Pediatric Emergency Medicine Simulation Curriculum: Bronchiolitis
Abstract This scenario teaches learners to recognize and manage a critically ill patient with bronchiolitis in the emergency setting. A subset of patients with bronchiolitis experience severe respiratory symptoms requiring aggressive ventilatory support. Many of these patients have required endotrac...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Association of American Medical Colleges
2015-01-01
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| Series: | MedEdPORTAL |
| Subjects: | |
| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.10012 |
| _version_ | 1798034095692840960 |
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| author | Neil Uspal Kimberly Stone Jennifer Reid Tiffany Tausala Coleman-Satterfield |
| author_facet | Neil Uspal Kimberly Stone Jennifer Reid Tiffany Tausala Coleman-Satterfield |
| author_sort | Neil Uspal |
| collection | DOAJ |
| description | Abstract This scenario teaches learners to recognize and manage a critically ill patient with bronchiolitis in the emergency setting. A subset of patients with bronchiolitis experience severe respiratory symptoms requiring aggressive ventilatory support. Many of these patients have required endotrachial intubation. Recently, more of these patients have been managed with high flow nasal canula (HFNC) oxygen therapy, with retrospective studies showing decreased rates of intubation of bronchiolitic patients when this therapy has been adopted. This curriculum involves a common disease process with potential serious complications. This resource is simulation based, designed for manikin-based simulation equipment, with an integrated team-communication focus. Learners will participate in a simulation scenario and be asked to identify the signs and symptoms of bronchiolitis and their management. Two versions of this scenario are presented. The first version presents respiratory distress secondary to bronchiolitis which meets criteria for the use of high flow nasal canula oxygen therapy or nasal continuous positive airway pressure. The second version of the scenario presents respiratory failure secondary to bronchiolitis which requires intubation. The selection of which version is used should be based on individual learning objectives and availability of different therapies. There are also optional sections of both versions of the scenario requiring the recognition and management of tension pneumothorax. At the end of training, the learners should be able to recognize the seriousness of the situation and manage a full resuscitation team. The primary complications for the team to recognize and manage are respiratory distress and impending respiratory failure. This curriculum involves a common disease process with potential serious complications. It incorporates a novel treatment modality, while providing an alternative scenario for centers where use of high flow nasal cannula (HFNC) is not standard of care. It can be used both for teaching and as a tool to evaluate the implementation of HFNC. It is adaptable to the training level of the learner. Finally it utilizes simulation to promote and teach teamwork and effective communication skills. |
| first_indexed | 2024-04-11T20:39:36Z |
| format | Article |
| id | doaj.art-2bf41e79d76546209d50ba735079eccf |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-04-11T20:39:36Z |
| publishDate | 2015-01-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-2bf41e79d76546209d50ba735079eccf2022-12-22T04:04:16ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652015-01-011110.15766/mep_2374-8265.10012Pediatric Emergency Medicine Simulation Curriculum: BronchiolitisNeil Uspal0Kimberly Stone1Jennifer Reid2Tiffany Tausala Coleman-Satterfield31 Seattle Children's Hospital2 Seattle Children's Hospital3 Seattle Children's Hospital4 Kapi'olani Medical Center for Women and ChildrenAbstract This scenario teaches learners to recognize and manage a critically ill patient with bronchiolitis in the emergency setting. A subset of patients with bronchiolitis experience severe respiratory symptoms requiring aggressive ventilatory support. Many of these patients have required endotrachial intubation. Recently, more of these patients have been managed with high flow nasal canula (HFNC) oxygen therapy, with retrospective studies showing decreased rates of intubation of bronchiolitic patients when this therapy has been adopted. This curriculum involves a common disease process with potential serious complications. This resource is simulation based, designed for manikin-based simulation equipment, with an integrated team-communication focus. Learners will participate in a simulation scenario and be asked to identify the signs and symptoms of bronchiolitis and their management. Two versions of this scenario are presented. The first version presents respiratory distress secondary to bronchiolitis which meets criteria for the use of high flow nasal canula oxygen therapy or nasal continuous positive airway pressure. The second version of the scenario presents respiratory failure secondary to bronchiolitis which requires intubation. The selection of which version is used should be based on individual learning objectives and availability of different therapies. There are also optional sections of both versions of the scenario requiring the recognition and management of tension pneumothorax. At the end of training, the learners should be able to recognize the seriousness of the situation and manage a full resuscitation team. The primary complications for the team to recognize and manage are respiratory distress and impending respiratory failure. This curriculum involves a common disease process with potential serious complications. It incorporates a novel treatment modality, while providing an alternative scenario for centers where use of high flow nasal cannula (HFNC) is not standard of care. It can be used both for teaching and as a tool to evaluate the implementation of HFNC. It is adaptable to the training level of the learner. Finally it utilizes simulation to promote and teach teamwork and effective communication skills.http://www.mededportal.org/doi/10.15766/mep_2374-8265.10012InfantSimulationBronchiolitisRespiratory DistressTension PneumothoraxEmergency Medicine |
| spellingShingle | Neil Uspal Kimberly Stone Jennifer Reid Tiffany Tausala Coleman-Satterfield Pediatric Emergency Medicine Simulation Curriculum: Bronchiolitis MedEdPORTAL Infant Simulation Bronchiolitis Respiratory Distress Tension Pneumothorax Emergency Medicine |
| title | Pediatric Emergency Medicine Simulation Curriculum: Bronchiolitis |
| title_full | Pediatric Emergency Medicine Simulation Curriculum: Bronchiolitis |
| title_fullStr | Pediatric Emergency Medicine Simulation Curriculum: Bronchiolitis |
| title_full_unstemmed | Pediatric Emergency Medicine Simulation Curriculum: Bronchiolitis |
| title_short | Pediatric Emergency Medicine Simulation Curriculum: Bronchiolitis |
| title_sort | pediatric emergency medicine simulation curriculum bronchiolitis |
| topic | Infant Simulation Bronchiolitis Respiratory Distress Tension Pneumothorax Emergency Medicine |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.10012 |
| work_keys_str_mv | AT neiluspal pediatricemergencymedicinesimulationcurriculumbronchiolitis AT kimberlystone pediatricemergencymedicinesimulationcurriculumbronchiolitis AT jenniferreid pediatricemergencymedicinesimulationcurriculumbronchiolitis AT tiffanytausalacolemansatterfield pediatricemergencymedicinesimulationcurriculumbronchiolitis |