BCSN Members Forum - Medical

Sickle Cell - Chest Crisis

Thu, 30 Jul 2020 14:47:04 +0000

Sickle Cell - Chest Crisis

Created Nov 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Peer Reviewed: No (Has not been peer reviewed or the information will be provided later)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:

7 year old boy with known sickle cell disease (HbSS). Fever this afternoon. Cough x2 days. Feeling unwell. Brought into hospital by parents. Initial SpO2 at triage is 88% on room air.

Target Learning Groups:

Physicians, Nursing, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Department

Educational Goals:

Review the management of chest crisis in sickle cell disease
Understand the importance of repeat assessment in children with sickle cell disease
Recognize Chest Crisis in Sickle Cell Disease
Demonstrate management of septic shock.
Demonstrate effective use and titration of inotropes in septic shock.

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 managment, pediatric IV therapy

References:

Scenario Links:

Additional Tags:

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

Sickle Cell Disease - Scenario.docx (Size: 6.34 MB / Downloads: 421)

Sickle Cell Disease - Diagnostic PowerPoint.pptx (Size: 5.84 MB / Downloads: 425)

Mediastinal Mass

Thu, 30 Jul 2020 14:44:10 +0000

Mediastinal Mass

Created June 2020

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Peer Reviewed: No (Has not been peer reviewed or the information will be provided later)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:

6 year old boy who has been feeling unwell for 3 weeks. Coughing for 3 weeks, worsening. No cold at start. Now febrile. Over the last week mom has noticed his breathing is noisier especially when lying down.

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy, Specialist, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Department

Educational Goals:

Identify respiratory distress as a presentation of mediastinal mass
Identify possible causes of mediastinal mass
Demonstrate appropriate management of respiratory distress due to mediastinal mass

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 IV therapy, pediatric airway management,

References:

Scenario Links:

Additional Tags:

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

Mediastinal Mass - Scenario.docx (Size: 1.72 MB / Downloads: 371)

Mediastinal Mass - Diagnostic PowerPoint.pptx (Size: 1.41 MB / Downloads: 377)

Malignant Hyperthermia (MH)

Thu, 30 Jul 2020 14:42:39 +0000

Malignant Hyperthermia (MH)

Created June 2020

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:

3 year old girl ingested several of her sister’s phenobarbital tablets. Developed somnolence and respiratory depression; brought from home by EMS. Pt has just been intubated in the ED by your colleague and is being handed over at shift change. Awaiting an ICU bed. Intubated with atropine, ketamine and succinylcholine. Currently receiving fluids for mild hypotension.

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy, Specialist, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Department

Educational Goals:

Identify MH and review pathophysiology
Summarize common triggers of MH
Demonstrate effective management of MH including dantrolene and cooling

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 IV therapy, pediatric pain management, pediatric sedation post intubation

References:

Scenario Links:

Additional Tags:

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

Malignant Hyperthermia - Scenario (1).docx (Size: 597.41 KB / Downloads: 396)

Malignant Hyperthermia - Diagnostic PowerPoint.pptx (Size: 214.57 KB / Downloads: 401)

Hyperleukocytosis associated with Acute Myelogenous Leukemia (AML)

Thu, 30 Jul 2020 14:40:20 +0000

Hyperleukocytosis associated with Acute Myelogenous Leukemia (AML)

Created 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:

6 year old girl who has a fever x3 days at home. General malaise. Tonight has progressing tiredness and headache. Crying and irritable. Sleeping on couch and not wanting to play. Red spots beginning to appear on legs, arms, face and trunk since afternoon. Nosebleed for 30 minutes before presentation.

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy, Specialist, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Department

Educational Goals:

Review presentation and demonstrate initial management of hyperleukocytosis in malignant conditions
Review types of blood products
Demonstrate understanding of initial management of associated coagulopathy
Provide definitive therapy by arriving at diagnosis of underlying malignancy

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 IV therapy, pediatric pain management, pediatric transfusion

References:

Scenario Links:

Additional Tags:

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

Hyperleukocytosis associated with AML - Scenario.docx (Size: 1.2 MB / Downloads: 404)

Hyperleukocytosis associated with AML - Diagnositc PowerPoint.pptx (Size: 993.09 KB / Downloads: 395)

Multisystem Inflammatory Symptoms in Children (MIS-C)

Thu, 30 Jul 2020 14:23:41 +0000

Multisystem Inflammatory Symptoms in Children (MIS-C)

Created June 2020

Contact Information

Developed by: Dr. A. Mackenzie-Feder
Developed for:
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:

14 year old female with fever, vomiting, and diarrhea for 48 hours. Recent history of fall from bike with multiple abrasions to shins and arms. Previously well. No know sick contacts or COVID contacts. Patient ate a burger at a BBQ 2 days ago. Mother also complaining of GI symptoms.

Target Learning Groups:

Physicians, Nursing, Specialist, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Department

Educational Goals:

- Recognition of possible MIS-C
- Management of MIS-C

- Recognition of a critically ill child and call for help early
- Anticipate and Plan
- Mobilize Resources

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.

MIS-C SIM.docx (Size: 390.72 KB / Downloads: 402)

MIS-C-July 15th.pptx (Size: 2.1 MB / Downloads: 371)

Infant RSV respiratory arrest

Tue, 03 Mar 2020 20:58:55 +0000

Infant RSV respiratory arrest

Created December 2019

Developed by:

Christina Choung
Jackie Demmy

Developed for:

Submitted by: ckchoung

Contact Email: simulation@fraserhealth.ca

Peer Reviewed: Yes

Case Summary:

  A six-week-old admitted with RSV will decompensate and go into respiratory arrest, leading to cardiac arrest. Case focuses on respiratory and arrest management.

Target Learning Groups:

   Physicians, Nursing, Respiratory Therapy, Interprofessional Team

Additional Target Learning Groups:



Proposed Setting:

  Pediatric inpatient

Educational goals:

  • Identify and treat respiratory decompensation secondary to bronchiolitis
• Practice pediatric arrest management, including effective CPR and documentation
• Provide concise and accurate SBAR report, highlighting change in status and treatments to date
• Call for help and mobilize resources early
• Establish role clarity and distribute the workload effectively
• Communicate effectively using closed-loop communication, command and request clearly, and establish a shared mental model

Additional Details:

References:



Scenario Links:



Additional Tags:

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

Infant RSV respiratory arrest 2019.12.docx (Size: 64.62 KB / Downloads: 456)

Neonatal Seizure and Respiratory Arrest

Tue, 27 Aug 2019 15:36:26 +0000

Neonatal Seizure and Respiratory Arrest

Created October 2017

Developed by:

David Critchley

Developed for:

Submitted by: RichardPinto

Contact Email: ddcritchley@gmail.com

Peer Reviewed: Yes

Case Summary:

  Patient Description:

Name:

Age: 2 hours old

Weight: 4381 grams

Immunizations: nil

Hx of current condition: - 39 weeks and 2 days

gestation

* Pregnancy normal except gestational diabetes

treated with insulin

* Labour normal, ROMx2 hrs, no mec, no

maternal temp, no maternal antibiotics, GBS

negative, FHR normal

* SVD – tight shoulders but no complications

* Apgars 8 at 1 min, 9 at 5 min, vigorous

Social Hx: nil significant

Diagnosis: LGA baby secondary to gestational

diabetes

Hypoglycemic seizure and respiratory arrest

Target Learning Groups:

   Interprofessional Team

Additional Target Learning Groups:



Proposed Setting:

  Pediatric Unit

Educational goals:



Additional Details:

References:



Scenario Links:



Additional Tags:

If you would like further information about this scenario please contact ddcritchley@gmail.com or leave a comment below.

neonatal hypoglycemic siezure Oct 2017.doc (Size: 111.5 KB / Downloads: 430)

Meningitis Seizure Respiratory Arrest in an Infant

Tue, 27 Aug 2019 15:27:08 +0000

Meningitis Seizure Respiratory Arrest in an Infant

Created February 2018

Developed by:

David Critchley

Developed for:

Submitted by: RichardPinto

Contact Email: ddcritchley@gmail.com

Peer Reviewed: Yes

Case Summary:

  Patient Description:

Name: Ella

Age: 9 months

Weight: unknown

Immunizations: UTD

Hx of current condition: fever up to 39.6 today

Alternating lethargy and irritability

Not feeding today

Not interactive today

Mom says that the soft spot is bulging.

Social Hx: nil significant

Diagnosis: meningitis

Target Learning Groups:

   Interprofessional Team

Additional Target Learning Groups:



Proposed Setting:

  Pediatric Unit

Educational goals:



Additional Details:

References:



Scenario Links:



Additional Tags:

If you would like further information about this scenario please contact ddcritchley@gmail.com or leave a comment below.

meningitisseizureshypoventillation in an infant.docx (Size: 70.74 KB / Downloads: 423)

Neonatal Meningitis/Encephalitis with Seizure

Tue, 30 Jul 2019 22:27:39 +0000

Neonatal Meningitis/Encephalitis with Seizure

Created June 2016

Developed by:

David Critchley

Developed for:

Submitted by: RichardPinto

Contact Email: ddcritchley@gmail.com

Peer Reviewed: Yes

Case Summary:

  Patient Description:
Name: Baby Boy
Age: 3 weeks
Weight: 4.1 kg
Immunizations: nil
Hx of current condition: poor breast feeding for
24 hours, fever today, hard to wake up today
Social Hx: lives with mom and dad, no social
concerns
Diagnosis: meningitis/encphalitis

Target Learning Groups:

   Interprofessional Team

Additional Target Learning Groups:



Proposed Setting:

  Pediatric Unit

Educational goals:



Additional Details:

References:



Scenario Links:



Additional Tags:

If you would like further information about this scenario please contact ddcritchley@gmail.com or leave a comment below.

Neonatal meningitis_encephalitis_seizure.pdf (Size: 144.96 KB / Downloads: 476)