BCSN Members Forum - Respiratory

Respiratory Depression

Mon, 07 Dec 2020 16:35:09 +0000

Respiratory Depression

Created Oct 2015

Contact Information

Developed by: Dr. C. Holmes
Developed for: Interior Health
Submitted by: CHolmes
Contact Email: simulation@interiorhealth.ca
Peer Reviewed: No (Has not been peer reviewed or the information will be provided later)

Scenario Information

Case Summary:

52-year-old male admitted to hospital; 2 days post op lumbar laminectomy and fusion

Target Learning Groups:

Physicians, Nursing, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Medical/Surgical nursing unit

Educational Goals:

Identify roles and delegate responsibilities
Formulate a working diagnosis and alternate diagnoses
Recognize respiratory depression as the problem
Generate a short differential diagnosis of respiratory depression

Peer Review Information

Clinical Content Peer Review

Clinical Content Reviewer: Unknown Reviewed on: Unknown

Notes on Clinical Content Peer Review:

Unknown

Simulation/Educational Review

Simulation/Educational Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Peer Review:

Unknown

Simulation/Educational Real Time Review

Simulation/Educational Real Time Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Real Time Peer Review:

Unknown

Extra Information

Additional Details:

References:

Scenario Links:

Additional Tags:

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

Respiratory Depression - Scenario.docx (Size: 588.69 KB / Downloads: 495)

Respiratory Depression- Diagnostic PowerPoint.pptx (Size: 242.15 KB / Downloads: 419)

Respiratory Distress

Mon, 07 Dec 2020 16:32:36 +0000

Respiratory Distress

Created Oct 2015

Contact Information

Developed by: Dr. C. Holmes
Developed for: Interior Health
Submitted by: CHolmes
Contact Email: simulation@interiorhealth.ca
Peer Reviewed: No (Has not been peer reviewed or the information will be provided later)

Scenario Information

Case Summary:

77-year-old male with SOB 6 days post hemicolectomy surgery. He’s been admitted to hospital.

Target Learning Groups:

Physicians, Nursing, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Medical/Surgical nursing unit

Educational Goals:

Recognize Respiratory Distress
Recognize Shock
Identify indications for transfer to CCOT/ higher level of care/Intubation
Recognize mottling as a sign of shock
Recognize Shock and Respiratory distress as the problem
Recognize need and call for help

Peer Review Information

Clinical Content Peer Review

Clinical Content Reviewer: Unknown Reviewed on: Unknown

Notes on Clinical Content Peer Review:

Unknown

Simulation/Educational Review

Simulation/Educational Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Peer Review:

Unknown

Simulation/Educational Real Time Review

Simulation/Educational Real Time Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Real Time Peer Review:

Unknown

Extra Information

Additional Details:

References:

Scenario Links:

Additional Tags:

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

Respiratory Distress - Scenario.docx (Size: 1.78 MB / Downloads: 453)

Respiratory Distress- Diagnostic PowerPoint.pptx (Size: 1.61 MB / Downloads: 411)

Pulmonary Edema

Mon, 07 Dec 2020 16:29:27 +0000

Pulmonary Edema

Created Sept 2015

Contact Information

Developed by: Unknown
Developed for: Interior Health
Submitted by: CHolmes
Contact Email: simulation@interiorhealth.ca
Peer Reviewed: No (Has not been peer reviewed or the information will be provided later)

Scenario Information

Case Summary:

82-year-old female presents to the ER after acutely worsening SOB

Target Learning Groups:

Physicians, Nursing, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Department

Educational Goals:

Recognize the presentation of respiratory distress
Develop a differential for acute respiratory distress
Describe the management of pulmonary edema

Peer Review Information

Clinical Content Peer Review

Clinical Content Reviewer: Unknown Reviewed on: Unknown

Notes on Clinical Content Peer Review:

Unknown

Simulation/Educational Review

Simulation/Educational Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Peer Review:

Unknown

Simulation/Educational Real Time Review

Simulation/Educational Real Time Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Real Time Peer Review:

Unknown

Extra Information

Additional Details:

References:

Scenario Links:

Additional Tags:

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

Pulmonary Edema - Scenario.docx (Size: 5.15 MB / Downloads: 438)

Pulmonary Edema- Diagnostic PowerPoint.pptx (Size: 6.61 MB / Downloads: 426)

PE with recent intracranial bleed

Mon, 07 Dec 2020 16:26:31 +0000

PE with recent intracranial bleed

Created April 2017

Contact Information

Developed by: Dr. R. Cordes
Developed for: Interior Health
Submitted by: CHolmes
Contact Email: simulation@interiorhealth.ca
Peer Reviewed: No (Has not been peer reviewed or the information will be provided later)

Scenario Information

Case Summary:

71 yo female presenting with acute onset pleuritic chest pain and SOB.

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Department

Educational Goals:

Describe management of significant PE
Discuss contraindications to thrombolysis
Demonstrate management of PE with recent intracranial bleed

Peer Review Information

Clinical Content Peer Review

Clinical Content Reviewer: Unknown Reviewed on: Unknown

Notes on Clinical Content Peer Review:

Unknown

Simulation/Educational Review

Simulation/Educational Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Peer Review:

Unknown

Simulation/Educational Real Time Review

Simulation/Educational Real Time Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Real Time Peer Review:

Unknown

Extra Information

Additional Details:

References:

Scenario Links:

Additional Tags:

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

PE with Recent Intracranial Bleed - Scenario.docx (Size: 2.36 MB / Downloads: 386)

PE with Recent Intracranial Bleed- Diagnostic PowerPoint.pptx (Size: 2.02 MB / Downloads: 392)

Pulmonary Embolism - PEA Arrest

Mon, 07 Dec 2020 16:24:20 +0000

Pulmonary Embolism - PEA Arrest

Created Oct 2015

Contact Information

Developed by: Dr. K. Clark
Developed for: Interior Health
Submitted by: CHolmes
Contact Email: simulation@interiorhealth.ca
Peer Reviewed: No (Has not been peer reviewed or the information will be provided later)

Scenario Information

Case Summary:

25 yo female. Collapsed at work with chest pain and SOB. Tachycardic and hypotensive

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Department

Educational Goals:

Recognize presentation and describe management of PE
Demonstrate management of airway and hypotension
Demonstrate central line placement

Peer Review Information

Clinical Content Peer Review

Clinical Content Reviewer: Unknown Reviewed on: Unknown

Notes on Clinical Content Peer Review:

Unknown

Simulation/Educational Review

Simulation/Educational Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Peer Review:

Unknown

Simulation/Educational Real Time Review

Simulation/Educational Real Time Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Real Time Peer Review:

Unknown

Extra Information

Additional Details:

Skills: airway management, tPA, ACLS

References:

Scenario Links:

Additional Tags:

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

Pulmonary Embolism - PEA Arrest - Scenario.docx (Size: 1.27 MB / Downloads: 397)

Pulmonary Embolism - PEA Arrest- Diagnostic PowerPoint.pptx (Size: 2.05 MB / Downloads: 405)

Status Asthmaticus

Mon, 07 Dec 2020 16:21:41 +0000

Status Asthmaticus

Created Feb 2015

Contact Information

Developed by: Dr. K. Clark
Developed for: Interior Health
Submitted by: CHolmes
Contact Email: simulation@interiorhealth.ca
Peer Reviewed: No (Has not been peer reviewed or the information will be provided later)

Scenario Information

Case Summary:

Pre-hospital notification: 17-year-old male became SOB while playing hockey game. Ventolin inhaler was tried with no effect. Condition is worsening en route with EHS.

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Department

Educational Goals:

Management of a young patient with a severe asthma exacerbation
Understanding of the complex and dangerous pathophysiology of severe asthma and the pitfalls of intubation.
Knowledge of appropriate drugs and techniques for intubation of the asthmatic patient
List of potential causes of desaturation post intubation

Peer Review Information

Clinical Content Peer Review

Clinical Content Reviewer: Unknown Reviewed on: Unknown

Notes on Clinical Content Peer Review:

Unknown

Simulation/Educational Review

Simulation/Educational Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Peer Review:

Unknown

Simulation/Educational Real Time Review

Simulation/Educational Real Time Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Real Time Peer Review:

Unknown

Extra Information

Additional Details:

References:

Scenario Links:

Additional Tags:

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

Status Asthmaticus - Scenario.docx (Size: 1.42 MB / Downloads: 453)

Status Asthmaticus- Diagnostic PowerPoint.pptx (Size: 1.7 MB / Downloads: 443)

Severe Asthma with Pneumothorax

Mon, 07 Dec 2020 16:19:30 +0000

Severe Asthma with Pneumothorax

Created Sept 2016

Contact Information

Developed by: Dr. J. Williams
Developed for: Interior Health
Submitted by: CHolmes
Contact Email: simulation@interiorhealth.ca
Peer Reviewed: No (Has not been peer reviewed or the information will be provided later)

Scenario Information

Case Summary:

22-year-old female with history of asthma presents to ED with worsening SOB following a coughing spell 1 hour ago. URI symptoms for 4 days.

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Department

Educational Goals:

Manage severe asthma exacerbation
Identify and manage complications of asthma exacerbation
Manage severe asthma exacerbation
Identify and manage complications of asthma exacerbation

Peer Review Information

Clinical Content Peer Review

Clinical Content Reviewer: Unknown Reviewed on: Unknown

Notes on Clinical Content Peer Review:

Unknown

Simulation/Educational Review

Simulation/Educational Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Peer Review:

Unknown

Simulation/Educational Real Time Review

Simulation/Educational Real Time Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Real Time Peer Review:

Unknown

Extra Information

Additional Details:

References:

Scenario Links:

Additional Tags:

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

Severe Asthma with Pneumothorax - Scenario.docx (Size: 955.46 KB / Downloads: 390)

Severe Asthma with Pneumothorax- Diagnostic PowerPoint.pptx (Size: 612.08 KB / Downloads: 362)

Massive Hemoptysis

Mon, 07 Dec 2020 16:15:43 +0000

Massive Hemoptysis

Created March 2016

Contact Information

Developed by: Dr. J. Williams
Developed for: Interior Health
Submitted by: CHolmes
Contact Email: simulation@interiorhealth.ca
Peer Reviewed: No (Has not been peer reviewed or the information will be provided later)

Scenario Information

Case Summary:

60-year-old male with hx of lung Ca. He’s anticoagulated for know PE. Pt started coughing small amount of blood and now having difficulty breathing.

Target Learning Groups:

Physicians, Nursing, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Department

Educational Goals:

Able to recognize massive hemoptysis
Perform resuscitation and intubation

Peer Review Information

Clinical Content Peer Review

Clinical Content Reviewer: Unknown Reviewed on: Unknown

Notes on Clinical Content Peer Review:

Unknown

Simulation/Educational Review

Simulation/Educational Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Peer Review:

Unknown

Simulation/Educational Real Time Review

Simulation/Educational Real Time Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Real Time Peer Review:

Unknown

Extra Information

Additional Details:

References:

Scenario Links:

Additional Tags:

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

Massive Hemoptysis - Scenario.docx (Size: 1.23 MB / Downloads: 413)

Massive Hemoptysis- Diagnostic PowerPoint.pptx (Size: 902.33 KB / Downloads: 407)

Angioedema

Mon, 07 Dec 2020 16:13:20 +0000

Angioedema

Created Sept 2015

Contact Information

Developed by: Unknown
Developed for: Interior Health
Submitted by: CHolmes
Contact Email: simulation@interiorhealth.ca
Peer Reviewed: No (Has not been peer reviewed or the information will be provided later)

Scenario Information

Case Summary:

70-year-old female presents to ED with swollen tongue. No previous episodes, no rash, no trouble breathing.

Target Learning Groups:

Physicians, Nursing, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Department

Educational Goals:

Identify difficult airway
Describe treatment of Angioedema
Describe relative contraindications to RSI in a difficult airway
Discuss surgical techniques adjunct/rescue devices
Demonstrate assessment of difficult airway
Perform treatment of Angioedema
Demonstrate RSI and intubation in a difficult airway
Review awake intubation techniques

Peer Review Information

Clinical Content Peer Review

Clinical Content Reviewer: Unknown Reviewed on: Unknown

Notes on Clinical Content Peer Review:

Unknown

Simulation/Educational Review

Simulation/Educational Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Peer Review:

Unknown

Simulation/Educational Real Time Review

Simulation/Educational Real Time Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Real Time Peer Review:

Unknown

Extra Information

Additional Details:

References:

Scenario Links:

Additional Tags:

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

Difficult Airway- Angioedema - Scenario.docx (Size: 822.69 KB / Downloads: 390)

Difficult Airway- Angioedema- Diagnostic PowerPoint.pptx (Size: 250.78 KB / Downloads: 385)

Difficult Airway - Sepsis Retropharyngeal Abcess

Mon, 07 Dec 2020 16:11:01 +0000

Difficult Airway - Sepsis Retropharyngeal Abcess

Created Sept 2015

Contact Information

Developed by: Dr. K. Clark
Developed for: Interior Health
Submitted by: CHolmes
Contact Email: simulation@interiorhealth.ca
Peer Reviewed: No (Has not been peer reviewed or the information will be provided later)

Scenario Information

Case Summary:

55-year-old male was found by his friend confused, hot to touch with difficulty breathing. Last seen well 48 hrs ago and he was “shooting up” with his friend.

Target Learning Groups:

Physicians, Nursing, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Department

Educational Goals:

Demonstrate knowledge of sepsis
Demonstrate knowledge of retropharyngeal abscess
Demonstrate management of the septic injection drug user patient
Demonstrate management of the patient with a retropharyngeal abscess requiring intubation

Peer Review Information

Clinical Content Peer Review

Clinical Content Reviewer: Unknown Reviewed on: Unknown

Notes on Clinical Content Peer Review:

Unknown

Simulation/Educational Review

Simulation/Educational Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Peer Review:

Unknown

Simulation/Educational Real Time Review

Simulation/Educational Real Time Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Real Time Peer Review:

Unknown

Extra Information

Additional Details:

References:

Scenario Links:

Additional Tags:

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

Difficult Airway- Sepsis with Retropharyngeal Abscess - Scenario.docx (Size: 594.87 KB / Downloads: 409)

Difficult Airway- Sepsis with Retropharyngeal Abscess- Diagnostic PowerPoint.pptx (Size: 245.73 KB / Downloads: 424)

Airway Burn

Mon, 07 Dec 2020 16:08:06 +0000

Airway Burn

Created Oct 2015

Contact Information

Developed by: Dr. P. Linden
Developed for: Interior Health
Submitted by: CHolmes
Contact Email: simulation@interiorhealth.ca
Peer Reviewed: No (Has not been peer reviewed or the information will be provided later)

Scenario Information

Case Summary:

30-year-old male cleaning his barbecue in his garage when it exploded. He was trying to put out the fire for approximately 10 min and now has a very sore throat and difficulty breathing.

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Department

Educational Goals:

Recognize and manage impending airway obstruction due to a thermal injury
Perform an awake intubation
Perform a surgical airway

Peer Review Information

Clinical Content Peer Review

Clinical Content Reviewer: Unknown Reviewed on: Unknown

Notes on Clinical Content Peer Review:

Unknown

Simulation/Educational Review

Simulation/Educational Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Peer Review:

Unknown

Simulation/Educational Real Time Review

Simulation/Educational Real Time Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Real Time Peer Review:

Unknown

Extra Information

Additional Details:

References:

Scenario Links:

Additional Tags:

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

Airway Burn - Scenario.docx (Size: 589.84 KB / Downloads: 432)

Acute Respiratory Acidosis

Mon, 07 Dec 2020 16:05:47 +0000

Acute Respiratory Acidosis

Created Sept 2015

Contact Information

Developed by: Dr. A. Nazerali-Maitland
Developed for: Interior Health
Submitted by: CHolmes
Contact Email: simulation@interiorhealth.ca
Peer Reviewed: No (Has not been peer reviewed or the information will be provided later)

Scenario Information

Case Summary:

71-year-old transferred from community hospital for SOB. He was sent in by a hospital shuttle and not EMS. Driver states the pt looks much worse now.

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Department

Educational Goals:

Describe the evidence for Non Invasive Ventilation, initiate its use and screen for contraindications.
Utilize the whole team to help, Inspire confidence in your clinical diagnosis and manage the patient

Peer Review Information

Clinical Content Peer Review

Clinical Content Reviewer: Unknown Reviewed on: Unknown

Notes on Clinical Content Peer Review:

Unknown

Simulation/Educational Review

Simulation/Educational Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Peer Review:

Unknown

Simulation/Educational Real Time Review

Simulation/Educational Real Time Reviewer: Unknown Reviewed on: Unknown

Notes on Simulation/Educational Real Time Peer Review:

Unknown

Extra Information

Additional Details:

References:

Scenario Links:

Additional Tags:

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

Acute Respiratory Acidosis - IM - Scenario.docx (Size: 1.11 MB / Downloads: 379)

Acute Respiratory Acidosis - IM- Diagnostic Powerpoint.pptx (Size: 641.03 KB / Downloads: 398)

Pulmonary Embolism

Tue, 10 Sep 2019 15:32:39 +0000

Pulmonary Embolism

Created March 2016

Developed by:

Sherry Stackhouse

Developed for: VCH

Submitted by: RichardPinto

Contact Email: sherry.stackhouse@vch.ca

Peer Reviewed: Yes

Case Summary:

  Patient Description:
Name:
Age: 70
Weight:6 ft 200 lbs
Immunizations:
Hx of current condition:SOB and chest pain worsening over past 3 days
Social Hx: lives alone in home
widowed

PMx: NIDDM, HTN, recent weight loss, spouse died 3 months ago reports general feeling unwell

Target Learning Groups:

   Interprofessional Team

Additional Target Learning Groups:



Proposed Setting:

  ER

Educational goals:



Additional Details:

References:



Scenario Links:



Additional Tags:

If you would like further information about this scenario please contact sherry.stackhouse@vch.ca or leave a comment below.

PE simulation March 2016.doc (Size: 108 KB / Downloads: 490)

Anaphylaxis ICU

Mon, 09 Sep 2019 19:52:41 +0000

Anaphylaxis ICU

Created February 2016

Developed by:

Karen Mayo

Developed for: VCH

Submitted by: RichardPinto

Contact Email: karen.mayo@vch.ca

Peer Reviewed: Yes

Case Summary:

  Patient Description:
Name: Ace Bennett
Age: 45
Weight: 60kg
Immunizations: none
Hx of current condition: Post-op day 1 from elective cholecystectomy. Patient has been slightly hypotensive 95/60 on the evening shift change, completely asymptomatic. Surgical resident ordered a 500mL bolus of Voluven. Shortly after the bolus was started the patient felt warm and flushed, also felt general pruritis.

Social Hx: smoker

Diagnosis: Epilepsy.

Target Learning Groups:

   Interprofessional Team

Additional Target Learning Groups:



Proposed Setting:

  ICU

Educational goals:



Additional Details:

References:



Scenario Links:



Additional Tags:

If you would like further information about this scenario please contact karen.mayo@vch.ca or leave a comment below.

Anaphylaxis LGH ICU Feb 2016.doc (Size: 113 KB / Downloads: 481)

ARDS/Pneumothorax

Mon, 09 Sep 2019 19:41:09 +0000

ARDS/Pneumothorax

Created June 2016

Developed by:

Heather Epp

Developed for: VCH

Submitted by: RichardPinto

Contact Email: hepp1@bcit.ca

Peer Reviewed: Yes

Case Summary:

  Patient Description:
Name:
Age: 77
Weight: 130kg

Hx of current condition:
Pt has 1 week history of cough/fever, seen in ED yesterday and intubated this morning for worsening SOB and hypoxia. Remains difficult to oxygenate. Hypotensive and on pressure support. Pt taken to CT scan then directly to ICU. More difficult to bag en-route to ICU.

Social Hx: smoker x 40 years, social drinker

Diagnosis: Sepsis, ARDS, ?Influenza

Target Learning Groups:

   Interprofessional Team

Additional Target Learning Groups:



Proposed Setting:

  ICU

Educational goals:



Additional Details:

References:



Scenario Links:



Additional Tags:

If you would like further information about this scenario please contact hepp1@bcit.ca or leave a comment below.

ARDS LGH ICU June 2016.doc (Size: 117.5 KB / Downloads: 485)