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		<title><![CDATA[BCSN Members Forum - Endocrine]]></title>
		<link>https://forum.bcsimulation.ca/</link>
		<description><![CDATA[BCSN Members Forum - https://forum.bcsimulation.ca]]></description>
		<pubDate>Mon, 18 May 2026 05:54:20 +0000</pubDate>
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			<title><![CDATA[Thyroid Storm]]></title>
			<link>https://forum.bcsimulation.ca/showthread.php?tid=128</link>
			<pubDate>Thu, 30 Jul 2020 14:48:57 +0000</pubDate>
			<dc:creator><![CDATA[<a href="https://forum.bcsimulation.ca/member.php?action=profile&uid=27">CHolmes</a>]]></dc:creator>
			<guid isPermaLink="false">https://forum.bcsimulation.ca/showthread.php?tid=128</guid>
			<description><![CDATA[<div style="text-align: center;" class="mycode_align"><span style="color: #0F426A;" class="mycode_color"><span style="font-size: x-large;" class="mycode_size"><span style="text-decoration: underline;" class="mycode_u"><span style="font-weight: bold;" class="mycode_b">Thyroid Storm</span></span></span></span></div>
<div style="text-align: center;" class="mycode_align"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">Created Nov 2014</span></span></div>
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: large;" class="mycode_size"><span style="text-decoration: underline;" class="mycode_u"><span style="font-weight: bold;" class="mycode_b">Contact Information</span></span></span></span><br />
<br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Developed by: </span></span></span><span style="font-size: medium;" class="mycode_size">Unknown</span><br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Developed for:</span></span> Interior Health</span><br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Submitted by:</span></span> CHolmes</span><br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Contact Email:</span></span> simulation@interiorhealth.ca</span><br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Peer Reviewed:</span></span> &lt;strong&gt;No&lt;/strong&gt; (Has not been peer reviewed or the information will be provided later)</span><br />
<br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: large;" class="mycode_size"><span style="text-decoration: underline;" class="mycode_u"><span style="font-weight: bold;" class="mycode_b">Scenario Information</span></span></span></span><br />
<br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Case Summary:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­11 year old girl with fever x 9 days was seen by family doctor 3 days ago and started on penicillin for suspected strep throat and cervical adenitis.  Today she is quite agitated and confused at times.  Parents very concerned and brought her to the emergency.</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Target Learning Groups:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">      Physicians, Nursing, Respiratory Therapy, Interprofessional Team</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Additional Target Learning Groups:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Proposed Setting:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     Emergency Dept</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Educational Goals:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­Recognize the possibility of thyrotoxicosis in an emergency patient<br />
Recognize S&amp;S of thyroid storm (TS)<br />
Consider possibility of induced arrhythmias related to TS<br />
Demonstrate management of HTN &amp; tachycardia associated with TS<br />
</span><br />
<br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: large;" class="mycode_size"><span style="text-decoration: underline;" class="mycode_u"><span style="font-weight: bold;" class="mycode_b">Peer Review Information</span></span></span></span><br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">Clinical Content Peer Review</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">      Clinical Content Reviewer: </span></span>Unknown <span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">Reviewed on: </span></span>Unknown</span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">      Notes on Clinical Content Peer Review:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">      Unknown</span><br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">Simulation/Educational Review</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Simulation/Educational Reviewer: </span></span>Unknown <span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">Reviewed on: </span></span>Unknown</span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Notes on Simulation/Educational Peer Review:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     Unknown</span><br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">Simulation/Educational Real Time Review</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Simulation/Educational Real Time Reviewer: </span></span>Unknown <span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">Reviewed on: </span></span>Unknown</span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Notes on Simulation/Educational Real Time Peer Review:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     Unknown</span><br />
<br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: large;" class="mycode_size"><span style="text-decoration: underline;" class="mycode_u"><span style="font-weight: bold;" class="mycode_b">Extra Information</span></span></span></span><br />
<br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Additional Details:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­Skills: pediatric IV therapy, pediatric airway management, pediatric RSI</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     References:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Scenario Links:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­­</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Additional Tags:</span></span></span><span style="font-size: medium;" class="mycode_size"> </span><br />
<br />
<br />
<br />
<hr class="mycode_hr" />
<span style="font-size: small;" class="mycode_size">If you would like further information about this scenario please contact <span style="font-weight: bold;" class="mycode_b">simulation@interiorhealth.ca</span> or leave a comment below.</span><br /><!-- start: postbit_attachments_attachment -->
<br /><!-- start: attachment_icon -->
<img src="https://forum.bcsimulation.ca/images/attachtypes/doc.png" title="Microsoft Word 2007 Document" border="0" alt=".docx" />
<!-- end: attachment_icon -->&nbsp;&nbsp;<a href="attachment.php?aid=159" target="_blank" title="">Thyroid Storm - Scenario.docx</a> (Size: 1.45 MB / Downloads: 425)
<!-- end: postbit_attachments_attachment --><br /><!-- start: postbit_attachments_attachment -->
<br /><!-- start: attachment_icon -->
<img src="https://forum.bcsimulation.ca/images/attachtypes/ppt.png" title="Microsoft PowerPoint 2007 Document" border="0" alt=".pptx" />
<!-- end: attachment_icon -->&nbsp;&nbsp;<a href="attachment.php?aid=160" target="_blank" title="">Thyroid Storm - Diagnostic PowerPoint.pptx</a> (Size: 1.86 MB / Downloads: 423)
<!-- end: postbit_attachments_attachment -->]]></description>
			<content:encoded><![CDATA[<div style="text-align: center;" class="mycode_align"><span style="color: #0F426A;" class="mycode_color"><span style="font-size: x-large;" class="mycode_size"><span style="text-decoration: underline;" class="mycode_u"><span style="font-weight: bold;" class="mycode_b">Thyroid Storm</span></span></span></span></div>
<div style="text-align: center;" class="mycode_align"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">Created Nov 2014</span></span></div>
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: large;" class="mycode_size"><span style="text-decoration: underline;" class="mycode_u"><span style="font-weight: bold;" class="mycode_b">Contact Information</span></span></span></span><br />
<br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Developed by: </span></span></span><span style="font-size: medium;" class="mycode_size">Unknown</span><br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Developed for:</span></span> Interior Health</span><br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Submitted by:</span></span> CHolmes</span><br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Contact Email:</span></span> simulation@interiorhealth.ca</span><br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Peer Reviewed:</span></span> &lt;strong&gt;No&lt;/strong&gt; (Has not been peer reviewed or the information will be provided later)</span><br />
<br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: large;" class="mycode_size"><span style="text-decoration: underline;" class="mycode_u"><span style="font-weight: bold;" class="mycode_b">Scenario Information</span></span></span></span><br />
<br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Case Summary:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­11 year old girl with fever x 9 days was seen by family doctor 3 days ago and started on penicillin for suspected strep throat and cervical adenitis.  Today she is quite agitated and confused at times.  Parents very concerned and brought her to the emergency.</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Target Learning Groups:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">      Physicians, Nursing, Respiratory Therapy, Interprofessional Team</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Additional Target Learning Groups:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Proposed Setting:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     Emergency Dept</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Educational Goals:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­Recognize the possibility of thyrotoxicosis in an emergency patient<br />
Recognize S&amp;S of thyroid storm (TS)<br />
Consider possibility of induced arrhythmias related to TS<br />
Demonstrate management of HTN &amp; tachycardia associated with TS<br />
</span><br />
<br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: large;" class="mycode_size"><span style="text-decoration: underline;" class="mycode_u"><span style="font-weight: bold;" class="mycode_b">Peer Review Information</span></span></span></span><br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">Clinical Content Peer Review</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">      Clinical Content Reviewer: </span></span>Unknown <span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">Reviewed on: </span></span>Unknown</span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">      Notes on Clinical Content Peer Review:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">      Unknown</span><br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">Simulation/Educational Review</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Simulation/Educational Reviewer: </span></span>Unknown <span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">Reviewed on: </span></span>Unknown</span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Notes on Simulation/Educational Peer Review:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     Unknown</span><br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">Simulation/Educational Real Time Review</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Simulation/Educational Real Time Reviewer: </span></span>Unknown <span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">Reviewed on: </span></span>Unknown</span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Notes on Simulation/Educational Real Time Peer Review:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     Unknown</span><br />
<br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: large;" class="mycode_size"><span style="text-decoration: underline;" class="mycode_u"><span style="font-weight: bold;" class="mycode_b">Extra Information</span></span></span></span><br />
<br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Additional Details:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­Skills: pediatric IV therapy, pediatric airway management, pediatric RSI</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     References:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Scenario Links:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­­</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Additional Tags:</span></span></span><span style="font-size: medium;" class="mycode_size"> </span><br />
<br />
<br />
<br />
<hr class="mycode_hr" />
<span style="font-size: small;" class="mycode_size">If you would like further information about this scenario please contact <span style="font-weight: bold;" class="mycode_b">simulation@interiorhealth.ca</span> or leave a comment below.</span><br /><!-- start: postbit_attachments_attachment -->
<br /><!-- start: attachment_icon -->
<img src="https://forum.bcsimulation.ca/images/attachtypes/doc.png" title="Microsoft Word 2007 Document" border="0" alt=".docx" />
<!-- end: attachment_icon -->&nbsp;&nbsp;<a href="attachment.php?aid=159" target="_blank" title="">Thyroid Storm - Scenario.docx</a> (Size: 1.45 MB / Downloads: 425)
<!-- end: postbit_attachments_attachment --><br /><!-- start: postbit_attachments_attachment -->
<br /><!-- start: attachment_icon -->
<img src="https://forum.bcsimulation.ca/images/attachtypes/ppt.png" title="Microsoft PowerPoint 2007 Document" border="0" alt=".pptx" />
<!-- end: attachment_icon -->&nbsp;&nbsp;<a href="attachment.php?aid=160" target="_blank" title="">Thyroid Storm - Diagnostic PowerPoint.pptx</a> (Size: 1.86 MB / Downloads: 423)
<!-- end: postbit_attachments_attachment -->]]></content:encoded>
		</item>
		<item>
			<title><![CDATA[Pediatric DKA]]></title>
			<link>https://forum.bcsimulation.ca/showthread.php?tid=122</link>
			<pubDate>Thu, 30 Jul 2020 14:26:22 +0000</pubDate>
			<dc:creator><![CDATA[<a href="https://forum.bcsimulation.ca/member.php?action=profile&uid=27">CHolmes</a>]]></dc:creator>
			<guid isPermaLink="false">https://forum.bcsimulation.ca/showthread.php?tid=122</guid>
			<description><![CDATA[<div style="text-align: center;" class="mycode_align"><span style="color: #0F426A;" class="mycode_color"><span style="font-size: x-large;" class="mycode_size"><span style="text-decoration: underline;" class="mycode_u"><span style="font-weight: bold;" class="mycode_b">Pediatric DKA</span></span></span></span></div>
<div style="text-align: center;" class="mycode_align"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">Created Nov 2015</span></span></div>
<div style="text-align: center;" class="mycode_align"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">Updated:  Sept 2020</span></span></div>
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: large;" class="mycode_size"><span style="text-decoration: underline;" class="mycode_u"><span style="font-weight: bold;" class="mycode_b">Contact Information</span></span></span></span><br />
<br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Developed by: </span></span></span><span style="font-size: medium;" class="mycode_size">Dr. T. Ring (adapted by J. Slinn).  Updated by E. McFee (September 11, 2020)</span><br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Developed for:</span></span> Interior Health</span><br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Submitted by:</span></span> CHolmes</span><br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Contact Email:</span></span> simulation@interiorhealth.ca</span><br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Peer Reviewed:</span></span> &lt;strong&gt;No&lt;/strong&gt; (Has not been peer reviewed or the information will be provided later)</span><br />
<br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: large;" class="mycode_size"><span style="text-decoration: underline;" class="mycode_u"><span style="font-weight: bold;" class="mycode_b">Scenario Information</span></span></span></span><br />
<br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Case Summary:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­8 year old boy is brought in by grandparents to ED with a 2 week hx of fever and lethargy. Very unwell in last 24 hours – excessively drowsy, very poor energy, difficulty breathing, abdominal pain, no vomiting.</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Target Learning Groups:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">      Physicians, Nursing, Respiratory Therapy, Interprofessional Team</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Additional Target Learning Groups:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Proposed Setting:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     Emergency Dept</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Educational Goals:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­Recognize acidosis, hyperglycemia, prerenal azotemia and co-existent hyperglycemic hyperosmolar state (HHS)<br />
Recognize frequency of subclinical cerebral edema in DKA<br />
Demonstrate effective management of DKA,  HHS and suspected cerebral edema<br />
Demonstrate intubation of pediatric patient<br />
</span><br />
<br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: large;" class="mycode_size"><span style="text-decoration: underline;" class="mycode_u"><span style="font-weight: bold;" class="mycode_b">Peer Review Information</span></span></span></span><br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">Clinical Content Peer Review</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">      Clinical Content Reviewer: </span></span>Unknown <span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">Reviewed on: </span></span>Unknown</span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">      Notes on Clinical Content Peer Review:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">      Unknown</span><br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">Simulation/Educational Review</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Simulation/Educational Reviewer: </span></span>Unknown <span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">Reviewed on: </span></span>Unknown</span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Notes on Simulation/Educational Peer Review:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     Unknown</span><br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">Simulation/Educational Real Time Review</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Simulation/Educational Real Time Reviewer: </span></span>Unknown <span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">Reviewed on: </span></span>Unknown</span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Notes on Simulation/Educational Real Time Peer Review:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     Unknown</span><br />
<br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: large;" class="mycode_size"><span style="text-decoration: underline;" class="mycode_u"><span style="font-weight: bold;" class="mycode_b">Extra Information</span></span></span></span><br />
<br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Additional Details:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­Skills: pediatric IV therapy, pediatric airway management<br />
<br />
Specific management needs to be updated to most recent DKA guidelines</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     References:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Scenario Links:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­­</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Additional Tags:</span></span></span><span style="font-size: medium;" class="mycode_size"> </span><br />
<br />
<br />
<br />
<hr class="mycode_hr" />
<span style="font-size: small;" class="mycode_size">If you would like further information about this scenario please contact <span style="font-weight: bold;" class="mycode_b">simulation@interiorhealth.ca</span> or leave a comment below.</span><br /><!-- start: postbit_attachments_attachment -->
<br /><!-- start: attachment_icon -->
<img src="https://forum.bcsimulation.ca/images/attachtypes/ppt.png" title="Microsoft PowerPoint 2007 Document" border="0" alt=".pptx" />
<!-- end: attachment_icon -->&nbsp;&nbsp;<a href="attachment.php?aid=226" target="_blank" title="">Pediatric DKA - Diagnostic PowerPoint_Sept 2020.pptx</a> (Size: 6.08 MB / Downloads: 425)
<!-- end: postbit_attachments_attachment --><br /><!-- start: postbit_attachments_attachment -->
<br /><!-- start: attachment_icon -->
<img src="https://forum.bcsimulation.ca/images/attachtypes/doc.png" title="Microsoft Word 2007 Document" border="0" alt=".docx" />
<!-- end: attachment_icon -->&nbsp;&nbsp;<a href="attachment.php?aid=228" target="_blank" title="">Pediatric DKA - Scenario_Sept 11 2020.docx</a> (Size: 5.83 MB / Downloads: 453)
<!-- end: postbit_attachments_attachment --><br /><!-- start: postbit_attachments_attachment -->
<br /><!-- start: attachment_icon -->
<img src="https://forum.bcsimulation.ca/images/attachtypes/pdf.png" title="Adobe Acrobat PDF" border="0" alt=".pdf" />
<!-- end: attachment_icon -->&nbsp;&nbsp;<a href="attachment.php?aid=227" target="_blank" title="">BCCH DKA 2019 Revisions Summary.pdf</a> (Size: 155.65 KB / Downloads: 499)
<!-- end: postbit_attachments_attachment -->]]></description>
			<content:encoded><![CDATA[<div style="text-align: center;" class="mycode_align"><span style="color: #0F426A;" class="mycode_color"><span style="font-size: x-large;" class="mycode_size"><span style="text-decoration: underline;" class="mycode_u"><span style="font-weight: bold;" class="mycode_b">Pediatric DKA</span></span></span></span></div>
<div style="text-align: center;" class="mycode_align"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">Created Nov 2015</span></span></div>
<div style="text-align: center;" class="mycode_align"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">Updated:  Sept 2020</span></span></div>
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: large;" class="mycode_size"><span style="text-decoration: underline;" class="mycode_u"><span style="font-weight: bold;" class="mycode_b">Contact Information</span></span></span></span><br />
<br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Developed by: </span></span></span><span style="font-size: medium;" class="mycode_size">Dr. T. Ring (adapted by J. Slinn).  Updated by E. McFee (September 11, 2020)</span><br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Developed for:</span></span> Interior Health</span><br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Submitted by:</span></span> CHolmes</span><br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Contact Email:</span></span> simulation@interiorhealth.ca</span><br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Peer Reviewed:</span></span> &lt;strong&gt;No&lt;/strong&gt; (Has not been peer reviewed or the information will be provided later)</span><br />
<br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: large;" class="mycode_size"><span style="text-decoration: underline;" class="mycode_u"><span style="font-weight: bold;" class="mycode_b">Scenario Information</span></span></span></span><br />
<br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Case Summary:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­8 year old boy is brought in by grandparents to ED with a 2 week hx of fever and lethargy. Very unwell in last 24 hours – excessively drowsy, very poor energy, difficulty breathing, abdominal pain, no vomiting.</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Target Learning Groups:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">      Physicians, Nursing, Respiratory Therapy, Interprofessional Team</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Additional Target Learning Groups:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Proposed Setting:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     Emergency Dept</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Educational Goals:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­Recognize acidosis, hyperglycemia, prerenal azotemia and co-existent hyperglycemic hyperosmolar state (HHS)<br />
Recognize frequency of subclinical cerebral edema in DKA<br />
Demonstrate effective management of DKA,  HHS and suspected cerebral edema<br />
Demonstrate intubation of pediatric patient<br />
</span><br />
<br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: large;" class="mycode_size"><span style="text-decoration: underline;" class="mycode_u"><span style="font-weight: bold;" class="mycode_b">Peer Review Information</span></span></span></span><br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">Clinical Content Peer Review</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">      Clinical Content Reviewer: </span></span>Unknown <span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">Reviewed on: </span></span>Unknown</span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">      Notes on Clinical Content Peer Review:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">      Unknown</span><br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">Simulation/Educational Review</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Simulation/Educational Reviewer: </span></span>Unknown <span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">Reviewed on: </span></span>Unknown</span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Notes on Simulation/Educational Peer Review:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     Unknown</span><br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">Simulation/Educational Real Time Review</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Simulation/Educational Real Time Reviewer: </span></span>Unknown <span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">Reviewed on: </span></span>Unknown</span><br />
<br />
<span style="font-size: medium;" class="mycode_size"><span style="color: #1b6798;" class="mycode_color"><span style="font-weight: bold;" class="mycode_b">     Notes on Simulation/Educational Real Time Peer Review:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     Unknown</span><br />
<br />
<br />
<br />
<span style="color: #0F426A;" class="mycode_color"><span style="font-size: large;" class="mycode_size"><span style="text-decoration: underline;" class="mycode_u"><span style="font-weight: bold;" class="mycode_b">Extra Information</span></span></span></span><br />
<br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Additional Details:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­Skills: pediatric IV therapy, pediatric airway management<br />
<br />
Specific management needs to be updated to most recent DKA guidelines</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     References:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Scenario Links:</span></span></span><br />
<br />
<span style="font-size: medium;" class="mycode_size">     ­­</span><br />
<br />
<span style="color: #1b6798;" class="mycode_color"><span style="font-size: medium;" class="mycode_size"><span style="font-weight: bold;" class="mycode_b">     Additional Tags:</span></span></span><span style="font-size: medium;" class="mycode_size"> </span><br />
<br />
<br />
<br />
<hr class="mycode_hr" />
<span style="font-size: small;" class="mycode_size">If you would like further information about this scenario please contact <span style="font-weight: bold;" class="mycode_b">simulation@interiorhealth.ca</span> or leave a comment below.</span><br /><!-- start: postbit_attachments_attachment -->
<br /><!-- start: attachment_icon -->
<img src="https://forum.bcsimulation.ca/images/attachtypes/ppt.png" title="Microsoft PowerPoint 2007 Document" border="0" alt=".pptx" />
<!-- end: attachment_icon -->&nbsp;&nbsp;<a href="attachment.php?aid=226" target="_blank" title="">Pediatric DKA - Diagnostic PowerPoint_Sept 2020.pptx</a> (Size: 6.08 MB / Downloads: 425)
<!-- end: postbit_attachments_attachment --><br /><!-- start: postbit_attachments_attachment -->
<br /><!-- start: attachment_icon -->
<img src="https://forum.bcsimulation.ca/images/attachtypes/doc.png" title="Microsoft Word 2007 Document" border="0" alt=".docx" />
<!-- end: attachment_icon -->&nbsp;&nbsp;<a href="attachment.php?aid=228" target="_blank" title="">Pediatric DKA - Scenario_Sept 11 2020.docx</a> (Size: 5.83 MB / Downloads: 453)
<!-- end: postbit_attachments_attachment --><br /><!-- start: postbit_attachments_attachment -->
<br /><!-- start: attachment_icon -->
<img src="https://forum.bcsimulation.ca/images/attachtypes/pdf.png" title="Adobe Acrobat PDF" border="0" alt=".pdf" />
<!-- end: attachment_icon -->&nbsp;&nbsp;<a href="attachment.php?aid=227" target="_blank" title="">BCCH DKA 2019 Revisions Summary.pdf</a> (Size: 155.65 KB / Downloads: 499)
<!-- end: postbit_attachments_attachment -->]]></content:encoded>
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