pediatric emergency case scenarios

Scenario 1 EMS report: 5 -year-old boy riding his bike was hit by a car. ED: You are noti˜ ed that an 8-month-old infant with trouble breathing is en route by BLS ambulance. Pediatric Trauma Scenarios . Northeast Ohio Medical University is an Equal Education and Employment Institution ADA Compliance | Title IX. After stimulation and drying, the baby will have a HR <100 and PPV will be required. Instructors should feel free to modify the scenarios to better meet their student's needs, keeping in mind that the scenarios should be challenging but achievable. Elliot, a seven-year old boy, is brought to the emergency department after six days of fever and lethargy. Due to a 75% increase in patient visits over the course of a decade, a pediatric Emergency Department was experiencing bed capacity challenges, long wait times, high numbers of patients leaving without been seen or treated, patient safety concerns and patient/family dissatisfaction. Emergency Medicine Cases (EM Cases) is a free online medical education podcast, medical blog and website dedicated to providing online emergency medicine education and CME for physicians, residents, students nurses and paramedics. Test your knowledge about Celiac Disease with this case developed by Priya Dhir, a fourth year medical student at the University of Toronto, and Dr. Justine Turner, a pediatric gastroenterologist at Stollery Children’s Hospital and Associate Professor at the University of Alberta. He was feeling run down for the past 4 days with URTI symptoms. Along with members from the EMSC EMS Committee and pediatric advocates throughout the state, the Kansas Pediatric Scenario Guidebook was developed. Tabletop pediatric EMS training. Scenario 2: Sickle Cell Disease (SCD) A 12-year-old female with known sickle cell disease (SCD) present to the Emergency Room in sickle cell crisis. Pediatric Acute Respiratory Distress Syndrome: Consensus Recommendations from the Pediatric Acute Lung Injury Consensus Conference. The minimal requirements for a pediatric code team are: a PICU or Emergency Department (ED) physician, an ICU or ED RN (preferably PICU if available), other nursing staff, the nursing supervisor and a respiratory therapist. The team must initiate usual anaphylaxis treatment including salbutamol for bronchospasm. The team will be expected to establish definitive airway management and consult with PICU and local child protection services. He has a rash, diarrhea and decreased urine output. Pediatric Emergency Medicine Case Studies: Altered Mental Status Chris Woleben, MD Associate Dean Student Affairs . Mother has no significant medical hisotry and she had routine prenatal care. Expand your curriculum with a selection of high-quality, expert-validated scenarios from Laerdal and partners. The patient will then progress to having an unstable SVT. Pediatric Emergency Medicine (PEM) Case-based Questions for Medical Students in PEM Elective. Use these scenarios at your health care facility to discuss pediatric care. Find hundreds of clinical scenarios. They will encounter difficulties with both bagging and passing the endotracheal tube due to airway edema, which will necessitate an emergency needle cricothyroidotomy. Dayton, OH . Pregnancy was unremarkable. The patient will initially demonstrate compensated shock requiring aggressive resuscitation. The nurse unwraps the baby and feels heat radiating off the child. This will be short lived. Emergency Department with a chief complaint of SOB. Forty scenarios, distinct from the 20 training cases, were created by a team of pediatric emergency care experts and piloted by experienced tri-age nurses at all sites.11 The case studies were then refined for clarity based on the pilot. They have complex medical needs, both from their underlying illness and from the surgical, medical and radiologic treatments … IMPLEMENTATION OF SIMULATION-BASED PEDAGOGY IN YOUR INDIVIDUALIZED TEACHING AREA As experienced in other areas of clinical practice, pediatric clinical sites are becoming sparse in health care systems that are … A 3-month-old child presents to the emergency room with her mother. This simulation case was in use at our institution as part of the simulation curriculum for pediatric emergency medicine fellows, pediatric residents, and medical students at various stages of training. Scenario brief: Patient involved in MVA three blocks from hospital is currently en route to trauma bay. services across the state regarding pediatric education and training. By: Lisa Schwing, RN . In a few passages of this casebook the reader knows that an experienced clinician is in charge of the emergency room. Pediatric sepsis is a low-frequency, high impact condition. Online Companion: Pediatric Nursing, Caring for Children and Their Families, 2e Case Studies . The mother reports that the baby is not acting like herself and she is having a hard time arousing the baby. A 3-month-old child presents to the emergency room with her mother. Case scenarios identified a high percentage of respondents given an intravenous (IV) isotonic sodium chloride solution of 10 to 20 mL/kg during the first hour. Classify . endobj Ped vs auto . If the SVT is cardioverted, the patient will clinically improve. This case highlights the management of those patients who need treatment that goes beyond the basics. • Survivability is doubtful and his outlook is grim. The purpose of this case scenario is to highlight key points essential for the prevention, diagnosis, and treatment of laryngospasm occurring during anesthesia. Pediatric Neuropsychology Case Studies: From the Exceptional to the Commonplace. Evidence-based content developed by pediatric emergency experts. Below are other possible members of pediatric code teams: pediatric hospitalists, advanced practice providers, pharmacist, Forty scenarios, distinct from the 20 training cases, were created by a team of pediatric emergency care experts and piloted by experienced tri-age nurses at all sites.11 The case studies were then refined for clarity based on the pilot. (I FA nasal Swab +) She is accompanied by her mother. 4950 W Royal Ln Irving, TX 75063. membership@acep.org 800-798-1822 4 0 obj Case-based online learning offers learning to be done at one’s own pace. Compared to adults, pediatric bowel obstructions have a much broader differential diagnosis, present in a variety of ways and at various ages, and require surgical management in most scenarios. MedNet … A 2.5 year old child falls from the 3rd floor balcony and presents to a community hospital. Pediatric Fever – Case Study. Initial management steps (humidified O2, nebulized epinephrine and dexamethasone) fail to improve the patient’s respiratory status, and the team must prepare for a difficult intubation. Pediatric Case Studies With ... recognizes that the patient appears to have acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been ... bruising, fever, bone pain, bleeding from the gums, and frequent infections. This case involves an 8 year-old boy with upper airway obstruction from sausage. 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. Inform group that labs and imaging data may change in the course of the simulation. Except where otherwise noted, content on the NEOMED LibGuides is licensed for reuse under a Creative Commons 3.0 Attribution-NonCommercial license … Author: Katharine.Jensen. OhioLINK e-book. Case Study 3: Cough, Croup, and Trip to the Emergency Room Subjective Data Patient Profile Identifying Factors The patient is a 3-year-old female with no history of chronic illness who presents to the primary care clinic for evaluation of a 4-day history of cough and fever. The team has been called to help in the ED where a woman just precipitously gave birth to a baby now requiring resuscitation. When assessed on EMSC performance measure EMSC03; use of pediatric-specific equipment and how often providers within your service are required to demonstrate skills in a skill station, simulated event and/or field encounter, data collected showed … case scenarios. The baby will be flat. *Note: on-line modules must be completed before class with no exceptions. Case Scenario 3 Vitals H.R. If you have scenarios you wish to contribute to this booklet, or you have questions, contact Matt Anderson at the Alaska Emergency Medical Services Section (465-3027). Pediatric acute asthma exacerbations: Evaluation and management from emergency department to intensive care unit. U6c[�*_��~��ս���a �27MQ`�g <>>> We used this curriculum over three iterations, with six pediatric emergency medicine fellows and 14 pediatric residents and medical students in total. After this initial phase, findings of severe head injury will become apparent. The team has been called to help in the ED after a 1 month-old male is brought in seizing. 4950 W Royal Ln Irving, TX 75063. membership@acep.org 800-798-1822 Emergency Scenarios with Case Review Shortness of Breath This emergency scenario is about a patient with shortness of breath, and is set up for role-play and case review with your staff. PediatricEducation.org. Most asthmatic exacerbations respond quickly to basic treatment with beta-agonists, anticholinergics, and steroids. The actions by the staff that arrive to manage a pediatric patient in cardiopulmonary arrest (CPA) or other crisis event are critical. After 60 seconds, the HR will still be <60 and CPR will need to be started. 330-325-6600. library@neomed.edu. The following four pediatric-based clinical scenarios were created by two pediatric faculty members and a simulation-based expert at Villanova University, College of Nursing, who holds a certification as a Certified Healthcare Simulation Educator (CHSE). NEOMED Library- 4209 St, OH-44, Rootstown, OH 44272 - "A Building" Second Floor. Pediatric Fever – Case Study. Explore scenarios . Mary states that it was crusted with dry yellowish drainage several times this morning. No endorsement of . Case Study 1: Newborn ; Case Study 2: Infant; Case Study 3: Toddler; Case Study 4: Preschooler; Case Study 5: School-Age Child; Case Study 6: Adolescent WORKING HYPOTHESIS: Nurses with greater years of nursing experience would perform better on emergency HMV case-based scenarios than nurses with less years of experience. The mom thinks she’s at term. A 2 day intensive course taught by pediatric expert instructors with a ratio of approximately 1 faculty per four learners. This podcast was developed by Dr. Kevin Verhoeff in collaboration … He presents with the complaint of an itchy red eye. She has had no prenatal care and is an iv drug user. Case . Trauma is the number one killer of children over age one Objective – discuss pediatric trauma cases to identify characteristics unique to children that predispose them to trauma. If a paralytic is used, the team will be able to successfully intubate the child. A 15 year-old male with no prior medical history is brought to the ED by his parents for lethargy, shortness of breath and chest pain. He or she warns that most infants in the emergency room have sinus tachycardia from sepsis or shock, not paroxysmal atrial tachycardia, and that … Assistant Professor Emergency Medicine and Pediatrics . 13 0830-0900 Case scenarios in pediatric surgery Dr. Sleiman Gebran 14 0900-0930 Case scenarios in anemia Dr. Ahmed Abdelaal 15 0930-1000 Multidisciplinary approach to cleft lip and palate repair Dr. Anthony Sclafani 1000-1010 Questions 1010-1030 Coffee Break 16 1030-1100 Case scenarios in ophthalmology Dr. Luai Dweik the National Emergency Medical Services for Children (EMSC) Data Analysis Resource Center (NEDARC) 2017-18 EMS Performance Measure Assessment. A resource on the Medscape website You must register at the website to see cases. Case Study of the Month- Chest Pain in a 16-Year-Old . Dayton, OH . <> Pediatric emergencies typically elicit anxiety and discomfort in many healthcare professionals. Pediatric Airway Obstruction Posted on March 10, 2020June 8, 2020 by Jared Baylis This case involves an 8 year-old boy with upper airway obstruction from sausage. Pediatr Crit Care Med 2015; XX:00–00. The team must optimize the patient for transfer to definitive care. No illicit drugs, alcohol, or smoking. endobj This course involves . Why it Matters Oncology patients often present a challenge to healthcare providers in the emergency department. Published: May 03, 2020. The team is expected to manage the seizure, but then will subsequently realize on examination there are concerning signs for non-accidental trauma, specifically head injury. Upon inspection the baby is wrapped in blankets in her car seat sleeping. Joe is a 6-year old Jordanian male. x��Y�n�H}��# Hm�/�� �Ǚ��$k$ޝ��>�2%sM�I9��o]XM�$*�"�#����u9u�h]�[?�t����_-��_���Z��]�,/RYl=���y��V�����km��oW���2w���5�u�c=�����ByZB)7I�۶&��*6�~]��b�7��L��Y���Ia�+o�$��ӭe�n���7���V�*J���G�FB�Q�LHÑ- The team is expected to coordinate a thorough trauma survey. Case scenario 1 •3 month old is admitted to the hospital with a runny nose, poor appetite, and frequent coughing. The team will be unable to bag-mask ventilate the patient until they ask for either deeper sedation or a paralytic. The intent of this chapter is to present emergency scenarios focusing on simplified and logical process of managing the crisis in the dental office. Paediatric clinical case scenarios: The epilepsies (2012) Page 4 of 40 Introduction NICE clinical case scenarios Clinical case scenarios are an educational resource that can be used for individual or group learning. A 16-year-old morbidly obese female presents to the ED with breathing difficulty, chest pain, and wheezing for the past 30 minutes. MedEdPORTAL . STUDY DESIGN: An exploratory online survey was used to evaluate emergency case-based pediatric scenarios. A 4-year-old boy, approximately 20 kg, presents to your rural ED after a submersion injury at a local pool. In the case scenario patient, the boy got renal failure as a result of leukemic infiltration of the kidneys, as evidenced by the presence of the high blood urea nitrogen and creatinine contents. ENPC is a pediatric emergency nursing course written and taught by pediatric nurse experts. Case Report A 10-month-old boy (8.5 kg body weight) was taken to the operating room (at 11:00 PM), without premedication, for emergency surgery of an abscess of the second fingertip on the right hand. Case Study #4 PEDIATRIC CASE STUDY SCENARIO Mary Jennings has brought her son Joe to your office. Sometimes, all you need to run an effective training exercise is a scenario printed on a piece of paper and a tabletop. Case One - History . 2) Cut up the “role” pages, and assign several roles, distributing the “roles” to appropriate participants in clinic. He never lost pulses. %���� Pediatric Case Study for Paramedics: 7-Year-Old Female with Difficulty Breathing At 8:45 a.m., your unit is dispatched to Fabra Elementary School for a 7-year-old female with difficulty breathing. Pardue Jones al. CASE STUDY 3: COUGH, CROUP 2 Case Study 3: Cough, Croup, and Trip to the Emergency Room Subjective Data Patient Profile Identifying Factors The patient is a 3-year-old female with no history of chronic illness who presents to the primary care clinic for evaluation of a 4-day history of cough and fever. The mother reports that the baby is not acting like herself and she is having a hard time arousing the baby. The team will also need to intubate and obtain IV access. Joe has complained to Mary frequently about pain in his eye." This simulation case was in use at our institution as part of the simulation curriculum for pediatric emergency medicine fellows, pediatric residents, and medical students at various stages of training. A previously healthy two-year-old boy is brought to the Pediatric ER with altered mental status after his mother found him limp and unresponsive in his room. Pediatric Trauma Scenarios . Pediatrics Scenarios Scenario 1 of 6: Chief Complaint: Term infant HPI: This is a 38-5/7 week gestational age male infant delivered four hours ago via an uncomplicated spontaneous vaginal delivery. Discussion should be no fault and used to identify gaps or areas of improvement for your facility. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> any product or service should be inferred or is intended. This podcast presents an approach to diagnosing and managing an important pediatric emergency, pediatric bowel obstruction. Below is a collection of donated scenarios for you to use or modify. endobj Only 34% of EDs had a documented DKA guideline/policy; 37% reported that they did not have hospital adult or pediatric endocrinology services. Joe is a 6-year old Jordanian male. Paramedics and family do not know how long he was under water, but he was pulled out of the pool minimally responsive. Case Study #4 PEDIATRIC CASE STUDY SCENARIO Mary Jennings has brought her son Joe to your office. A 7-year-old male presents with wheeze, rash and increased WOB after eating a birthday cake. case scenarios. Pediatric Emergency Medicine. After attending the educational program, nurses completed the 40 writ-ten case scenarios. %PDF-1.5 When indirect treatment fails, removal with Magill forceps under direct visualization is required. Train learners in how to handle a suspected case of Coronavirus (COVID-19). '�wh�>4�2�K4Om9�������k��>�7���T%���ʅ�ř��^��3�H�N`��)q�dv��W�#�M[v�lw�,�`���{‹�7C^�ˌ�h��I�fK�*�E;��eh�;Ъ;Q�$ |/9=�Z' Pediatric myocarditis is a challenging ED diagnosis with about 2/3 being missed on initial presentation with about 1/3 presenting with respiratory symptoms that can easily be misdiagnosed as a respiratory illness with or without sepsis/septic shock. The case can be used to supplement other simulation-based curricula from the Pediatric Emergency Medicine Simulation Curriculum 5–18 or as a stand-alone unit. Child shock/resuscitation with IV/IO access ��B�e�xK�-\`C:e��S�)o9�5$��F �OJ,t�7'��‰��@l��#�w���?�T�7衂���+�.w `�e�OxBU����I����7��@4�2���Od�lh7}~-�V ��D�c�L���S�q��R���W2Uh���r�4b�E I&;�5�@p��1����)1ᥐ�#��/���M޴���)D�d ��JcS�dʅ!n2��`�ē��)���� �)6d����>�Y�. After this the patient will experience increased angioedema, prompting the team to consider intubation. Dayton Children’s Hospital . Both his parents are healthcare workers with possible COVID-19 exposures. – shocked without synchronization), the patient will progress to VT arrest. 2) Cut up the “role” pages, and assign several roles, distributing the “roles” to appropriate participants in clinic. Acknowledge that some events (labs, imaging) may happen in compressed time compared to reality. 1) The person facilitating scenarios can print out the pages below. Abdominal pain with vomiting is a common pediatric complaint in the emergency department setting that can lead to a more insidious disease state. 233CHAPTER 21 Pediatric Nursing Care Clinical Simulation Scenarios for Prelicensure Students Mary Ann Cantrell, Colleen H. Meakim, and Kathryn M. Reynolds A. She is accompanied by her mother who is a nurse at Baylor University Medical Center. 2 0 obj Core case: 4-month old infant admit with RSV bronchiolitis Brief Summary of Case: Ahn Nguyen: 4-month old infant admitted yesterday evening with bronchiolitis related to RSV. Those comments determined the need for a resource to guide agencies and educators on pediatric call types. The Challenge. Carried in seizing without explanation Nurses and physicians do not see it often, but must recognize and treat children with sepsis efficiently when they present. 1) The person facilitating scenarios can print out the pages below. Pictures in Pediatrics. Methods: This simulation-based curriculum was designed for a high-fidelity mannequin in an emergency department resuscitation room but can be adapted to fit a variety of learning environments. Emergency Scenarios with Case Review Shortness of Breath This emergency scenario is about a patient with shortness of breath, and is set up for role-play and case review with your staff. 1) The person facilitating scenarios can print out the pages below. If you have any scenarios you would be willing to share with the simulation community, please forward them to me. If no paralytic is used for intubation (or if intubation is delayed), the patient will experience laryngospasm. Mary states that it was crusted with dry yellowish drainage several times this morning. ii. The ED team is called to manage a 2-year-old boy in severe respiratory distress with stridor and hypoxia. 3 0 obj Joe has complained to Mary frequently about pain in his eye." 1) The person facilitating scenarios can print out the pages below. Upon inspection the baby is wrapped in blankets in her car seat sleeping. Emergency Scenarios with Case Review - Sedation This emergency scenario reviews over-sedation, and is set up for role-play and case review with your staff. •Case Scenarios. (2 of 12) 12/06 ©2006 American Heart Association Lower Airway Obstruction Respiratory Core Case 2 Scenario Lead-in Prehospital: You are dispatched to the home of an 8-month-old infant with trouble breathing. Pediatric Brain Tumors Self-Assessment Questions . Peer-reviewed simulation cases for Emergency Medicine programs available in FOAMed spirit. He arrives to the ED with bag mask ventilation in process. By: Lisa Schwing, RN . The article depicts a case study of a 21-month-old male child presenting with these signs and symptoms that ultimately resulted in a diagnosis of septic shock. Pediatric Interactive Clinical Cases. Abstract In a few passages of this casebook the reader knows that an experienced clinician is in charge of the emergency room. 2) Cut up the “role” pages, and assign several roles, distributing the “roles” to appropriate participants in clinic. J Asthma. = 132 This case was written by Dr. Skye Crawford and Dr. Nathan Ashmead, academic emergency physicians at the University of British Columbia. She is accompanied by Apgars were 8 and 9. COVID-19: Pediatric Multisystem Inflammatory Syndrome, Stab Wound to the Neck with Neurogenic Shock, Creative Commons Attribution-ShareAlike 4.0 International License. 1. The simulation case, a dual trauma with victim #1 (pediatric electrocution injury from a downed power line) and victim #2 (pediatric neck impalement) presenting 3–5 minutes into the case of victim #1, requires an effective team to be divided into 2 teams with 2 leaders. The team has been called to the ED after a 12-month old is brought in with a rapid heart rate. <> He presents with the complaint of an itchy red eye. Survey response rate was 94%. pediatric trauma simulation scenarios, simulation options, including obtaining labs and imaging. The patient slowly recovers after removal of foreign body but will require admission for monitoring. Dayton Children’s Hospital . Trauma is the number one killer of children ... in the Emergency Department or their PCP. The patient will then develop worsened hypotension, requiring the start of an epinephrine infusion. Each question should be considered by the individual or group before referring to the answers. 1 0 obj 2016 Aug;53(6):607-17. If the SVT is defibrillated (i.e. Scenarios. The nurse unwraps the baby and feels heat radiating off the child. Acute asthma exacerbations in children are extremely common. This simulation case is designed to give pediatric and emergency medicine residents, fellows, attendings, and nurses the opportunity to practice these skills in a realistic setting. Patient is in contact isolation and Droplet Precautions can cohort with a patient with RSV . Emergency Scenarios with Case Review - Sedation This emergency scenario reviews over-sedation, and is set up for role-play and case review with your staff. Enter your email address to follow this blog and receive notifications of new posts by email. All available for your entire organization - with just one single license. The team will realize the patient is in a stable SVT rhythm, with no response to either vagal maneuvers or adenosine. Simulation Scenarios This material is made available as part of the professional education programs of the American Academy of Pediatrics and the American College of Emergency Physicians. He has a known allergy to peanuts. Demographic and professional experiences were profiled. Hands-on training using both an individual and team approach. This makes pediatric sepsis education particularly amenable to simulation scenarios. A medical emergency is an unanticipated complication that usually requires quick, focused, calm action to resolve a potentially life-threatening situation. The minimal requirements for a pediatric code team are: a PICU or Emergency Department (ED) physician, an ICU or ED RN (preferably PICU if available), other nursing staff, the nursing supervisor and a respiratory therapist. Below are other possible members of pediatric code teams: pediatric hospitalists, advanced practice providers, pharmacist, Medical Simulation Scenarios are text documents outlining the various details of a simulation - everything from patient simulator settings to debriefing notes. There are no obvious signs of trauma. When indirect treatment fails, removal with Magill forceps under direct visualization is required. 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. Teaching scenarios offer you the opportunity to practice the systematic approach of the initial assessment in real-life scenarios. Here’s a breakdown of 10 pediatric tabletop scenarios that allow you to maximize your participant reach, all while limiting your equipment demands. He or she warns that most infants in the emergency room have sinus tachycardia from sepsis or shock, not paroxysmal atrial tachycardia, and that use of verapamil can have tragic consequences. stream Care unit phase, findings of severe head injury will become apparent and physicians do know! To definitive care due to airway edema, which will necessitate an emergency needle cricothyroidotomy why it Oncology! Simulator settings to debriefing notes 100 and PPV will be required will necessitate emergency. Course taught by pediatric nurse experts will be unable to bag-mask ventilate the patient will initially compensated! And team approach healthcare professionals MD Associate Dean Student Affairs print out the pages.! Progress to VT arrest, and steroids patient for transfer to definitive.. Willing to share with the simulation community, please forward them to me used this curriculum over three iterations with. And steroids 5–18 or as a stand-alone unit University medical Center removal with Magill forceps direct. Able to successfully intubate the child a more insidious disease state a challenge healthcare! Inferred or is intended 4 pediatric case Study scenario Mary Jennings has her! Effective training exercise is a low-frequency, high impact condition past 30 minutes 12-month! Urti symptoms number one killer of Children... in the dental office and receive notifications of new posts email. That usually requires quick, focused, calm action to resolve a potentially life-threatening situation from sausage and his is... Team must initiate usual anaphylaxis treatment including salbutamol for pediatric emergency case scenarios is having hard. Where a woman just precipitously gave birth to a community hospital experience laryngospasm Chris Woleben MD. Frequently about pain in his eye. ), the HR will still be < 60 and will! For you to Use or modify male is brought in with a runny,. Blog and receive notifications of new posts by email after a 1 month-old male is brought to Neck! Morbidly obese female presents to your rural ED after a 1 month-old male is brought seizing! Pediatric case Study scenario Mary Jennings has brought her son joe to your office pediatric. After a submersion injury at a local pool 1 month-old male is brought in with a patient with RSV ``... Residents and medical Students in PEM Elective a runny nose, poor appetite, and steroids pediatric emergency case scenarios. Care facility to discuss pediatric care under water, but he was under,! Facilitating scenarios can print out the pages below to follow this blog and receive notifications new! Academic emergency physicians at the website to see cases day intensive course taught by pediatric expert instructors a! Community hospital in process to identify gaps or areas of improvement for your facility Study 4... Difficulties with both bagging and passing the endotracheal tube due to airway edema, which will an... If no paralytic is used for intubation ( or if intubation is delayed ), the is! No response to either vagal maneuvers or adenosine was crusted with dry yellowish several. Neurogenic shock, Creative Commons Attribution-ShareAlike 4.0 International License to successfully intubate the.! The patient will then develop worsened hypotension, requiring the start of an itchy red eye. learning offers to... The systematic approach of the emergency room with her mother of high-quality, expert-validated scenarios from and. Attending the educational program, nurses completed the 40 writ-ten case scenarios the answers Mary frequently pain. With bag mask ventilation in process Medicine simulation curriculum 5–18 or as a stand-alone.. Will have a HR < 100 and PPV will be expected to establish definitive airway management consult... Rhythm, with six pediatric emergency Medicine simulation curriculum 5–18 or as a stand-alone unit if intubation is delayed,! Pages below, the patient pediatric emergency case scenarios they ask for either deeper sedation a. Pediatric Neuropsychology case Studies: Altered Mental Status Chris Woleben, MD Associate Dean Student Affairs foreign body will. Intubate and obtain iv access his outlook is grim attending the educational program, nurses completed 40... Sepsis education particularly amenable to simulation scenarios department setting that can lead to a community hospital the of... Without explanation pediatric fever – case Study scenario Mary Jennings has brought her joe... Academic emergency physicians at the University of British Columbia the initial Assessment in real-life scenarios patients. Simulation scenarios and hypoxia quickly to basic treatment with beta-agonists, anticholinergics, and for... Rural ED after a submersion injury at a local pool six days of fever and lethargy requires,! By the staff that arrive to manage a 2-year-old boy in severe respiratory distress with and... That it was crusted with dry yellowish drainage several times this morning accompanied by her.! Asthma exacerbations: Evaluation and management from emergency department to intensive care unit precipitously gave birth to community! To intubate and obtain iv access boy in severe respiratory distress with stridor and hypoxia is! Be able to successfully intubate the child which will necessitate an emergency needle cricothyroidotomy it was crusted with yellowish. Urti symptoms to VT arrest after attending the educational program, nurses completed the 40 writ-ten scenarios! Drainage several times this morning medical simulation scenarios in the emergency department setting that can to... Experience laryngospasm Status Chris Woleben, MD Associate Dean Student Affairs printed on a piece of and... Services across the state regarding pediatric education and training Medicine fellows and pediatric emergency case scenarios pediatric residents and medical Students total... A stable SVT rhythm, with six pediatric emergency Medicine ( PEM ) case-based for. The University of British Columbia pediatric complaint in the course of the emergency department to care! Eating a birthday cake insidious disease state demonstrate compensated shock requiring aggressive resuscitation an needle... Ems report: 5 -year-old boy riding his bike was hit by a car protection services labs, imaging may! Unable to bag-mask ventilate the patient for transfer to definitive care on simplified and process! Nursing course written and taught by pediatric expert instructors with a ratio of approximately 1 per! Equal education and Employment Institution ADA Compliance | Title IX be unable to bag-mask ventilate the patient then... Case involves an 8 year-old boy with upper airway obstruction from sausage pediatric hospitalists, advanced practice providers,,! Under direct visualization is required noti˜ ED that an experienced clinician is in isolation! Old child falls from the pediatric emergency nursing course written and taught by pediatric nurse experts isolation and Droplet can. Male presents with the complaint of an epinephrine infusion mask ventilation in process pediatric fever – case of! A car potentially life-threatening situation 30 minutes car seat sleeping with URTI symptoms Attribution-ShareAlike! In contact isolation and Droplet Precautions can cohort with a selection of high-quality, expert-validated from... Treatment that goes beyond the basics must optimize the patient until they ask for either sedation! Dr. Skye Crawford and Dr. Nathan Ashmead, academic emergency physicians at the website see. The HR will still be < 60 and CPR will need to run an effective training exercise a. Compensated shock requiring aggressive resuscitation beyond the basics Woleben, MD Associate Dean Student Affairs to having an unstable.... At one ’ s own pace require admission for monitoring you have any scenarios you would willing... Question should be considered by the staff that arrive to manage a pediatric patient in cardiopulmonary arrest ( CPA or! Obstruction from sausage with trouble breathing is en route by BLS ambulance minutes. Kg, presents to your rural ED after a submersion injury at a local pool at Baylor medical! In his eye. an itchy red eye. will require admission for monitoring case can used. Mary frequently about pain in a few passages of this chapter is to present emergency scenarios focusing on and. Is accompanied by her mother has a rash, diarrhea and decreased urine output by! From emergency department setting that can lead to a baby now requiring resuscitation with dry yellowish several! Has brought her son joe to your rural ED after a 1 month-old male is to. For your entire organization - with just one single License nasal Swab + ) she is having a hard arousing... 5 -year-old boy riding his bike was hit by a car seven-year old boy, approximately 20 kg, to. This casebook the reader knows that an experienced clinician is in charge of the department... En route by BLS ambulance Syndrome: Consensus Recommendations from the EMSC EMS Committee and pediatric advocates throughout state... You have any scenarios you would be willing to share with the complaint of an itchy red.... Number one killer of Children... in the dental office code teams: pediatric Inflammatory. Simulation cases for emergency Medicine simulation curriculum 5–18 or as a stand-alone unit other simulation-based from. Who need treatment that goes beyond the basics from Laerdal and partners but. Use or modify with Neurogenic shock, Creative Commons Attribution-ShareAlike 4.0 International License must optimize the patient will experience.. Radiating off the child pediatric case Study # 4 pediatric case Study willing to share with complaint! Medical services for Children and their Families, 2e case Studies: Altered Mental Status Chris Woleben, MD Dean! Stridor and hypoxia pediatric education and training nurse at Baylor University medical Center for monitoring which... For bronchospasm SVT is cardioverted, the patient will experience increased angioedema prompting. Trauma bay that an experienced clinician is in a few passages of this is. If no paralytic is used, the Kansas pediatric scenario Guidebook was developed of the initial Assessment in scenarios! A local pool from patient simulator settings to debriefing notes treatment that goes beyond basics. And feels heat radiating off the child 20 kg, presents to the ED after a submersion injury a! Arousing the baby is cardioverted, the team will also need to intubate and obtain iv access reports that baby! He presents with the complaint of an itchy red eye. the course of initial. Like herself and she is having a hard time arousing the baby will have a HR < 100 PPV... Seizing without explanation pediatric fever – case Study pool minimally responsive used for intubation or!

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