A 2-Year-Old Becomes Unresponsive on the Pediatrics Ward

Abstract Introduction This resource represents a case study about a 2-year old with myocarditis and congestive heart failure becomes unresponsive on the Pediatrics ward. Methods During the simulation, participants learn that the child had just transferred out from ICU where she had been treated with...

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Main Author: Kathleen Ventre
Format: Article
Language:English
Published: Association of American Medical Colleges 2010-12-01
Series:MedEdPORTAL
Subjects:
Online Access:http://www.mededportal.org/doi/10.15766/mep_2374-8265.8251
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author Kathleen Ventre
author_facet Kathleen Ventre
author_sort Kathleen Ventre
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description Abstract Introduction This resource represents a case study about a 2-year old with myocarditis and congestive heart failure becomes unresponsive on the Pediatrics ward. Methods During the simulation, participants learn that the child had just transferred out from ICU where she had been treated with digoxin, lasix, and electrolyte supplements. The child is apneic, pulseless, and has disorganized electrical activity on the cardiac monitor. Participants must recognize ventricular fibrillation (VF) and treat it aggressively with prompt CPR, defibrillation, and epinephrine. Results During the usability testing conducted at our institution, 95% of individuals who completed the pediatric advanced life support cases on a computer simulator felt that it was an effective training experience. Discussion Our institution has a full-scale mannequin simulator laboratory with a curricular focus on interdisciplinary, team-based management of pediatric medical emergencies. The majority of providers in our hospital who regularly train in the mannequin laboratory use these computer scenarios to prepare for their team training, and the vast majority of these individuals feel it prepares them to better succeed during their team training exercises.
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spelling doaj.art-0e1c4f18a75a4163bebc2b9a30552a132022-12-21T19:39:14ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652010-12-01610.15766/mep_2374-8265.8251A 2-Year-Old Becomes Unresponsive on the Pediatrics WardKathleen Ventre01 University of Utah School of MedicineAbstract Introduction This resource represents a case study about a 2-year old with myocarditis and congestive heart failure becomes unresponsive on the Pediatrics ward. Methods During the simulation, participants learn that the child had just transferred out from ICU where she had been treated with digoxin, lasix, and electrolyte supplements. The child is apneic, pulseless, and has disorganized electrical activity on the cardiac monitor. Participants must recognize ventricular fibrillation (VF) and treat it aggressively with prompt CPR, defibrillation, and epinephrine. Results During the usability testing conducted at our institution, 95% of individuals who completed the pediatric advanced life support cases on a computer simulator felt that it was an effective training experience. Discussion Our institution has a full-scale mannequin simulator laboratory with a curricular focus on interdisciplinary, team-based management of pediatric medical emergencies. The majority of providers in our hospital who regularly train in the mannequin laboratory use these computer scenarios to prepare for their team training, and the vast majority of these individuals feel it prepares them to better succeed during their team training exercises.http://www.mededportal.org/doi/10.15766/mep_2374-8265.8251Ventricular FibrillationHeart FailureCardiopulmonary ArrestPediatric Advanced Life SupportMyocardial Failure
spellingShingle Kathleen Ventre
A 2-Year-Old Becomes Unresponsive on the Pediatrics Ward
MedEdPORTAL
Ventricular Fibrillation
Heart Failure
Cardiopulmonary Arrest
Pediatric Advanced Life Support
Myocardial Failure
title A 2-Year-Old Becomes Unresponsive on the Pediatrics Ward
title_full A 2-Year-Old Becomes Unresponsive on the Pediatrics Ward
title_fullStr A 2-Year-Old Becomes Unresponsive on the Pediatrics Ward
title_full_unstemmed A 2-Year-Old Becomes Unresponsive on the Pediatrics Ward
title_short A 2-Year-Old Becomes Unresponsive on the Pediatrics Ward
title_sort 2 year old becomes unresponsive on the pediatrics ward
topic Ventricular Fibrillation
Heart Failure
Cardiopulmonary Arrest
Pediatric Advanced Life Support
Myocardial Failure
url http://www.mededportal.org/doi/10.15766/mep_2374-8265.8251
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