioners can easily modify or edit them for their own use.**

Toolkit Forms and Templates:

• Sample Pediatric Mock Code Needs Assessment‌ 
• Sample Pediatric Mock Code Program Planner 
• Sample Pediatric Mock Code Resource Checklist 
• Sample Pediatric Mock Code Scenario Worksheet
• Sample Pediatric Mock Code Scenario Worksheet - Filled 
• Sample Pediatric Mock Code Observer Form 1 
• Sample Pediatric Mock Code Observer Form 2 
• Sample Pediatric Mock Code Evaluation Form 
• Sample Scenario - Code Components 
• Sample Scenario - Hypovolemic Shock 
• Sample Scenario - Neonatal Resuscitation 
• Sample Scenario - Respiratory Distress 
• Sample Scenario - Seizure