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Purpose of Review <p>Pediatric resuscitation is a high-stakes, low-frequency clinical challenge disproportionately encountered in community emergency departments. This review evaluates Extended Reality (XR) - encompassing Virtual Reality (VR), Augmented Reality (AR), and Mixed Reality (MR) - as a scalable adjunct to traditional simulation-based training for supporting pediatric resuscitation readiness and mitigating the limitations of episodic training in low-volume emergency settings.</p> Recent Findings <p>Emerging evidence suggests VR supports cognitive rehearsal and algorithm fluency, with studies demonstrating acceptable performance on selected CPR metrics, high learner acceptability, and short-term knowledge retention. AR shows promise for anatomical visualization and procedural guidance in airway management training. However, the evidence base remains heterogeneous, predominantly involving laypersons, undergraduate learners, and adult CPR contexts, with limited pediatric emergency department-specific data. Fully immersive VR systems demonstrate insufficient haptic fidelity for psychomotor skill acquisition, and no established link to patient-level outcomes has yet been demonstrated.</p> Summary <p>Extended reality represents a promising adjunct - not a replacement - in the landscape of pediatric resuscitation training. In low-volume emergency settings where traditional simulation is insufficient to maintain competency at the required frequency, VR and AR may complement existing approaches by supporting cognitive rehearsal, algorithm fluency, and procedural familiarity. Integration into clinical workflows, competency frameworks, and quality improvement systems warrants further structured evaluation. Future research should prioritize objective performance metrics, pediatric clinician populations, and patient-level outcomes to guide broader adoption.</p>

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Beyond Simulation: Extended Reality as a Systems-Level Solution to Pediatric Resuscitation Skill Decay in Emergency Departments

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年6月3日

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  • Khaled Abouelmagd,
  • Ursula Abu Nahla,
  • Gabriela Berger,
  • Elsayed S. Moubarak,
  • Karolina Piszczek,
  • Fatima Abid,
  • Mohammed Alsabri

摘要

Purpose of Review

Pediatric resuscitation is a high-stakes, low-frequency clinical challenge disproportionately encountered in community emergency departments. This review evaluates Extended Reality (XR) - encompassing Virtual Reality (VR), Augmented Reality (AR), and Mixed Reality (MR) - as a scalable adjunct to traditional simulation-based training for supporting pediatric resuscitation readiness and mitigating the limitations of episodic training in low-volume emergency settings.

Recent Findings

Emerging evidence suggests VR supports cognitive rehearsal and algorithm fluency, with studies demonstrating acceptable performance on selected CPR metrics, high learner acceptability, and short-term knowledge retention. AR shows promise for anatomical visualization and procedural guidance in airway management training. However, the evidence base remains heterogeneous, predominantly involving laypersons, undergraduate learners, and adult CPR contexts, with limited pediatric emergency department-specific data. Fully immersive VR systems demonstrate insufficient haptic fidelity for psychomotor skill acquisition, and no established link to patient-level outcomes has yet been demonstrated.

Summary

Extended reality represents a promising adjunct - not a replacement - in the landscape of pediatric resuscitation training. In low-volume emergency settings where traditional simulation is insufficient to maintain competency at the required frequency, VR and AR may complement existing approaches by supporting cognitive rehearsal, algorithm fluency, and procedural familiarity. Integration into clinical workflows, competency frameworks, and quality improvement systems warrants further structured evaluation. Future research should prioritize objective performance metrics, pediatric clinician populations, and patient-level outcomes to guide broader adoption.