BCSN Members Forum - Cardiology

Neonatal Ductal Dependent Cardiac Lesion

Thu, 06 Aug 2020 15:00:39 +0000

Neonatal Ductal Dependent Cardiac Lesion

Created January 2019

Contact Information

Developed by: P. Tommasini; L. Leslie
Developed for: Interior Health
Submitted by: CHolmes
Contact Email: simulation@interiorhealth.ca
Peer Reviewed: Yes (The information is provided below)

Scenario Information

Case Summary:

Term babe, 4 hours in unit, tubed and vented. Query ductal dependent cardiac leision. BPs have been declining, O2 demand increasing (40-60 now). BCCH consulted and ITT en route. Neonatologist suggests dopamine, prostin and morphine infusions be initiated prior to arrival of ITT. Triple lumen UV already in situ. Art line needs to be placed.

*ITT requests ROC to be given prior to departure for BCCH

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

NICU

Educational Goals:

Discuss and demonstrate medication management
Demonstrate UA line preparation and management
Demonstrate management of infusions through a triple lumen UV line
Demonstrate preparation and assisting insertion of UA line
Demonstrate drawing blood off UA
Demonstrate clear communication during handover to ITT

Peer Review Information

Clinical Content Peer Review

Clinical Content Reviewer: Dr. B. Clive Reviewed on: 02/13/2019

Notes on Clinical Content Peer Review:

Unknown

Simulation/Educational Review

Simulation/Educational Reviewer: C. Holmes Reviewed on: 01/30/2019

Notes on Simulation/Educational Peer Review:

Unknown

Simulation/Educational Real Time Review

Simulation/Educational Real Time Reviewer: C. Holmes Reviewed on: 02/20/2019

Notes on Simulation/Educational Real Time Peer Review:

Run with UNI & SuperTory - scenario written to reflect UNI simulator parameter requirements. Remains in state during most of scenario with slight changes to SpO2 to stimulate participants to think about sedation and paralytics

Extra Information

Additional Details:

Unknown

References:

Scenario Links:

Additional Tags:

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

NICU Case #2 - Ductal Dependent Cardiac Lesion.docx (Size: 719.41 KB / Downloads: 424)

SVT in a Cardiac Patient

Thu, 30 Jul 2020 14:16:39 +0000

SVT in a Cardiac Patient

Created May 2017

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:

8 year old boy. Unwell with a viral illness recently. Short of breath and feeling dizzy today. Brought in by BCEHS

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy, Specialist, Paramedics, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Dept

Educational Goals:

Recognize and review management of stable and unstable SVT in pediatric pts
Review importance of airway management when dealing with cardiac arrhythmias

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: pediatric airway management, pediatric IV/IO therapy, use of defibrillator, tetralogy of fallot

References:

Scenario Links:

Additional Tags:

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

SVT in a Cardiac Patient - Scenario.docx (Size: 2.1 MB / Downloads: 391)

SVT in a Cardiac Patient- Diagnostic PowerPoint.pptx (Size: 1.74 MB / Downloads: 400)

Supraventricular Tachycardia

Thu, 30 Jul 2020 14:14:41 +0000

Supraventricular Tachycardia

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:

5 year old boy. Admitted to hospital recently with osteomyelitis. Had PICC line inserted in L arm for IV abx at home. Today brought to ED as diaphoretic and feeling unwell.

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy, Specialist, Paramedics, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Dept

Educational Goals:

Recognize and review management of stable and unstable SVT in pediatric pts
Review importance of airway management when dealing with cardiac arrhythmias

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: pediatric airway management, pediatric IV/IO therapy, use of defibrillator

References:

PALS

Scenario Links:

Additional Tags:

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

Supraventricular Tachycardia - Scenario.docx (Size: 8.03 MB / Downloads: 404)

Supraventricular Tachycardia - Diagnostic PowerPoint.pptx (Size: 5.61 MB / Downloads: 353)

PEA - Asystole

Thu, 30 Jul 2020 14:12:18 +0000

PEA - Asystole

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:

5 year old boy. Sudden collapse while running in the park. Bystander called 911. Paramedics arrived, child unconscious and not breathing. Intubated on scene with 5.0 ETT. Pulse weak initially, then absent. CPR x3 min, pulse returned, ? rhythm at time. Sinus rhythm enroute, bagged at 15/min on arrival. Paramedic team unable to obtain IV access

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy, Paramedics, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Dept

Educational Goals:

- Demonstrate management of PEA in pediatric patient
- Review differential diagnosis of PEA in pediatric patient
- Review teamwork and communication during resuscitation, including discussion regarding stopping resuscitation

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: pediatric airway management, pediatric IV/IO therapy

References:

PALS

Scenario Links:

Additional Tags:

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

PEA - Scenario.docx (Size: 3.61 MB / Downloads: 382)

PEA - Diagnostic PowerPoint.pptx (Size: 4.7 MB / Downloads: 375)

Myocarditis

Thu, 30 Jul 2020 14:09:53 +0000

Myocarditis

Created October 2016

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:

5 year old boy. Cough, runny nose and fever x 5 days. Diaphoretic and chills today. SOB and felling unwell; taken to the emerg

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy, Specialist, Paramedics, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Dept

Educational Goals:

- Recognize and differentiate between stable and unstable ventricular tachycardia (VT)
- Demonstrate management of VT in pediatric 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:

Skills: pediatric airway management, pediatric IV therapy, cardioversion

References:

PALS - Pediatric Tachycardia with a Pulse and Poor Perfusion algorithm

Scenario Links:

Additional Tags:

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

Myocarditis - Ventricular Tachycardia - Scenario.docx (Size: 2.59 MB / Downloads: 406)

Myocarditis - Ventricular Tachycardia - Diagnostic PowerPoint.pptx (Size: 2.37 MB / Downloads: 381)

Hypertensive Crisis

Thu, 30 Jul 2020 14:08:02 +0000

Hypertensive Crisis

Created August 2014

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:

8 year old boy brought to ER by ambulance from school due to seizure. Generalized T/C 2 minutes. Parents not available. Teacher told EMT he complained of headache in class, seemed unwell for few days, poor concentration

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy, Specialist, Paramedics, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Dept

Educational Goals:

- Recognize hypertensive emergency presenting as encephalopathy (seizures)
- Discuss differential diagnosis and review management of a hypertensive emergency in a pediatric 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:

Skills: pediatric airway management, pediatric IV therapy, seizure management

References:

PALS

Scenario Links:

Additional Tags:

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

Hypertensive Crisis - Scenario.docx (Size: 579.48 KB / Downloads: 424)

Congestive Heart Failure (AVSD)

Thu, 30 Jul 2020 14:05:53 +0000

Congestive Heart Failure (AVSD)

Created August 2014

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:

2 month old; awake, alert, crying; cough and vomiting x5-6 days; short of breath for 3-4 days; fussy after feeds. Appears unwell

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy, Paramedics, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Dept

Educational Goals:

Recognize heart failure in infant
Review differential diagnosis of respiratory distress in an infant
Review management of heart failure in an infant

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: pediatric airway management, pediatric IV therapy,

References:

PALS

Scenario Links:

Additional Tags:

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

Congestive Heart Failure - AVSD - Scenario.docx (Size: 6.26 MB / Downloads: 434)

Congestive Heart Failure - AVSD - Diagnostic PowerPoint.pptx (Size: 6.13 MB / Downloads: 385)

Shock in a Pediatric Patient : An electrical diagnosis

Thu, 30 Jul 2020 14:03:34 +0000

Shock in a Pediatric Patient : An electrical diagnosis

Created June 2007

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:

A 7 year old boy is brought into the resuscitation room by the triage nurse who is concerned about his appearance.
He has been brought in to hospital by ambulance, with caregiver, and appears quiet and motionless on the stretcher.
Paramedics have applied cardiac monitors and oxygen by simple face mask. The patient has no IV access.

Target Learning Groups:

Physicians, Nursing, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Dept

Educational Goals:

- Discuss differential dx of shock – including early recognition and early management.
- Identify clinical and radiographic features of cardiac tamponade (CT) – and discuss potential complications of intubating a patient with CT.
- Demonstrate teamwork and communication during resuscitation

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: pediatric intubation, pediatric needle pericardiocentesis

References:

Scenario Links:

Additional Tags:

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

Shock in a Pediatric Patient - An Electrical Diagnosis - Scenario.docx (Size: 2.19 MB / Downloads: 371)

Shock in a Pediatric Patient - An Electrical Diagnosis - Diagnositic PowerPoint.ppt (Size: 2.38 MB / Downloads: 372)

Swimming Sam - Arrhythmia

Thu, 30 Jul 2020 13:59:56 +0000

Swimming Sam - Arrhythmia

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:

12 yr old male, presents to ER feeling lightheaded after swimming. History of previous similar episode with normal ECG & Echo. Now presenting in SVT

Target Learning Groups:

Physicians, Nursing, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Dept

Educational Goals:

- Recognition, approach and management of SVT in pediatrics

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.

Arrythmia - Swimming Sam.docx (Size: 6.24 MB / Downloads: 391)

Arrhythmia - Swimming Sam - Diagnositic PowerPoint.pptx (Size: 6.18 MB / Downloads: 377)

Adrenal Insufficiency

Thu, 30 Jul 2020 13:57:55 +0000

Adrenal Insufficiency

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:

10 year old boy who has been feeling unwell for the past few weeks. Vomitting x8 today. Become drowsy, and started twitching. Brought to ER by parents. Previously healthy

Target Learning Groups:

Physicians, Nursing, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Dept

Educational Goals:

- Recognize, diagnose and treat adrenal crisis and/or ACTH deficiency in a pediatric patient
- Consider possibility of associated hormone deficiencies and underlying pathophysiology in patient with suspected adrenal crisis and/or ACTH deficiency
- Manage hypotension, hyperkalemia and hypoglycemia in the patient with suspected adrenal crisis and/or ACTH deficiency

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.

Adrenal Insufficiency - Scenario.docx (Size: 746 KB / Downloads: 401)

Adrenal Insufficiency - Diagnostic PPT.pptx (Size: 376.98 KB / Downloads: 380)

VF Adrenal Crisis

Thu, 30 Jul 2020 13:54:55 +0000

VF Adrenal Crisis

Created September 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:

8 year old boy with high fever x 3 days. Vomiting x 3 today. Rash on legs noted this morning around ankles. Feeling unwell. Brought to ER.

Target Learning Groups:

Physicians, Nursing, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Dept

Educational Goals:

Recognize unstable VTach
Differentiate between unstable VT and VT without a pulse
Recognize and manage pVT VF
Recognize the importance of airway management when dealing with cardiac arrhythmias

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: pediatric airway management, pediatric IV therapy, pediatric defibrillation

References:

PALS

Scenario Links:

Additional Tags:

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

Ventricular Fibrillation - Adrenal Crisis - Scenario.docx (Size: 2.45 MB / Downloads: 362)

Ventricular Fibrillation - Adrenal Crisis - Diagnostic PowerPoint.pptx (Size: 3.33 MB / Downloads: 350)