Torsades 2° Long QT

[ckchoung]

Torsades 2° Long QT

Created 2017

Developed by:

Simmie Kalan
Christina Choung

Developed for:  Health Authority High Acuity or Critical Care Unit

Submitted by: ckchoung

Contact Email: simulation@fraserhealth.ca

Peer Reviewed: Yes

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Case Summary:

  ­Recently admitted patient to High Acuity Unit post-suicide attempt from Seroquel, Clonazepam, and Zopiclone overdose. Patient will quickly deteriorate into Torsade de Pointes, whereby participants will have to run ACLS algorithm, identify Torsades, and treat with Magnesium prior to return of spontaneous circulation (ROSC).

Target Learning Groups:

   Physicians, Nursing, Respiratory Therapy, Interprofessional Team

Additional Target Learning Groups:

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Proposed Setting: 

  High Acuity or Critical Care Unit

Educational goals:

  ­• Identify and treat Torsades de Points
• Practice ACLS algorithm for Ventricular Tachycardia/Fibrillation
• Establish role clarity and distribute the workload
• Communicate effectively, including closed-loop communication, clear commands and requests, sharing mental model/plan of care, and fostering input of information
• Mobilize resources early and use cognitive aids as needed


Additional Details:

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References:

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Scenario Links:

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Additional Tags:  

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If you would like further information about this scenario please contact simulation@fraserhealth.ca or leave a comment below.