BCSN Members Forum - Shock

FPIES/Hypovolemic Shock - Infant

Mon, 12 Jul 2021 21:33:02 +0000

FPIES/Hypovolemic Shock - Infant

Created May 4, 2021

Contact Information

Developed by: Dr. Navid Deghani, Zoe Schuler
Developed for: Fraserhealth
Submitted by: Sim@FH
Contact Email: simulation@fraserhealth.ca
Peer Reviewed: Yes (The information is provided below)

Scenario Information

Case Summary:

A 6 month old infant will present with lethargy and profuse vomiting. The infant will then have profuse, uncontrollable diarrhea. The infant will become bradycardic, require chest compressions/ventilation, aggressive fluid replacement, & blood glucose correction. The infant will respond favourably, and recover

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy

Additional Target Learning Groups:

Proposed Setting:

Emergency Department

Educational Goals:

1. Identify hypovolemic shock
2. Calculate and administer NS bolus
3. Correct blood glucose
4. Manage pediatric bradycardic arrest

Peer Review Information

Clinical Content Peer Review

Clinical Content Reviewer: Dr. Navid Deghani Reviewed on: 05/04/2021

Notes on Clinical Content Peer Review:

Unknown

Simulation/Educational Review

Simulation/Educational Reviewer: Zoe Schuler Reviewed on: 07/06/2021

Notes on Simulation/Educational Peer Review:

Unknown

Simulation/Educational Real Time Review

Simulation/Educational Real Time Reviewer: Zoe Schuler Reviewed on: 07/08/2021

Notes on Simulation/Educational Real Time Peer Review:

Unknown

Extra Information

Additional Details:

References:

Unknown

Scenario Links:

Additional Tags: hypovolemia, shock, infant, vomiting, diarrhea

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

FPIES with Hypovolemic shock infant July 2021.docx (Size: 268.94 KB / Downloads: 447)

Meningitis

Thu, 30 Jul 2020 15:27:31 +0000

Meningitis

Created April 2016

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Peer Reviewed: No (Has not been peer reviewed or the information will be provided later)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

Called to T3 stat. RN carries 3 year old child in from triage.
Parents present with 3 year old unwell for 24 hours with fever. Awoke this am to find child in bed lethargic and listless.
Petechial rash on torso and legs, decreased GCS.

Target Learning Groups:

Physicians, Nursing, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Dept

Educational Goals:

Understand the pathophysiology of sepsis in a young child

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 vasopressors,

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.

Pediatric Sepsis - Meningitis - Scenario.docx (Size: 603.66 KB / Downloads: 406)

Pediatric Sepsis - Meningitis- Diagnostic PowerPoint.pptx (Size: 243.08 KB / Downloads: 395)

Juvenile Idiopathic Arthritis - Septic

Thu, 30 Jul 2020 15:23:12 +0000

Juvenile Idiopathic Arthritis - Septic

Created Feb 2016

Contact Information

Developed by: Dr. K. Smart
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 patient. Has JIA and recently received biologic agent last week. Now febrile and listless since last night. Carried in by parents. Minimally responsive.

Target Learning Groups:

Physicians, Nursing, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Dept

Educational Goals:

Review the ARDS Vent protocol and use to titrate vent settings
Recognize limits of mechanical ventilation
Summarize and assess fragility of septic patients around the time of intubation
Demonstrate approach to critically ill children

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 vasopressors,

References:

Scenario Links:

Additional Tags:

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

Sepsis - Juvenile Idiopathic Arthritis - Scenario.docx (Size: 5.75 MB / Downloads: 376)

Sepsis - Intubated patient with ARDS

Thu, 30 Jul 2020 15:21:06 +0000

Sepsis - Intubated patient with ARDS

Created June 2020

Contact Information

Developed by: Unknown
Developed for: IH
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:

Septic 8 year patient. Gram – line sepsis (pseudomonas) transferred in from peripheral hospital via ITT. Sepsis protocol underway: fluid bolus in, at intubate and inotrope stage of protocol.

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy, Specialist, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

ED/ICU

Educational Goals:

Review ARDS Ventilation protocol and use to titrate vent settings
Recognize limitations of mechanical ventilation
Demonstrate approach to critically ill children

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 ventilation

References:

Scenario Links:

Additional Tags:

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

Sepsis - Intubated Patient with ARDS - Scenario.docx (Size: 5.74 MB / Downloads: 397)

Sepsis - Intubated Patient with ARDS - Diagnostic PowerPoint.pptx (Size: 4.92 MB / Downloads: 366)

Fever and Neutropenia - Sepsis

Thu, 30 Jul 2020 15:19:12 +0000

Fever and Neutropenia - Sepsis

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:

14 year old male who was directed to oncology to see in the ED. Mom called the call resident as he had a fever. Has AML, currently in consolidation phase. Last had chemo 8 days ago, mom not sure which ones. Fever at home, rigors, sweats, not feeling well.

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy, Specialist, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Dept

Educational Goals:

Early identification and management of sepsis
Identification of fever with neutropenia as a result of chemotherapeutic agents
Identify difference of management of sepsis in neutropenic patients

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, pediatric RSI,

Used and developed for SEMP/SIM

References:

Scenario Links:

Additional Tags:

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

Sepsis - Fever and Neutropenia - Scenario.docx (Size: 575.52 KB / Downloads: 375)

Sepsis - Fever and Neutropenia - Diagnostic PowerPoint.pptx (Size: 211.57 KB / Downloads: 374)

Pediatric Sepsis

Thu, 30 Jul 2020 15:17:44 +0000

Pediatric Sepsis

Created Feb 2018

Contact Information

Developed by: J. Allen; J. Slinn
Developed for: Interior Health
Submitted by: CHolmes
Contact Email: simulation@interiorhealth.ca
Peer Reviewed: Yes (The information is provided below)

Scenario Information

Case Summary:

Called to treatment room to assess child. Triage concerned about decreased LOC. Parents present with 3 year old unwell for 48 hours with concerns of fever, decreased intake, and sleepy.
Petechial rash on torso and legs and decreased GCS.

Target Learning Groups:

Physicians, Nursing, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Dept

Educational Goals:

Recognize sepsis and illness severity
Demonstrate basic management of sepsis
Demonstrate use of Child Health BC sepsis guidelines
Demonstrate resuscitation skills

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, Broselow tape use. Case easily adjusted to fit 1month-16.9 years of age.

References:

CHBC guidelines

Scenario Links:

Additional Tags:

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

Pediatric Sepsis - Child Health BC Scenario.docx (Size: 6.84 MB / Downloads: 416)

Hypovolemic shock - GI Bleed

Thu, 30 Jul 2020 15:15:29 +0000

Hypovolemic shock - GI Bleed

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:

4 yo male who has vomited x10 today with abdominal pain, not feeling well. Taken to ED. Prior history of ongoing liver disease and portal hypertension – followed by GI service

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy, Specialist, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Emergency Dept

Educational Goals:

Differentiate between compensated/decompensated shock
Generate differential diagnosis for shock
Review and demonstrate the management of hypovolemic shock/distributive shock/GI Bleed
Review blood products

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 RSI, 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.

Hypovolemic Shock - GI Bleed - Diagnostic PowerPoint.pptx (Size: 211.53 KB / Downloads: 385)

Hypovolemic Shock - GI Bleed - Scenario.docx (Size: 577.59 KB / Downloads: 393)

Anaphylactic Shock

Thu, 30 Jul 2020 15:12:32 +0000

Anaphylactic Shock

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:

8 yo girl admitted to the hospital with pneumonia. Was given first dose of antibiotic in ER via IV. In the ER, RR 34, Sat 92% in room air therefore started on oxygen by mask (5L). Sent to the ward.

Upon arrival to the ward: you are asked to see the child as the mother is worried that her condition has changed

Target Learning Groups:

Physicians, Nursing, Respiratory Therapy, Interprofessional Team

Additional Target Learning Groups:

Proposed Setting:

Pediatric Unit

Educational Goals:

Recognize and demonstrate management of anaphylactic shock
Recognize the importance of early airway management and fluid therapy

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:

Scenario Links:

Additional Tags:

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

Anaphylactic Shock - Scenario.docx (Size: 3.66 MB / Downloads: 402)

Anaphylactic Shock - Diagnostic PowerPoint.pptx (Size: 1.56 MB / Downloads: 412)

Infant Sepsis, Hypoglycemia and Seizure

Tue, 27 Aug 2019 16:01:37 +0000

Infant Sepsis, Hypoglycemia and Seizure

Created February 2017

Developed by:

David Critchley

Developed for:

Submitted by: RichardPinto

Contact Email: ddcritchley@gmail.com

Peer Reviewed: Yes

Case Summary:

  Patient Description:5 week old term infant

Name:Manpreet Age: 5 weeks

Weight:4.8 kg

Immunizations: nil Hx of current condition

:poor feeding and

irritability for the past 12 hours

- just developed a fever and difficult to wake since

- had a 15 second blue spell at home before coming to hospital

- if asked, the pregnancy, labour and delivery were normal except mom has a past history of herpes

Social Hx:2nd child, lives with mom and dad, no concerns

Diagnosisepsis, herpes encephalitis

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.

Infant sepsis hypoglycemia and seizure Feb 2017.pdf (Size: 133.6 KB / Downloads: 456)