Vomiting Infant
Abstract This case was created from a patient that was seen in the Emergency Department, and allows medical students and/or residents to recognize and diagnose pyloric stenosis. As such the resource contains a simulation case where child is projectile vomiting after meals and has been less interacti...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Association of American Medical Colleges
2012-11-01
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| Series: | MedEdPORTAL |
| Subjects: | |
| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.9279 |
| _version_ | 1818754984546664448 |
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| author | Adrianna Nicole Levesque John R. Hughes Robert Barnwell |
| author_facet | Adrianna Nicole Levesque John R. Hughes Robert Barnwell |
| author_sort | Adrianna Nicole Levesque |
| collection | DOAJ |
| description | Abstract This case was created from a patient that was seen in the Emergency Department, and allows medical students and/or residents to recognize and diagnose pyloric stenosis. As such the resource contains a simulation case where child is projectile vomiting after meals and has been less interactive in the past 2 days, according to the parents. Initial vitals indicate tachycardia, hypotension, and the fact that the child is underweight. Intravenous access is difficult so the learner is expected to obtain intraosseous access. When fluids are given, vital signs improve. The child vomits during simulation and aspirates with resulting hypoxia until the airway is suctioned. A chemistry panel reveals hypochloremic metabolic alkalosis. The results of an ordered and performed ultrasound indicate pyloric stenosis. Pyloric stenosis is then diagnosed and a surgery consult is sought. This case has been used once in December 2011 at the San Antonio Military Medical Center's Simulation Center. Two staff members, six emergency medicine residents (3 EM1, 1 EM2, 2 EM3s), two internal medicine residents, and two medical students experienced this case. One member of the simulation center staff was also present. The case was successfully employed within 30 minutes and no changes were made to the case materials at that time. The case is designed to be reemployed yearly for residents and medical students. |
| first_indexed | 2024-12-18T05:31:56Z |
| format | Article |
| id | doaj.art-224fb0e07d60426baf028b73c88c61d5 |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-12-18T05:31:56Z |
| publishDate | 2012-11-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-224fb0e07d60426baf028b73c88c61d52022-12-21T21:19:25ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652012-11-01810.15766/mep_2374-8265.9279Vomiting InfantAdrianna Nicole Levesque0John R. Hughes1Robert Barnwell21 San Antonio Military Medical Center2 San Antonio Military Medical Center3 San Antonio Military Medical CenterAbstract This case was created from a patient that was seen in the Emergency Department, and allows medical students and/or residents to recognize and diagnose pyloric stenosis. As such the resource contains a simulation case where child is projectile vomiting after meals and has been less interactive in the past 2 days, according to the parents. Initial vitals indicate tachycardia, hypotension, and the fact that the child is underweight. Intravenous access is difficult so the learner is expected to obtain intraosseous access. When fluids are given, vital signs improve. The child vomits during simulation and aspirates with resulting hypoxia until the airway is suctioned. A chemistry panel reveals hypochloremic metabolic alkalosis. The results of an ordered and performed ultrasound indicate pyloric stenosis. Pyloric stenosis is then diagnosed and a surgery consult is sought. This case has been used once in December 2011 at the San Antonio Military Medical Center's Simulation Center. Two staff members, six emergency medicine residents (3 EM1, 1 EM2, 2 EM3s), two internal medicine residents, and two medical students experienced this case. One member of the simulation center staff was also present. The case was successfully employed within 30 minutes and no changes were made to the case materials at that time. The case is designed to be reemployed yearly for residents and medical students.http://www.mededportal.org/doi/10.15766/mep_2374-8265.9279Pyloric StenosisDehydrationAspirationIntraosseous Access |
| spellingShingle | Adrianna Nicole Levesque John R. Hughes Robert Barnwell Vomiting Infant MedEdPORTAL Pyloric Stenosis Dehydration Aspiration Intraosseous Access |
| title | Vomiting Infant |
| title_full | Vomiting Infant |
| title_fullStr | Vomiting Infant |
| title_full_unstemmed | Vomiting Infant |
| title_short | Vomiting Infant |
| title_sort | vomiting infant |
| topic | Pyloric Stenosis Dehydration Aspiration Intraosseous Access |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.9279 |
| work_keys_str_mv | AT adriannanicolelevesque vomitinginfant AT johnrhughes vomitinginfant AT robertbarnwell vomitinginfant |