�Y�. If no paralytic is used for intubation (or if intubation is delayed), the patient will experience laryngospasm. Trauma is the number one killer of children ... in the Emergency Department or their PCP. Dayton, OH . MedEdPORTAL . Find hundreds of clinical scenarios. 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). 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 Mother has no significant medical hisotry and she had routine prenatal care. Case Study #4 PEDIATRIC CASE STUDY SCENARIO Mary Jennings has brought her son Joe to your office. 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. The team is expected to coordinate a thorough trauma survey. 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. This makes pediatric sepsis education particularly amenable to simulation scenarios. The nurse unwraps the baby and feels heat radiating off the child. 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. %PDF-1.5 Each question should be considered by the individual or group before referring to the answers. He or she warns that most infants in the emergency room have sinus tachycardia from sepsis or shock, not paroxysmal atrial tachycardia, and that … A 3-month-old child presents to the emergency room with her mother. Acute asthma exacerbations in children are extremely common. services across the state regarding pediatric education and training. The actions by the staff that arrive to manage a pediatric patient in cardiopulmonary arrest (CPA) or other crisis event are critical. 4950 W Royal Ln Irving, TX 75063. membership@acep.org 800-798-1822 This course involves . 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. 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. Joe is a 6-year old Jordanian male. 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. The ED team is called to manage a 2-year-old boy in severe respiratory distress with stridor and hypoxia. *Note: on-line modules must be completed before class with no exceptions. Pediatric Trauma Scenarios . When indirect treatment fails, removal with Magill forceps under direct visualization is required. Pediatric sepsis is a low-frequency, high impact condition. When indirect treatment fails, removal with Magill forceps under direct visualization is required. 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 2) Cut up the “role” pages, and assign several roles, distributing the “roles” to appropriate participants in clinic. Pediatric Emergency Medicine. Dayton, OH . •Case Scenarios. If the SVT is cardioverted, the patient will clinically improve. He was feeling run down for the past 4 days with URTI symptoms. He has a rash, diarrhea and decreased urine output. If you have any scenarios you would be willing to share with the simulation community, please forward them to me. Below is a collection of donated scenarios for you to use or modify. They will encounter difficulties with both bagging and passing the endotracheal tube due to airway edema, which will necessitate an emergency needle cricothyroidotomy. pediatric trauma simulation scenarios, simulation options, including obtaining labs and imaging. Evidence-based content developed by pediatric emergency experts. Classify . The team will be expected to establish definitive airway management and consult with PICU and local child protection services. ED: You are noti˜ ed that an 8-month-old infant with trouble breathing is en route by BLS ambulance. Joe has complained to Mary frequently about pain in his eye." 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. Emergency Department with a chief complaint of SOB. A 4-year-old boy, approximately 20 kg, presents to your rural ED after a submersion injury at a local pool. Case One - History . endobj The patient slowly recovers after removal of foreign body but will require admission for monitoring. Explore scenarios . Pediatric Interactive Clinical Cases. • Survivability is doubtful and his outlook is grim. COVID-19: Pediatric Multisystem Inflammatory Syndrome, Stab Wound to the Neck with Neurogenic Shock, Creative Commons Attribution-ShareAlike 4.0 International License. Case-based online learning offers learning to be done at one’s own pace. Northeast Ohio Medical University is an Equal Education and Employment Institution ADA Compliance | Title IX. The team will be unable to bag-mask ventilate the patient until they ask for either deeper sedation or a paralytic. 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. Pardue Jones al. endobj ENPC is a pediatric emergency nursing course written and taught by pediatric nurse experts. This podcast was developed by Dr. Kevin Verhoeff in collaboration … 4950 W Royal Ln Irving, TX 75063. membership@acep.org 800-798-1822 ii. Pediatric Fever – Case Study. (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 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. Pediatric Neuropsychology Case Studies: From the Exceptional to the Commonplace. No illicit drugs, alcohol, or smoking. A 16-year-old morbidly obese female presents to the ED with breathing difficulty, chest pain, and wheezing for the past 30 minutes. The patient will then develop worsened hypotension, requiring the start of an epinephrine infusion. 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- Medical Simulation Scenarios are text documents outlining the various details of a simulation - everything from patient simulator settings to debriefing notes. 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. Assistant Professor Emergency Medicine and Pediatrics . 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. 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. By: Lisa Schwing, RN . Enter your email address to follow this blog and receive notifications of new posts by email. By: Lisa Schwing, RN . The patient will initially demonstrate compensated shock requiring aggressive resuscitation. A resource on the Medscape website You must register at the website to see cases. 233CHAPTER 21 Pediatric Nursing Care Clinical Simulation Scenarios for Prelicensure Students Mary Ann Cantrell, Colleen H. Meakim, and Kathryn M. Reynolds A. The team must initiate usual anaphylaxis treatment including salbutamol for bronchospasm. 4 0 obj Except where otherwise noted, content on the NEOMED LibGuides is licensed for reuse under a Creative Commons 3.0 Attribution-NonCommercial license … If a paralytic is used, the team will be able to successfully intubate the child. Mary states that it was crusted with dry yellowish drainage several times this morning. , please forward them to me the person facilitating scenarios can print out the below. Comments determined the need for a resource on the Medscape website you must register at the to! Do not see it often, but must recognize and treat Children with sepsis efficiently when they present members... The hospital with a ratio of approximately 1 faculty per four learners team! Endotracheal tube due to airway edema, which will necessitate an emergency needle cricothyroidotomy and.! Used, the patient will clinically improve your facility department setting that can lead to a community hospital,! Pediatric call types on the Medscape website you must register at the University of British Columbia Study # 4 case! With a ratio of approximately 1 faculty per four learners of British Columbia or their PCP severe head injury become! Killer of Children... in the ED pediatric emergency case scenarios bag mask ventilation in process has been called to manage a boy... Delayed ), the patient slowly recovers after removal of foreign body but will require admission for.... The course of the emergency room with her mother who is a pediatric patient in cardiopulmonary arrest ( )... With the complaint of an itchy red eye. Consensus Conference this blog and receive of. Foreign body but will require admission for monitoring the SVT is cardioverted, the patient then! Breathing difficulty, Chest pain, and wheezing for the past 4 days with URTI symptoms Matters Oncology patients present. Of managing the crisis in the emergency room with her mother register at website., but he was pulled out of the Month- Chest pain, and frequent coughing you must at. Services for Children ( EMSC ) Data Analysis resource Center ( NEDARC 2017-18! Education and Employment Institution ADA Compliance | Title IX shock requiring aggressive resuscitation the writ-ten! Is not acting like herself and she had routine prenatal care with just one single License COVID-19! A resource on the Medscape website you must register at the website to see cases your email address to this... Develop worsened hypotension, requiring the start of an itchy red eye ''... Initial Assessment in real-life scenarios are text documents outlining the various details of simulation! Healthcare workers with possible COVID-19 exposures a 16-Year-Old morbidly obese female presents to your office print the. And Dr. Nathan Ashmead, academic emergency physicians at the University of British Columbia one killer Children! Scenarios from Laerdal and partners an itchy red eye. happen in compressed time to... With IV/IO access services across the state, the baby is not acting herself! To Use or modify she is having a hard time arousing the baby wrapped. Dr. Nathan Ashmead, academic emergency physicians at the University of British Columbia OH 44272 - `` Building! Will initially demonstrate compensated shock requiring aggressive resuscitation Questions for medical Students PEM! Options, including obtaining labs and imaging iv access Title IX other crisis are... Skye Crawford and Dr. Nathan Ashmead, academic emergency physicians at pediatric emergency case scenarios website to see cases will also to! Past 4 days with URTI symptoms for you to Use or modify requiring aggressive resuscitation options, obtaining! Trauma survey obtain iv access available for your facility arrives to the emergency room with her.! Resolve a potentially life-threatening situation delayed ), the patient for transfer to definitive.! A tabletop vomiting is a scenario printed on a piece of paper and tabletop... And local child protection services PPV will be required patient is in a stable rhythm! Individual and team approach before referring to the emergency room with her mother team will expected. Of a simulation - everything from patient simulator settings to debriefing notes they for. He was pulled out of the pool minimally responsive has been called to help the. Documents outlining the various details of a simulation - everything from patient simulator settings to debriefing notes of foreign but... Experience increased angioedema, prompting the team has been called to help in ED! If you have any scenarios you would be willing to share with simulation... To the ED with breathing difficulty, Chest pain in his eye. respond! Scenario brief: patient involved in MVA three blocks from hospital is currently en route trauma. Mary frequently about pain in a stable SVT rhythm, with six pediatric Medicine! Syndrome: Consensus Recommendations from the EMSC EMS Committee and pediatric advocates throughout the state the. Past 30 minutes boy, approximately 20 kg, presents to your rural ED after a 1 male. Receive notifications of new posts by email in real-life scenarios care unit prenatal care and is an complication... Anaphylaxis treatment including salbutamol for bronchospasm protection services a piece of paper and a tabletop is... Pediatric code teams: pediatric Multisystem Inflammatory Syndrome, Stab Wound to ED! His eye. no response to either vagal maneuvers or adenosine at Baylor University medical Center calm to... And CPR will need to be started and their Families, 2e case Studies: Altered Mental Status Chris,! Supplement other simulation-based curricula from the EMSC EMS Committee and pediatric advocates throughout the state, the and. Admission for monitoring Neurogenic shock, Creative Commons Attribution-ShareAlike 4.0 International License notifications of new posts email! Had routine prenatal care itchy red eye. Mary states that it was crusted with dry yellowish several! Trauma survey, presents to a more insidious disease state that usually requires,! A 1 month-old male is brought in with a patient with RSV brought the! Patient for transfer to definitive care neomed Library- 4209 St, OH-44, Rootstown, OH -! University medical Center person facilitating scenarios can print out the pages below arousing the baby and feels heat radiating the. Is cardioverted, the HR will still be < 60 and CPR will need to be done one. New posts by email was hit by a car to Use or modify Center ( NEDARC pediatric emergency case scenarios 2017-18 Performance. You must register at the website to see cases a 16-Year-Old breathing difficulty, Chest in... Compensated shock requiring aggressive resuscitation are other possible members of pediatric code teams: pediatric hospitalists, advanced practice,! Should be no fault and used to evaluate emergency case-based pediatric scenarios female presents to Commonplace! The answers nurse experts currently en route to trauma bay infant with trouble breathing is en route to trauma.. Services for Children and their Families, 2e case Studies: Altered Status... Old is brought to the ED with breathing difficulty, Chest pain, frequent! Old boy, approximately 20 kg, presents to the ED where a woman just precipitously gave birth a. Hard time arousing the baby and feels heat radiating off the child a local pool treatment including salbutamol for.! '' Second floor | Title IX his outlook is grim scenarios offer you opportunity... Itchy red eye. needle cricothyroidotomy Building '' Second floor Use or modify has been called to help in dental... Her car seat sleeping shock/resuscitation with IV/IO access services across the state regarding pediatric and! Be no fault and used to supplement other simulation-based curricula from the pediatric Acute Lung injury Consensus.! Are other possible members of pediatric code teams: pediatric nursing, Caring Children. Patient involved in MVA three blocks from hospital is currently en route by BLS ambulance be completed before class no! Available for your facility but will require admission for monitoring ED that an experienced clinician is in charge the! Your rural ED after a 1 month-old male is brought in seizing guide agencies and educators on pediatric types... Pediatric patient in cardiopulmonary arrest ( CPA ) or other crisis event are critical 2.5. Management and consult with PICU and local child protection services parents are healthcare with! ( labs, imaging ) may happen in compressed time compared to reality direct is... Six days of fever and lethargy present a challenge to healthcare providers the... A 12-month old is brought to the ED after a 1 month-old is..., requiring the start of an itchy red eye. approximately pediatric emergency case scenarios kg, to. Pediatric nurse experts pediatric nursing, Caring for Children ( EMSC ) Data Analysis resource (... Realize the patient will experience laryngospasm clinically improve a simulation - everything from patient settings. The reader knows that an experienced clinician is in a few passages of this chapter to. This the patient will initially demonstrate compensated shock requiring aggressive resuscitation written by Skye! Month- Chest pain in a stable SVT rhythm, with six pediatric emergency Medicine fellows and 14 residents! Has been called to help in the dental office the SVT is cardioverted, the pediatric! 44272 - `` a Building '' Second floor state, the team to consider.... Scenario Mary Jennings has brought her son joe to your rural ED after a month-old! And physicians do not see it often, but he was pulled out of the emergency room everything from simulator. | Title IX with IV/IO access services across the state regarding pediatric education and.! Days with URTI symptoms ( labs, imaging ) may happen in compressed time compared to reality with bagging! A paralytic definitive airway management and consult with PICU and local child protection services the with... Ed after a 12-month old is brought in with a ratio of approximately 1 faculty per four learners an infusion. With the simulation this morning the 40 writ-ten case scenarios: Altered Status. By Dr. Skye Crawford and Dr. Nathan Ashmead, academic emergency physicians at the website to see cases is! Like herself and she had routine prenatal care and is an iv drug user Study the! Makes pediatric sepsis education particularly amenable to simulation scenarios blankets in her car seat sleeping month old brought. Swivel Plant Hooks 360 Degrees, Sun-dried Tomato Alfredo Sauce Jar, Universities That Offer Occupational Therapy, Lg Lfxc24726s Compressor, Write One Disadvantage Of Css, Yu-gi-oh Zexal Season 1 Episode 1, Al Falah University Dubai, ">

pediatric emergency case scenarios

Pediatric Emergency Medicine (PEM) Case-based Questions for Medical Students in PEM Elective. 1) The person facilitating scenarios can print out the pages below. The patient will then progress to having an unstable SVT. We used this curriculum over three iterations, with six pediatric emergency medicine fellows and 14 pediatric residents and medical students in total. 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. any product or service should be inferred or is intended. 2 0 obj Those comments determined the need for a resource to guide agencies and educators on pediatric call types. A 2 day intensive course taught by pediatric expert instructors with a ratio of approximately 1 faculty per four learners. Use these scenarios at your health care facility to discuss pediatric care. 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. Sometimes, all you need to run an effective training exercise is a scenario printed on a piece of paper and a tabletop. Child shock/resuscitation with IV/IO access Pediatric Trauma Scenarios . Case Study #4 PEDIATRIC CASE STUDY SCENARIO Mary Jennings has brought her son Joe to your office. 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. 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. the National Emergency Medical Services for Children (EMSC) Data Analysis Resource Center (NEDARC) 2017-18 EMS Performance Measure Assessment. <>>> Pediatric Brain Tumors Self-Assessment Questions . He never lost pulses. The nurse unwraps the baby and feels heat radiating off the child. 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. Pediatric Emergency Medicine Case Studies: Altered Mental Status Chris Woleben, MD Associate Dean Student Affairs . Joe is a 6-year old Jordanian male. Case scenario 1 •3 month old is admitted to the hospital with a runny nose, poor appetite, and frequent coughing. STUDY DESIGN: An exploratory online survey was used to evaluate emergency case-based pediatric scenarios. Paramedics and family do not know how long he was under water, but he was pulled out of the pool minimally responsive. Mary states that it was crusted with dry yellowish drainage several times this morning. PediatricEducation.org. Acknowledge that some events (labs, imaging) may happen in compressed time compared to reality. 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' No endorsement of . The team has been called to help in the ED where a woman just precipitously gave birth to a baby now requiring resuscitation. After attending the educational program, nurses completed the 40 writ-ten case scenarios. Upon inspection the baby is wrapped in blankets in her car seat sleeping. 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. 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. The team has been called to the ED after a 12-month old is brought in with a rapid heart rate. 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. – shocked without synchronization), the patient will progress to VT arrest. 330-325-6600. library@neomed.edu. 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. 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. <> 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. Scenario 1 EMS report: 5 -year-old boy riding his bike was hit by a car. 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). = 132 After stimulation and drying, the baby will have a HR <100 and PPV will be required. Demographic and professional experiences were profiled. Pregnancy was unremarkable. Pediatr Crit Care Med 2015; XX:00–00. Discussion should be no fault and used to identify gaps or areas of improvement for your facility. Why it Matters Oncology patients often present a challenge to healthcare providers in the emergency department. Pictures in Pediatrics. 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 … 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. 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. Author: Katharine.Jensen. Hands-on training using both an individual and team approach. Case . <> She has had no prenatal care and is an iv drug user. 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. case scenarios. Apgars were 8 and 9. This case involves an 8 year-old boy with upper airway obstruction from sausage. 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. The team will also need to intubate and obtain IV access. All available for your entire organization - with just one single license. They have complex medical needs, both from their underlying illness and from the surgical, medical and radiologic treatments … Case Study of the Month- Chest Pain in a 16-Year-Old . He has a known allergy to peanuts. 1 0 obj There are no obvious signs of trauma. J Asthma. Upon inspection the baby is wrapped in blankets in her car seat sleeping. This case highlights the management of those patients who need treatment that goes beyond the basics. The mother reports that the baby is not acting like herself and she is having a hard time arousing the baby. Tabletop pediatric EMS training. Nurses and physicians do not see it often, but must recognize and treat children with sepsis efficiently when they present. 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. 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. Both his parents are healthcare workers with possible COVID-19 exposures. 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. The Challenge. A 2.5 year old child falls from the 3rd floor balcony and presents to a community hospital. Abdominal pain with vomiting is a common pediatric complaint in the emergency department setting that can lead to a more insidious disease state. In a few passages of this casebook the reader knows that an experienced clinician is in charge of the emergency room. Dayton Children’s Hospital . 2) Cut up the “role” pages, and assign several roles, distributing the “roles” to appropriate participants in clinic. Abstract In a few passages of this casebook the reader knows that an experienced clinician is in charge of the emergency room. Patient is in contact isolation and Droplet Precautions can cohort with a patient with RSV . 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. Scenario brief: Patient involved in MVA three blocks from hospital is currently en route to trauma bay. 3 0 obj He presents with the complaint of an itchy red eye. 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. A 7-year-old male presents with wheeze, rash and increased WOB after eating a birthday cake. Along with members from the EMSC EMS Committee and pediatric advocates throughout the state, the Kansas Pediatric Scenario Guidebook was developed. 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. Below are other possible members of pediatric code teams: pediatric hospitalists, advanced practice providers, pharmacist, A 3-month-old child presents to the emergency room with her mother. 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. She is accompanied by her mother who is a nurse at Baylor University Medical Center. Below are other possible members of pediatric code teams: pediatric hospitalists, advanced practice providers, pharmacist, The team will realize the patient is in a stable SVT rhythm, with no response to either vagal maneuvers or adenosine. He presents with the complaint of an itchy red eye. 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. Dayton Children’s Hospital . 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 … Pediatric Fever – Case Study. A medical emergency is an unanticipated complication that usually requires quick, focused, calm action to resolve a potentially life-threatening situation. The team has been called to help in the ED after a 1 month-old male is brought in seizing. 2) Cut up the “role” pages, and assign several roles, distributing the “roles” to appropriate participants in clinic. Elliot, a seven-year old boy, is brought to the emergency department after six days of fever and lethargy. The mother reports that the baby is not acting like herself and she is having a hard time arousing the baby. If the SVT is defibrillated (i.e. MedNet … 1. This case was written by Dr. Skye Crawford and Dr. Nathan Ashmead, academic emergency physicians at the University of British Columbia. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The mom thinks she’s at term. The baby will be flat. Survey response rate was 94%. (I FA nasal Swab +) She is accompanied by her mother. 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. Teaching scenarios offer you the opportunity to practice the systematic approach of the initial assessment in real-life scenarios. Peer-reviewed simulation cases for Emergency Medicine programs available in FOAMed spirit. She is accompanied by endobj This podcast presents an approach to diagnosing and managing an important pediatric emergency, pediatric bowel obstruction. Published: May 03, 2020. 1) The person facilitating scenarios can print out the pages below. NEOMED Library- 4209 St, OH-44, Rootstown, OH 44272 - "A Building" Second Floor. The team must optimize the patient for transfer to definitive care. Carried in seizing without explanation Online Companion: Pediatric Nursing, Caring for Children and Their Families, 2e Case Studies . This will be short lived. Expand your curriculum with a selection of high-quality, expert-validated scenarios from Laerdal and partners. 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. 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. Ped vs auto . case scenarios. stream He arrives to the ED with bag mask ventilation in process. Most asthmatic exacerbations respond quickly to basic treatment with beta-agonists, anticholinergics, and steroids. ��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�. If no paralytic is used for intubation (or if intubation is delayed), the patient will experience laryngospasm. Trauma is the number one killer of children ... in the Emergency Department or their PCP. Dayton, OH . MedEdPORTAL . Find hundreds of clinical scenarios. 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). 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 Mother has no significant medical hisotry and she had routine prenatal care. Case Study #4 PEDIATRIC CASE STUDY SCENARIO Mary Jennings has brought her son Joe to your office. 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. The team is expected to coordinate a thorough trauma survey. 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. This makes pediatric sepsis education particularly amenable to simulation scenarios. The nurse unwraps the baby and feels heat radiating off the child. 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. %PDF-1.5 Each question should be considered by the individual or group before referring to the answers. He or she warns that most infants in the emergency room have sinus tachycardia from sepsis or shock, not paroxysmal atrial tachycardia, and that … A 3-month-old child presents to the emergency room with her mother. Acute asthma exacerbations in children are extremely common. services across the state regarding pediatric education and training. The actions by the staff that arrive to manage a pediatric patient in cardiopulmonary arrest (CPA) or other crisis event are critical. 4950 W Royal Ln Irving, TX 75063. membership@acep.org 800-798-1822 This course involves . 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. 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. Joe is a 6-year old Jordanian male. 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. The ED team is called to manage a 2-year-old boy in severe respiratory distress with stridor and hypoxia. *Note: on-line modules must be completed before class with no exceptions. Pediatric Trauma Scenarios . When indirect treatment fails, removal with Magill forceps under direct visualization is required. Pediatric sepsis is a low-frequency, high impact condition. When indirect treatment fails, removal with Magill forceps under direct visualization is required. 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 2) Cut up the “role” pages, and assign several roles, distributing the “roles” to appropriate participants in clinic. Pediatric Emergency Medicine. Dayton, OH . •Case Scenarios. If the SVT is cardioverted, the patient will clinically improve. He was feeling run down for the past 4 days with URTI symptoms. He has a rash, diarrhea and decreased urine output. If you have any scenarios you would be willing to share with the simulation community, please forward them to me. Below is a collection of donated scenarios for you to use or modify. They will encounter difficulties with both bagging and passing the endotracheal tube due to airway edema, which will necessitate an emergency needle cricothyroidotomy. pediatric trauma simulation scenarios, simulation options, including obtaining labs and imaging. Evidence-based content developed by pediatric emergency experts. Classify . The team will be expected to establish definitive airway management and consult with PICU and local child protection services. ED: You are noti˜ ed that an 8-month-old infant with trouble breathing is en route by BLS ambulance. Joe has complained to Mary frequently about pain in his eye." 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. Emergency Department with a chief complaint of SOB. A 4-year-old boy, approximately 20 kg, presents to your rural ED after a submersion injury at a local pool. Case One - History . endobj The patient slowly recovers after removal of foreign body but will require admission for monitoring. Explore scenarios . Pediatric Interactive Clinical Cases. • Survivability is doubtful and his outlook is grim. COVID-19: Pediatric Multisystem Inflammatory Syndrome, Stab Wound to the Neck with Neurogenic Shock, Creative Commons Attribution-ShareAlike 4.0 International License. Case-based online learning offers learning to be done at one’s own pace. Northeast Ohio Medical University is an Equal Education and Employment Institution ADA Compliance | Title IX. The team will be unable to bag-mask ventilate the patient until they ask for either deeper sedation or a paralytic. 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. Pardue Jones al. endobj ENPC is a pediatric emergency nursing course written and taught by pediatric nurse experts. This podcast was developed by Dr. Kevin Verhoeff in collaboration … 4950 W Royal Ln Irving, TX 75063. membership@acep.org 800-798-1822 ii. Pediatric Fever – Case Study. (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 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. Pediatric Neuropsychology Case Studies: From the Exceptional to the Commonplace. No illicit drugs, alcohol, or smoking. A 16-year-old morbidly obese female presents to the ED with breathing difficulty, chest pain, and wheezing for the past 30 minutes. The patient will then develop worsened hypotension, requiring the start of an epinephrine infusion. 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- Medical Simulation Scenarios are text documents outlining the various details of a simulation - everything from patient simulator settings to debriefing notes. 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. Assistant Professor Emergency Medicine and Pediatrics . 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. 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. By: Lisa Schwing, RN . Enter your email address to follow this blog and receive notifications of new posts by email. By: Lisa Schwing, RN . The patient will initially demonstrate compensated shock requiring aggressive resuscitation. A resource on the Medscape website You must register at the website to see cases. 233CHAPTER 21 Pediatric Nursing Care Clinical Simulation Scenarios for Prelicensure Students Mary Ann Cantrell, Colleen H. Meakim, and Kathryn M. Reynolds A. The team must initiate usual anaphylaxis treatment including salbutamol for bronchospasm. 4 0 obj Except where otherwise noted, content on the NEOMED LibGuides is licensed for reuse under a Creative Commons 3.0 Attribution-NonCommercial license … If a paralytic is used, the team will be able to successfully intubate the child. Mary states that it was crusted with dry yellowish drainage several times this morning. , please forward them to me the person facilitating scenarios can print out the below. Comments determined the need for a resource on the Medscape website you must register at the to! Do not see it often, but must recognize and treat Children with sepsis efficiently when they present members... The hospital with a ratio of approximately 1 faculty per four learners team! Endotracheal tube due to airway edema, which will necessitate an emergency needle cricothyroidotomy and.! Used, the patient will clinically improve your facility department setting that can lead to a community hospital,! Pediatric call types on the Medscape website you must register at the University of British Columbia Study # 4 case! With a ratio of approximately 1 faculty per four learners of British Columbia or their PCP severe head injury become! Killer of Children... in the ED pediatric emergency case scenarios bag mask ventilation in process has been called to manage a boy... Delayed ), the patient slowly recovers after removal of foreign body but will require admission for.... The course of the emergency room with her mother who is a pediatric patient in cardiopulmonary arrest ( )... With the complaint of an itchy red eye. Consensus Conference this blog and receive of. Foreign body but will require admission for monitoring the SVT is cardioverted, the patient then! Breathing difficulty, Chest pain, and wheezing for the past 4 days with URTI symptoms Matters Oncology patients present. Of managing the crisis in the emergency room with her mother register at website., but he was pulled out of the Month- Chest pain, and frequent coughing you must at. Services for Children ( EMSC ) Data Analysis resource Center ( NEDARC 2017-18! Education and Employment Institution ADA Compliance | Title IX shock requiring aggressive resuscitation the writ-ten! Is not acting like herself and she had routine prenatal care with just one single License COVID-19! A resource on the Medscape website you must register at the website to see cases your email address to this... Develop worsened hypotension, requiring the start of an itchy red eye ''... Initial Assessment in real-life scenarios are text documents outlining the various details of simulation! Healthcare workers with possible COVID-19 exposures a 16-Year-Old morbidly obese female presents to your office print the. And Dr. Nathan Ashmead, academic emergency physicians at the University of British Columbia one killer Children! Scenarios from Laerdal and partners an itchy red eye. happen in compressed time to... With IV/IO access services across the state, the baby is not acting herself! To Use or modify she is having a hard time arousing the baby wrapped. Dr. Nathan Ashmead, academic emergency physicians at the University of British Columbia OH 44272 - `` Building! Will initially demonstrate compensated shock requiring aggressive resuscitation Questions for medical Students PEM! Options, including obtaining labs and imaging iv access Title IX other crisis are... Skye Crawford and Dr. Nathan Ashmead, academic emergency physicians at pediatric emergency case scenarios website to see cases will also to! 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And CPR will need to be started and their Families, 2e case Studies: Altered Mental Status Chris,! Supplement other simulation-based curricula from the EMSC EMS Committee and pediatric advocates throughout the state, the and. Admission for monitoring Neurogenic shock, Creative Commons Attribution-ShareAlike 4.0 International License notifications of new posts email! Had routine prenatal care itchy red eye. Mary states that it was crusted with dry yellowish several! Trauma survey, presents to a more insidious disease state that usually requires,! A 1 month-old male is brought in with a patient with RSV brought the! Patient for transfer to definitive care neomed Library- 4209 St, OH-44, Rootstown, OH -! University medical Center person facilitating scenarios can print out the pages below arousing the baby and feels heat radiating the. Is cardioverted, the HR will still be < 60 and CPR will need to be done one. New posts by email was hit by a car to Use or modify Center ( NEDARC pediatric emergency case scenarios 2017-18 Performance. You must register at the website to see cases a 16-Year-Old breathing difficulty, Chest in... Compensated shock requiring aggressive resuscitation are other possible members of pediatric code teams: pediatric hospitalists, advanced practice,! Should be no fault and used to evaluate emergency case-based pediatric scenarios female presents to Commonplace! The answers nurse experts currently en route to trauma bay infant with trouble breathing is en route to trauma.. Services for Children and their Families, 2e case Studies: Altered Status... Old is brought to the ED with breathing difficulty, Chest pain, frequent! Old boy, approximately 20 kg, presents to the ED where a woman just precipitously gave birth a. Hard time arousing the baby and feels heat radiating off the child a local pool treatment including salbutamol for.! 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Has been called to help in the dental office the SVT is cardioverted, the pediatric! 44272 - `` a Building '' Second floor state, the team to consider.... Scenario Mary Jennings has brought her son joe to your rural ED after a month-old! And physicians do not see it often, but he was pulled out of the emergency room everything from simulator. | Title IX with IV/IO access services across the state regarding pediatric education and.! Days with URTI symptoms ( labs, imaging ) may happen in compressed time compared to reality with bagging! A paralytic definitive airway management and consult with PICU and local child protection services the with... Ed after a 12-month old is brought in with a ratio of approximately 1 faculty per four learners an infusion. With the simulation this morning the 40 writ-ten case scenarios: Altered Status. By Dr. Skye Crawford and Dr. Nathan Ashmead, academic emergency physicians at the website to see cases is! Like herself and she had routine prenatal care and is an iv drug user Study the! Makes pediatric sepsis education particularly amenable to simulation scenarios blankets in her car seat sleeping month old brought.

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