Paediatric Care After Resuscitation

PCAR Programme Description

PCAR Programme Description

PCAR (Paediatric Care After Resuscitation) is the paediatric-specific version of the adult focused TCAR course, ideal for nurses who occasionally or primarily care for injured children.

The PCAR course offers emergency, perioperative, critical care, acute care, and rehabilitation providers the foundational, evidence-based information and critical thinking skills necessary to address the needs of the hospitalised, injured child. PCAR does not focus on specific psychomotor skills, which vary greatly by practice location and practice level.

PCAR covers a wide range of pathophysiologic and patient care concepts and is designed to be a broad, core-level programme, rather than an advanced or specialty-specific course. Although nurses are PCAR’s largest audience, the information contained in this programme has proven useful to physiotherapists, paramedics, social workers, dieticians, occupational therapists, speech and language pathologists, and others who interact with the hospitalised trauma patient.

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Who Should Attend
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Who Should Attend
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Course Content

Part 1:

An introduction to basic topics relevant to the care of the hospitalised paediatric trauma patient:

  • The trauma care spectrum
  • The biomechanics of trauma
  • The body's response to injury

Part 2:

Learners participate in interactive expanding case scenarios that address the care of hospitalised paediatric patients with injuries to specific body systems. Each module introduces specific trauma care concepts including pathophysiology, patient assessment, and complications. Surgical, medical, and nursing management options and outcome criteria are introduced while analysing cases of children with:

  • Thoracic injury
  • Abdominal injury
  • Musculoskeletal injury
  • Head injury
  • Spine and spinal cord injury

Each interactive expanding case scenario promotes critical thinking, knowledge synthesis, and clinical reasoning skills by inviting learners to:

  • Incorporate injury biomechanics information
  • Analyse clinical assessment data
  • Suggest appropriate care interventions
  • Identify individuals at risk for deterioration
  • Prevent, recognise, and manage complications
  • Understand current trends and issues in paediatric trauma patient care
  • Predict each child’s care trajectory
  • Set realistic goals and evaluate outcomes
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Learner Outcomes

By the end of the course, participants will be able to:

  • Describe the trauma continuum of care
  • Identify high risk paediatric patient populations
  • Anticipate specific wounds and complications based on mechanism of injury information
  • Recognise and influence the body’s multisystem responses to traumatic insults
  • Integrate physical assessment, imaging studies, vital signs, and laboratory data to evaluate the hospitalised trauma patient
  • Describe appropriate medical, surgical, nursing, and ancillary care interventions for frequently encountered injuries
  • Coordinate with interdisciplinary team members to provide appropriate and timely care to injured children
  • Prevent, identify, and manage complications common to the hospitalised trauma patient
  • Select realistic trauma patient goals and evaluate care outcomes
  • Address the psychosocial needs of hospitalised injured children their family members