BCSN Members Forum - Neurology

Tumor Lysis Syndrome associated with Acute Lymphoblastic Leukemia

Thu, 30 Jul 2020 14:55:43 +0000

Tumor Lysis Syndrome associated with Acute Lymphoblastic Leukemia

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Peer Reviewed: No (Has not been peer reviewed or the information will be provided later)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

3 year old boy who has been admitted 24 hours prior with vomiting, weight loss and hypertension. General malaise. Bone marrow showed acute lymphoblastic leukemia (ALL). Earlier this day had intrathecal chemotherapy and a packed red cell transfusion.

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy, Specialist, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Pediatric Unit

Educational Goals:

Review presentation and initial management of TLS in malignant conditions
Recognize arrhythmia as a result of TLS
Summarize and demonstrate management of TLS associated electrolyte abnormalities and arrhythmia

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,

References:

Scenario Links:

Additional Tags:

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

TLS associated with ALL - Scenario.docx (Size: 580.51 KB / Downloads: 450)

TLS associated with ALL - Diagnostic PowerPoint.pptx (Size: 224.91 KB / Downloads: 423)

Status Epilepticus

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

Status Epilepticus

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Peer Reviewed: No (Has not been peer reviewed or the information will be provided later)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

4 year old boy who has had a fever x3 days. Headache and neck pain x2 days. Irritable today and found unconscious at home on the floor. Paramedics bringing child to the emergency. Seizing enroute x5minutes.

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy, Paramedics, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Dept

Educational Goals:

Review and demonstrate management of status epilepticus
Discuss complications associated with the treatment of status epilepticus

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 RSI, 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.

Status Epilepticus - Scenario.docx (Size: 1.19 MB / Downloads: 468)

Status epilepticus - Diagnostic PowerPoint.pptx (Size: 862.88 KB / Downloads: 412)

Intracranial Bleed

Thu, 30 Jul 2020 14:52:25 +0000

Intracranial Bleed

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:

11y.o. previously well boy. Had sudden onset headache this am, vomited x2, progressive obtundation over past 20 minutes. No visible signs of trauma. No movement left arm or left leg. Pupils right: 5mm left: 3mm.

Target Learning Groups:

Physicians, Nursing, Specialist, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Dept

Educational Goals:

Develop familiarity with the ventilator and practice making setting adjustments
Discussion of neuroprotective strategies for intubation and sedation
Initiate ventilator parameters for a child with resp failure d/t increased ICP

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 and ventilation, pediatric IV therapy, pediatric cardiac monitoring,

References:

Scenario Links:

Additional Tags:

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

Intracranial Bleed - Scenario.docx (Size: 936.13 KB / Downloads: 431)

Intracranial Bleed- Diagnostic PowerPoint.pptx (Size: 573.14 KB / Downloads: 421)

Pediatric Coma

Thu, 30 Jul 2020 14:51:00 +0000

Pediatric Coma

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:

Child Zola – 10 year old female. Post op day 2 Appendectomy. Vital signs stable. One JP Drains and dry intact dressing. C/O discomfort after sitting up in chair for 30 minutes. Abdomen distended tender to palpate and passing small amount of gas. LPN called to the ward to assist with workload. She was asked to give the patient medication for discomfort. She reviewed MAR and could administer IM anti-inflammatory medication. Narcotics ordered were IV.

Target Learning Groups:

Undergrad Medicine, Physicians, Nursing, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Pediatric Unit

Educational Goals:

Review differential diagnosis and management of child with decreased level of consciousness, including hypoglycemia
Complete systematic pediatric patient assessment
Demonstrate effective communication

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, hypoglycemia management,

References:

Diabetes.org
Mosbys Skills

Scenario Links:

Additional Tags:

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

Pediatric Coma - Scenario.docx (Size: 636.72 KB / Downloads: 412)

Pediatric Coma - Diagnostic PowerPoint.pptx (Size: 328.5 KB / Downloads: 380)

Encephalitis

Thu, 30 Jul 2020 14:29:28 +0000

Encephalitis

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:

8 year old boy presented to ER via ambulance post seizure - accompanied by parents. Awakened from nap this afternoon confused and disoriented. Was playing at a friend’s house all afternoon; complained of headache, felt hot when he got home. Went to bed – parents checked on him and found him seizing. Called 911.

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Dept

Educational Goals:

Review investigative workup and differential diagnosis of altered LOC
Review and demonstrate management of altered LOC
Review and demonstrate rapid sequence 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:

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

References:

Unknown

Scenario Links:

Additional Tags:

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

Encephalitis - Scenario.docx (Size: 971.15 KB / Downloads: 415)

Encephalitis - Diagnostic PowerPoint.pptx (Size: 608.84 KB / Downloads: 421)