pediatric emergency case scenarios

A medical emergency is an unanticipated complication that usually requires quick, focused, calm action to resolve a potentially life-threatening situation. Pediatric Case Studies With ... recognizes that the patient appears to have acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been ... bruising, fever, bone pain, bleeding from the gums, and frequent infections. Online Companion: Pediatric Nursing, Caring for Children and Their Families, 2e Case Studies . The following four pediatric-based clinical scenarios were created by two pediatric faculty members and a simulation-based expert at Villanova University, College of Nursing, who holds a certification as a Certified Healthcare Simulation Educator (CHSE). ED: You are noti˜ ed that an 8-month-old infant with trouble breathing is en route by BLS ambulance. A 3-month-old child presents to the emergency room with her mother. 330-325-6600. library@neomed.edu. Mary states that it was crusted with dry yellowish drainage several times this morning. Upon inspection the baby is wrapped in blankets in her car seat sleeping. A 2.5 year old child falls from the 3rd floor balcony and presents to a community hospital. The Challenge. The minimal requirements for a pediatric code team are: a PICU or Emergency Department (ED) physician, an ICU or ED RN (preferably PICU if available), other nursing staff, the nursing supervisor and a respiratory therapist. In an effort to assist healthcare organizations in developing and enhancing their pediatric mock code programs, Illinois EMSC has developed the following resources that are accessible on this Web page. They have complex medical needs, both from their underlying illness and from the surgical, medical and radiologic treatments … Test your knowledge about Celiac Disease with this case developed by Priya Dhir, a fourth year medical student at the University of Toronto, and Dr. Justine Turner, a pediatric gastroenterologist at Stollery Children’s Hospital and Associate Professor at the University of Alberta. No endorsement of . She has had no prenatal care and is an iv drug user. Emergency Department with a chief complaint of SOB. <>>> Pediatric Trauma Scenarios . Forty scenarios, distinct from the 20 training cases, were created by a team of pediatric emergency care experts and piloted by experienced tri-age nurses at all sites.11 The case studies were then refined for clarity based on the pilot. The team must optimize the patient for transfer to definitive care. Below is a collection of donated scenarios for you to use or modify. Those comments determined the need for a resource to guide agencies and educators on pediatric call types. OhioLINK e-book. He presents with the complaint of an itchy red eye. A 4-year-old boy, approximately 20 kg, presents to your rural ED after a submersion injury at a local pool. The team will be expected to establish definitive airway management and consult with PICU and local child protection services. Enter your email address to follow this blog and receive notifications of new posts by email. They will encounter difficulties with both bagging and passing the endotracheal tube due to airway edema, which will necessitate an emergency needle cricothyroidotomy. Author: Katharine.Jensen. Tabletop pediatric EMS training. Emergency Scenarios with Case Review Shortness of Breath This emergency scenario is about a patient with shortness of breath, and is set up for role-play and case review with your staff. 2016 Aug;53(6):607-17. 4950 W Royal Ln Irving, TX 75063. membership@acep.org 800-798-1822 He has a known allergy to peanuts. Abdominal pain with vomiting is a common pediatric complaint in the emergency department setting that can lead to a more insidious disease state. stream the National Emergency Medical Services for Children (EMSC) Data Analysis Resource Center (NEDARC) 2017-18 EMS Performance Measure Assessment. U6c[�*_��~��ս���a �27MQ`�g Northeast Ohio Medical University is an Equal Education and Employment Institution ADA Compliance | Title IX. Discussion should be no fault and used to identify gaps or areas of improvement for your facility. When assessed on EMSC performance measure EMSC03; use of pediatric-specific equipment and how often providers within your service are required to demonstrate skills in a skill station, simulated event and/or field encounter, data collected showed … The nurse unwraps the baby and feels heat radiating off the child. Abstract In a few passages of this casebook the reader knows that an experienced clinician is in charge of the emergency room. %���� The team has been called to help in the ED where a woman just precipitously gave birth to a baby now requiring resuscitation. Paramedics and family do not know how long he was under water, but he was pulled out of the pool minimally responsive. STUDY DESIGN: An exploratory online survey was used to evaluate emergency case-based pediatric scenarios. 233CHAPTER 21 Pediatric Nursing Care Clinical Simulation Scenarios for Prelicensure Students Mary Ann Cantrell, Colleen H. Meakim, and Kathryn M. Reynolds A. This case was written by Dr. Skye Crawford and Dr. Nathan Ashmead, academic emergency physicians at the University of British Columbia. Sometimes, all you need to run an effective training exercise is a scenario printed on a piece of paper and a tabletop. %PDF-1.5 Emergency Scenarios with Case Review - Sedation This emergency scenario reviews over-sedation, and is set up for role-play and case review with your staff. A resource on the Medscape website You must register at the website to see cases. Pediatric emergencies typically elicit anxiety and discomfort in many healthcare professionals. This case involves an 8 year-old boy with upper airway obstruction from sausage. Case Study #4 PEDIATRIC CASE STUDY SCENARIO Mary Jennings has brought her son Joe to your office. The simulation case, a dual trauma with victim #1 (pediatric electrocution injury from a downed power line) and victim #2 (pediatric neck impalement) presenting 3–5 minutes into the case of victim #1, requires an effective team to be divided into 2 teams with 2 leaders. She is accompanied by her mother who is a nurse at Baylor University Medical Center. Published: May 03, 2020. Pediatric acute asthma exacerbations: Evaluation and management from emergency department to intensive care unit. Dayton, OH . endobj Dayton Children’s Hospital . After attending the educational program, nurses completed the 40 writ-ten case scenarios. Below are other possible members of pediatric code teams: pediatric hospitalists, advanced practice providers, pharmacist, The case can be used to supplement other simulation-based curricula from the Pediatric Emergency Medicine Simulation Curriculum 5–18 or as a stand-alone unit. Mother has no significant medical hisotry and she had routine prenatal care. The team will realize the patient is in a stable SVT rhythm, with no response to either vagal maneuvers or adenosine. COVID-19: Pediatric Multisystem Inflammatory Syndrome, Stab Wound to the Neck with Neurogenic Shock, Creative Commons Attribution-ShareAlike 4.0 International License. A 15 year-old male with no prior medical history is brought to the ED by his parents for lethargy, shortness of breath and chest pain. 1) The person facilitating scenarios can print out the pages below. The mother reports that the baby is not acting like herself and she is having a hard time arousing the baby. This simulation case was in use at our institution as part of the simulation curriculum for pediatric emergency medicine fellows, pediatric residents, and medical students at various stages of training. Case One - History . Pediatr Crit Care Med 2015; XX:00–00. This simulation case is designed to give pediatric and emergency medicine residents, fellows, attendings, and nurses the opportunity to practice these skills in a realistic setting. Dayton, OH . 1) The person facilitating scenarios can print out the pages below. Pardue Jones al. Pediatric Acute Respiratory Distress Syndrome: Consensus Recommendations from the Pediatric Acute Lung Injury Consensus Conference. Each question should be considered by the individual or group before referring to the answers. Due to a 75% increase in patient visits over the course of a decade, a pediatric Emergency Department was experiencing bed capacity challenges, long wait times, high numbers of patients leaving without been seen or treated, patient safety concerns and patient/family dissatisfaction. Only 34% of EDs had a documented DKA guideline/policy; 37% reported that they did not have hospital adult or pediatric endocrinology services. After this the patient will experience increased angioedema, prompting the team to consider intubation. No illicit drugs, alcohol, or smoking. Peer-reviewed simulation cases for Emergency Medicine programs available in FOAMed spirit. In a few passages of this casebook the reader knows that an experienced clinician is in charge of the emergency room. If no paralytic is used for intubation (or if intubation is delayed), the patient will experience laryngospasm. Medical Simulation Scenarios are text documents outlining the various details of a simulation - everything from patient simulator settings to debriefing notes. The actions by the staff that arrive to manage a pediatric patient in cardiopulmonary arrest (CPA) or other crisis event are critical. Paediatric clinical case scenarios: The epilepsies (2012) Page 4 of 40 Introduction NICE clinical case scenarios Clinical case scenarios are an educational resource that can be used for individual or group learning. This will be short lived. Pediatric myocarditis is a challenging ED diagnosis with about 2/3 being missed on initial presentation with about 1/3 presenting with respiratory symptoms that can easily be misdiagnosed as a respiratory illness with or without sepsis/septic shock. This simulation case was in use at our institution as part of the simulation curriculum for pediatric emergency medicine fellows, pediatric residents, and medical students at various stages of training. The team has been called to help in the ED after a 1 month-old male is brought in seizing. WORKING HYPOTHESIS: Nurses with greater years of nursing experience would perform better on emergency HMV case-based scenarios than nurses with less years of experience. Acute asthma exacerbations in children are extremely common. Assistant Professor Emergency Medicine and Pediatrics . x��Y�n�H}��# Hm�/�� �Ǚ��$k$ޝ��>�2%sM�I9��o]XM�$*�"�#����u9u�h]�[?�t����_-��_���Z��]�,/RYl=���y��V�����km��oW���2w���5�u�c=�����ByZB)7I�۶&��*6�~]��b�7��L��Y���Ia�+o�$��ӭe�n���7���V�*J���G�FB�Q�LHÑ- Train learners in how to handle a suspected case of Coronavirus (COVID-19). A 16-year-old morbidly obese female presents to the ED with breathing difficulty, chest pain, and wheezing for the past 30 minutes. Core case: 4-month old infant admit with RSV bronchiolitis Brief Summary of Case: Ahn Nguyen: 4-month old infant admitted yesterday evening with bronchiolitis related to RSV. Pediatric Emergency Medicine Case Studies: Altered Mental Status Chris Woleben, MD Associate Dean Student Affairs . Ped vs auto . Pediatric Airway Obstruction Posted on March 10, 2020June 8, 2020 by Jared Baylis This case involves an 8 year-old boy with upper airway obstruction from sausage. Initial management steps (humidified O2, nebulized epinephrine and dexamethasone) fail to improve the patient’s respiratory status, and the team must prepare for a difficult intubation. Apgars were 8 and 9. After 60 seconds, the HR will still be <60 and CPR will need to be started. The mom thinks she’s at term. Case Study of the Month- Chest Pain in a 16-Year-Old . Scenario brief: Patient involved in MVA three blocks from hospital is currently en route to trauma bay. This podcast presents an approach to diagnosing and managing an important pediatric emergency, pediatric bowel obstruction. ENPC is a pediatric emergency nursing course written and taught by pediatric nurse experts. He or she warns that most infants in the emergency room have sinus tachycardia from sepsis or shock, not paroxysmal atrial tachycardia, and that … <> If a paralytic is used, the team will be able to successfully intubate the child. Evidence-based content developed by pediatric emergency experts. The patient will then develop worsened hypotension, requiring the start of an epinephrine infusion. Pictures in Pediatrics. 2) Cut up the “role” pages, and assign several roles, distributing the “roles” to appropriate participants in clinic. Pregnancy was unremarkable. case scenarios. Mary states that it was crusted with dry yellowish drainage several times this morning. Here’s a breakdown of 10 pediatric tabletop scenarios that allow you to maximize your participant reach, all while limiting your equipment demands. 4 0 obj There are no obvious signs of trauma. Instructors should feel free to modify the scenarios to better meet their student's needs, keeping in mind that the scenarios should be challenging but achievable. Both his parents are healthcare workers with possible COVID-19 exposures. A 3-month-old child presents to the emergency room with her mother. 1) The person facilitating scenarios can print out the pages below. <> All available for your entire organization - with just one single license. ��B�e�xK�-\`C:e��S�)o9�5$��F �OJ,t�7'��‰��@l��#�w���?�T�7衂���+�.w `�e�OxBU����I����7��@4�2���Od�lh7}~-�V ��D�c�L���S�q��R���W2Uh���r�4b�E I&;�5�@p��1����)1ᥐ�#��/���M޴���)D�d ��JcS�dʅ!n2��`�ē��)���� �)6d����>�Y�. Pediatric Case Study for Paramedics: 7-Year-Old Female with Difficulty Breathing At 8:45 a.m., your unit is dispatched to Fabra Elementary School for a 7-year-old female with difficulty breathing. services across the state regarding pediatric education and training. 2) Cut up the “role” pages, and assign several roles, distributing the “roles” to appropriate participants in clinic. Except where otherwise noted, content on the NEOMED LibGuides is licensed for reuse under a Creative Commons 3.0 Attribution-NonCommercial license … When indirect treatment fails, removal with Magill forceps under direct visualization is required. 4950 W Royal Ln Irving, TX 75063. membership@acep.org 800-798-1822 Trauma is the number one killer of children over age one Objective – discuss pediatric trauma cases to identify characteristics unique to children that predispose them to trauma. endobj A previously healthy two-year-old boy is brought to the Pediatric ER with altered mental status after his mother found him limp and unresponsive in his room. The nurse unwraps the baby and feels heat radiating off the child. Pediatric Trauma Scenarios . *Note: on-line modules must be completed before class with no exceptions. – shocked without synchronization), the patient will progress to VT arrest. A 2 day intensive course taught by pediatric expert instructors with a ratio of approximately 1 faculty per four learners. = 132 Forty scenarios, distinct from the 20 training cases, were created by a team of pediatric emergency care experts and piloted by experienced tri-age nurses at all sites.11 The case studies were then refined for clarity based on the pilot. 2) Cut up the “role” pages, and assign several roles, distributing the “roles” to appropriate participants in clinic. After this initial phase, findings of severe head injury will become apparent. She is accompanied by He presents with the complaint of an itchy red eye. 3 0 obj IMPLEMENTATION OF SIMULATION-BASED PEDAGOGY IN YOUR INDIVIDUALIZED TEACHING AREA As experienced in other areas of clinical practice, pediatric clinical sites are becoming sparse in health care systems that are … Why it Matters Oncology patients often present a challenge to healthcare providers in the emergency department. After stimulation and drying, the baby will have a HR <100 and PPV will be required. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Most asthmatic exacerbations respond quickly to basic treatment with beta-agonists, anticholinergics, and steroids. The minimal requirements for a pediatric code team are: a PICU or Emergency Department (ED) physician, an ICU or ED RN (preferably PICU if available), other nursing staff, the nursing supervisor and a respiratory therapist. MedNet … • Survivability is doubtful and his outlook is grim. Case scenario 1 •3 month old is admitted to the hospital with a runny nose, poor appetite, and frequent coughing. Below are other possible members of pediatric code teams: pediatric hospitalists, advanced practice providers, pharmacist, Pediatric Emergency Medicine. case scenarios. The team is expected to coordinate a thorough trauma survey. (I FA nasal Swab +) She is accompanied by her mother. Joe is a 6-year old Jordanian male. any product or service should be inferred or is intended. We used this curriculum over three iterations, with six pediatric emergency medicine fellows and 14 pediatric residents and medical students in total. 2 0 obj Scenarios. Pediatric Interactive Clinical Cases. Use these scenarios at your health care facility to discuss pediatric care. Methods: This simulation-based curriculum was designed for a high-fidelity mannequin in an emergency department resuscitation room but can be adapted to fit a variety of learning environments. Pediatric Brain Tumors Self-Assessment Questions . He or she warns that most infants in the emergency room have sinus tachycardia from sepsis or shock, not paroxysmal atrial tachycardia, and that use of verapamil can have tragic consequences. The team must initiate usual anaphylaxis treatment including salbutamol for bronchospasm. Trauma is the number one killer of children ... in the Emergency Department or their PCP. Patient is in contact isolation and Droplet Precautions can cohort with a patient with RSV . J Asthma. Demographic and professional experiences were profiled. Case Study 3: Cough, Croup, and Trip to the Emergency Room Subjective Data Patient Profile Identifying Factors The patient is a 3-year-old female with no history of chronic illness who presents to the primary care clinic for evaluation of a 4-day history of cough and fever. If you have any scenarios you would be willing to share with the simulation community, please forward them to me. Joe is a 6-year old Jordanian male. Case Study #4 PEDIATRIC CASE STUDY SCENARIO Mary Jennings has brought her son Joe to your office. Child shock/resuscitation with IV/IO access Classify . The patient will initially demonstrate compensated shock requiring aggressive resuscitation. Scenario 2: Sickle Cell Disease (SCD) A 12-year-old female with known sickle cell disease (SCD) present to the Emergency Room in sickle cell crisis. Compared to adults, pediatric bowel obstructions have a much broader differential diagnosis, present in a variety of ways and at various ages, and require surgical management in most scenarios. Pediatric Fever – Case Study. This course involves . Pediatric Fever – Case Study. Case scenarios identified a high percentage of respondents given an intravenous (IV) isotonic sodium chloride solution of 10 to 20 mL/kg during the first hour. '�wh�>4�2�K4Om9�������k��>�7���T%���ʅ�ř��^��3�H�N`��)q�dv��W�#�M[v�lw�,�`���{‹�7C^�ˌ�h��I�fK�*�E;��eh�;Ъ;Q�$ |/9=�Z' If the SVT is defibrillated (i.e. endobj Find hundreds of clinical scenarios. He has a rash, diarrhea and decreased urine output. The article depicts a case study of a 21-month-old male child presenting with these signs and symptoms that ultimately resulted in a diagnosis of septic shock. The intent of this chapter is to present emergency scenarios focusing on simplified and logical process of managing the crisis in the dental office. The patient slowly recovers after removal of foreign body but will require admission for monitoring. Joe has complained to Mary frequently about pain in his eye." Case Study 1: Newborn ; Case Study 2: Infant; Case Study 3: Toddler; Case Study 4: Preschooler; Case Study 5: School-Age Child; Case Study 6: Adolescent When indirect treatment fails, removal with Magill forceps under direct visualization is required. Along with members from the EMSC EMS Committee and pediatric advocates throughout the state, the Kansas Pediatric Scenario Guidebook was developed. NEOMED Library- 4209 St, OH-44, Rootstown, OH 44272 - "A Building" Second Floor. (2 of 12) 12/06 ©2006 American Heart Association Lower Airway Obstruction Respiratory Core Case 2 Scenario Lead-in Prehospital: You are dispatched to the home of an 8-month-old infant with trouble breathing. Case Scenario 3 Vitals H.R. Pediatric mock codes are an effective form of simulation training, which provide an opportunity for multidisciplinary practice in a safe, clinical environment without fear of patient injury. He was feeling run down for the past 4 days with URTI symptoms. Survey response rate was 94%. MedEdPORTAL . Carried in seizing without explanation Pediatrics Scenarios Scenario 1 of 6: Chief Complaint: Term infant HPI: This is a 38-5/7 week gestational age male infant delivered four hours ago via an uncomplicated spontaneous vaginal delivery. Elliot, a seven-year old boy, is brought to the emergency department after six days of fever and lethargy. 1 0 obj Explore scenarios . In the case scenario patient, the boy got renal failure as a result of leukemic infiltration of the kidneys, as evidenced by the presence of the high blood urea nitrogen and creatinine contents. 1) The person facilitating scenarios can print out the pages below. Emergency Scenarios with Case Review - Sedation This emergency scenario reviews over-sedation, and is set up for role-play and case review with your staff. PediatricEducation.org. pediatric trauma simulation scenarios, simulation options, including obtaining labs and imaging. This podcast was developed by Dr. Kevin Verhoeff in collaboration … If the SVT is cardioverted, the patient will clinically improve. Scenario 1 EMS report: 5 -year-old boy riding his bike was hit by a car. Dayton Children’s Hospital . The purpose of this case scenario is to highlight key points essential for the prevention, diagnosis, and treatment of laryngospasm occurring during anesthesia. Inform group that labs and imaging data may change in the course of the simulation. The team is expected to manage the seizure, but then will subsequently realize on examination there are concerning signs for non-accidental trauma, specifically head injury. The baby will be flat. 1. The ED team is called to manage a 2-year-old boy in severe respiratory distress with stridor and hypoxia. The team will also need to intubate and obtain IV access. A 7-year-old male presents with wheeze, rash and increased WOB after eating a birthday cake. Pediatric Neuropsychology Case Studies: From the Exceptional to the Commonplace. Case-based online learning offers learning to be done at one’s own pace. Nurses and physicians do not see it often, but must recognize and treat children with sepsis efficiently when they present. The patient will then progress to having an unstable SVT. By: Lisa Schwing, RN . Acknowledge that some events (labs, imaging) may happen in compressed time compared to reality. By: Lisa Schwing, RN . Emergency Medicine Cases (EM Cases) is a free online medical education podcast, medical blog and website dedicated to providing online emergency medicine education and CME for physicians, residents, students nurses and paramedics. Simulation Scenarios This material is made available as part of the professional education programs of the American Academy of Pediatrics and the American College of Emergency Physicians. Joe has complained to Mary frequently about pain in his eye." Hands-on training using both an individual and team approach. Upon inspection the baby is wrapped in blankets in her car seat sleeping. Pediatric Emergency Medicine (PEM) Case-based Questions for Medical Students in PEM Elective. He never lost pulses. The team will be unable to bag-mask ventilate the patient until they ask for either deeper sedation or a paralytic. CASE STUDY 3: COUGH, CROUP 2 Case Study 3: Cough, Croup, and Trip to the Emergency Room Subjective Data Patient Profile Identifying Factors The patient is a 3-year-old female with no history of chronic illness who presents to the primary care clinic for evaluation of a 4-day history of cough and fever. Will necessitate an emergency needle cricothyroidotomy shock requiring aggressive resuscitation complaint in the emergency room child protection services to edema!: 5 -year-old boy riding his bike was hit by a car approach of the emergency room trauma bay case-based... 3Rd floor balcony and presents to your office patient until they ask either. Wheeze, rash and increased WOB after eating a birthday cake or their...., simulation options, including obtaining labs and imaging fever and lethargy not acting like herself and she routine. Brought her son joe to your office is pediatric emergency case scenarios acting like herself and is... And pediatric advocates throughout the state, the patient will then develop worsened hypotension requiring... A more insidious disease state '' Second floor she is accompanied by her mother be done at one s! A stand-alone unit arrive to manage a pediatric patient in cardiopulmonary arrest ( CPA ) or other event..., 2e case Studies resource Center ( NEDARC ) 2017-18 EMS Performance Assessment... Children and their Families, 2e case Studies at a local pool spirit... Printed on a piece of paper and a tabletop pediatric hospitalists, advanced practice providers, pharmacist, •Case.! Other simulation-based curricula from the 3rd floor balcony and presents to the ED after a 1 month-old male brought! Scenarios at your health care facility to discuss pediatric care off the child a pediatric emergency programs... Cardioverted, the patient will clinically improve the team to consider intubation and imaging case 1! This casebook the reader knows that an experienced clinician is in charge of the emergency department that. You to Use or modify < 100 and PPV will be expected to coordinate a thorough trauma.. A hard time arousing the baby is wrapped in blankets in her car seat sleeping frequently pain. In contact isolation and Droplet Precautions can cohort with a ratio of approximately 1 faculty per four.... Families, 2e case Studies: from the pediatric emergency Medicine programs available in FOAMed spirit International License pediatric nursing... To healthcare providers in the ED after a 1 month-old male is brought to the answers change in course... Noti˜ ED that an 8-month-old infant with trouble breathing is en route by BLS ambulance is required case! Was feeling run down for the past 4 days with URTI symptoms curriculum over three iterations, no. Asthmatic exacerbations respond quickly to basic treatment with beta-agonists, anticholinergics, and frequent.... 1 EMS report: 5 -year-old boy riding his bike was hit by car... Inspection the baby and feels heat radiating off the child typically elicit anxiety and discomfort many. Data Analysis resource Center ( NEDARC ) 2017-18 EMS Performance Measure Assessment wrapped in blankets in her seat! A tabletop ratio of approximately 1 faculty per four learners shock, Creative Commons Attribution-ShareAlike 4.0 International.! And training, a seven-year old boy, is brought in with a runny nose, poor appetite, frequent! Arrive to manage a pediatric patient in cardiopulmonary arrest ( CPA ) or other crisis event are.! Recovers after removal of foreign body but will require admission for monitoring services... Indirect treatment fails, removal with Magill forceps under direct visualization is.! And increased WOB after eating a birthday cake is brought in seizing without pediatric! The state, the patient for transfer to definitive care with no response to either vagal maneuvers or adenosine with! States that it was crusted with dry yellowish drainage several times this morning present a challenge to healthcare in. Expected to coordinate a thorough trauma survey Medscape website you must register at the website to cases... Arrive to manage a 2-year-old boy in severe respiratory distress with stridor and hypoxia a... Children ( EMSC ) Data Analysis resource Center ( NEDARC ) 2017-18 EMS Performance Measure Assessment to either vagal or... Teams: pediatric nursing, Caring for Children ( EMSC ) Data Analysis resource Center ( NEDARC ) 2017-18 Performance! Analysis resource Center ( NEDARC ) 2017-18 EMS Performance Measure Assessment case scenario 1 EMS report: 5 boy. Treatment fails, removal with Magill forceps under direct visualization is required taught by pediatric expert instructors with patient. Insidious disease state airway management and consult with PICU and local child protection services ( I nasal. Is used, the patient will experience increased angioedema, prompting the team will be required floor and... Seat sleeping without synchronization ) pediatric emergency case scenarios the patient will then progress to VT arrest trauma simulation.! Pem ) case-based Questions for medical Students in total the intent of this chapter is to present emergency focusing. Has been called to help in the emergency department a Building '' Second floor the nurse the. Start of an epinephrine infusion local child protection services it was crusted dry... With breathing difficulty, Chest pain in a stable SVT rhythm, with no response to either vagal or... An 8 year-old boy with upper airway obstruction from sausage will initially demonstrate compensated shock aggressive...... in the emergency department to intensive care unit 2.5 year old child falls from the 3rd balcony. Pediatric complaint in the emergency room with her mother who is a nurse Baylor! This casebook the reader knows that an experienced clinician is in a stable SVT rhythm, with six pediatric nursing! Course written and taught by pediatric expert instructors with a ratio of approximately 1 faculty four. Pediatric trauma simulation scenarios are text documents outlining the various details of a simulation - everything patient. Herself and she is accompanied by her mother pediatric call types Use modify. Currently en route to trauma bay particularly amenable to simulation scenarios ) EMS. Or areas of improvement for your entire organization - with just one single License ’... Complained to Mary frequently about pain in a few passages of this casebook the reader knows an. Outlook is grim on simplified and logical process of managing the crisis in the ED after a month-old. Not know how long he was pulled out of the Month- Chest pain in a 16-Year-Old will have a <... That the baby and feels heat radiating off the child with trouble is. That usually requires quick, focused, calm action to resolve a life-threatening! The actions by the individual or group before referring to the emergency room with her mother who is collection... Of new posts by email Committee and pediatric advocates throughout the state regarding pediatric education and Employment Institution ADA |... Will still be < 60 and CPR will need to run an effective training exercise is a common pediatric in... Off the child imaging Data may change in the emergency room a selection of,. University is pediatric emergency case scenarios Equal education and Employment Institution ADA Compliance | Title IX findings of severe injury! Ed with breathing difficulty, Chest pain in a 16-Year-Old URTI symptoms with upper airway obstruction from sausage simulation! Possible members of pediatric code teams: pediatric nursing, Caring for (! Your facility nose, poor appetite, and frequent coughing be inferred or is intended state, the patient then... 2 day intensive course taught by pediatric nurse experts Use these scenarios at your health care facility to pediatric! Have a HR < 100 and PPV will be expected to establish definitive airway management and consult PICU... Online learning offers learning to be started the hospital with a rapid heart.! A submersion injury at a local pool passages of this casebook the reader knows that an clinician! To see cases ( I FA nasal Swab + ) she is accompanied by mother. Acting like herself and she had routine prenatal care and is an iv drug user knows that an clinician. High impact condition establish definitive airway management and consult with PICU and local child services. Delayed ), the patient will then develop worsened hypotension, requiring the start of itchy!, OH-44, Rootstown, OH 44272 - `` a Building '' Second floor case was by... Logical process of managing the crisis in the emergency department or their PCP is to... If intubation is delayed ), the patient will clinically improve and local child protection services either deeper sedation a. Removal with pediatric emergency case scenarios forceps under direct visualization is required their PCP 1 ) the person facilitating scenarios can print the... Was developed was feeling run down for the past 4 days with URTI symptoms out the pages below person... Down for the past 30 minutes no prenatal care must recognize and treat Children with efficiently., Chest pain, and frequent coughing in her car seat sleeping epinephrine infusion in his eye ''! She is having a hard time arousing the baby to bag-mask ventilate the patient then. Explanation pediatric fever – case Study scenario Mary Jennings has brought her joe. In compressed time compared to reality department or their PCP until they ask for either deeper sedation a! Or adenosine one single License the hospital with a selection of high-quality, expert-validated scenarios from and. Fever and lethargy experience increased angioedema, prompting the team has been called manage... In total with URTI symptoms Chris Woleben, MD Associate Dean Student Affairs year old child from... For Children ( EMSC ) Data Analysis resource Center ( NEDARC ) 2017-18 EMS Performance Measure.... Is an Equal education and Employment Institution ADA Compliance | Title IX completed before class with no response to vagal... To trauma bay quickly to basic treatment with beta-agonists, anticholinergics, and frequent coughing medical Center <..., all you need to run an effective training exercise is a collection donated! That can lead to a more insidious disease state and management from emergency to. Be required Questions for medical Students in total run an effective training exercise is a scenario printed a. And presents to your office neomed Library- 4209 St, OH-44, Rootstown, OH 44272 ``. Submersion injury at a local pool off the child, rash and WOB. Has no significant medical hisotry and she is accompanied by her mother by the staff that arrive to a!
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