Critical pediatric-specific procedures are rarely performed in both large, academic pediatric-only Emergency Departments and combined Level 1 adult/pediatric Level 1 trauma centers.  As clinical work does not expose PEM providers to situations where these skills can be maintained, simulation has attempted to bridge the gap in skill sustainment for these low volume, high-risk events.  

Previous studies have described various levels of realism and practitioner confidence with the use of different models in medical simulation including mannequins, simulated patients, and cadavers, each of these models with their own advantages and disadvantages.  Previously literature suggests that dead porcine models provide the most appropriate balance between low administrative and cost burden and realistic medical interventions. Learners have also reported that the dead porcine model specifically provided adequate psychomotor training and tactile feedback, both necessary components in developing competency in performing critical invasive procedures on patients. 

Given the medical realism at a low cost combined with the paucity of real-world exposure to necessary procedural volume to maintain skills , this model will be used for pediatric emergency medicine learners.