Pediatric Toxidrome Simulation Curriculum: Jimson Weed Toxicity
Introduction Jimson weed is a poisonous plant containing tropane alkaloids that can cause anticholinergic toxicity. Recognition of anticholinergic toxidrome is important for prevention and management of potentially life-threatening complications of severe toxicity, including dysrhythmia and seizure....
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Association of American Medical Colleges
2023-08-01
|
| Series: | MedEdPORTAL |
| Subjects: | |
| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11329 |
| _version_ | 1797755084104269824 |
|---|---|
| author | Emma Larson Brian Lim Park Anita Thomas Daisy Ciener Julie Augenstein Suzan Mazor Rebekah Burns |
| author_facet | Emma Larson Brian Lim Park Anita Thomas Daisy Ciener Julie Augenstein Suzan Mazor Rebekah Burns |
| author_sort | Emma Larson |
| collection | DOAJ |
| description | Introduction Jimson weed is a poisonous plant containing tropane alkaloids that can cause anticholinergic toxicity. Recognition of anticholinergic toxidrome is important for prevention and management of potentially life-threatening complications of severe toxicity, including dysrhythmia and seizure. Methods Designed for pediatric emergency medicine (PEM) fellows, this simulation featured a 15-year-old female presenting to the emergency department (ED) with agitation and hallucinations. The team was required to perform a primary survey of the critically ill patient, recognize anticholinergic toxidrome from jimson weed intoxication, and treat complications of severe anticholinergic toxicity. Learners practiced critical resuscitation skills such as management of generalized tonic-clonic seizure, endotracheal intubation, synchronized cardioversion, and external cooling measures. A debriefing guide and participant evaluation forms were utilized. This simulation was created as both an in-person and a virtual simulation experience to accommodate COVID-19 social distancing guidelines. Results Seventeen PEM fellows completed this simulation across three institutions (two in person, one virtual). Using 5-point Likert scales (with 5 being the most relevant or effective), participants rated the simulation as relevant to their work (M = 4.8, SD = 0.5) as well as effective in teaching basic resuscitation skills (M = 4.7, SD = 0.5), management of generalized tonic-clonic seizure (M = 4.8, SD = 0.5), and treatment of ventricular tachycardia with appropriate interventions (M = 4.6, SD = 0.5). Discussion This simulation scenario allows pediatric medicine trainees in the ED to practice recognition and management of anticholinergic toxicity and its severe complications secondary to jimson weed ingestion. |
| first_indexed | 2024-03-12T17:42:46Z |
| format | Article |
| id | doaj.art-82fc2e636fb7418791cd97306747595e |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-03-12T17:42:46Z |
| publishDate | 2023-08-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-82fc2e636fb7418791cd97306747595e2023-08-04T04:00:06ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652023-08-011910.15766/mep_2374-8265.11329Pediatric Toxidrome Simulation Curriculum: Jimson Weed ToxicityEmma Larson0Brian Lim Park1Anita Thomas2Daisy Ciener3Julie Augenstein4Suzan Mazor5Rebekah Burns6Clinical Assistant Professor, Division of General Pediatrics, Department of Pediatrics, University of Washington School of MedicineFellow, Division of Emergency Medicine, Department of Pediatrics, University of Washington School of MedicineDirector of the Pediatric Emergency Medicine Fellow Simulation and Associate Professor, Division of Emergency Medicine, Department of Pediatrics, University of Washington School of MedicineProgram Director of the Pediatric Emergency Medicine Fellowship and Assistant Professor of Clinical Pediatrics, Division of Pediatric Emergency Medicine, Department of Pediatrics, Vanderbilt University Medical CenterEMS Base Hospital Medical Director, Quality and Safety Medical Director, and Attending Physician, Phoenix Children's Hospital; Clinical Assistant Professor of Child Health and Emergency Medicine, Mayo Clinic College of Medicine and Science and University of Arizona College of MedicineDirector of Pediatric Toxicology, University of Washington School of Medicine; Professor, Division of Emergency Medicine, Department of Pediatrics, University of Washington School of MedicineAssociate Professor, Division of Emergency Medicine, Department of Pediatrics, University of Washington School of MedicineIntroduction Jimson weed is a poisonous plant containing tropane alkaloids that can cause anticholinergic toxicity. Recognition of anticholinergic toxidrome is important for prevention and management of potentially life-threatening complications of severe toxicity, including dysrhythmia and seizure. Methods Designed for pediatric emergency medicine (PEM) fellows, this simulation featured a 15-year-old female presenting to the emergency department (ED) with agitation and hallucinations. The team was required to perform a primary survey of the critically ill patient, recognize anticholinergic toxidrome from jimson weed intoxication, and treat complications of severe anticholinergic toxicity. Learners practiced critical resuscitation skills such as management of generalized tonic-clonic seizure, endotracheal intubation, synchronized cardioversion, and external cooling measures. A debriefing guide and participant evaluation forms were utilized. This simulation was created as both an in-person and a virtual simulation experience to accommodate COVID-19 social distancing guidelines. Results Seventeen PEM fellows completed this simulation across three institutions (two in person, one virtual). Using 5-point Likert scales (with 5 being the most relevant or effective), participants rated the simulation as relevant to their work (M = 4.8, SD = 0.5) as well as effective in teaching basic resuscitation skills (M = 4.7, SD = 0.5), management of generalized tonic-clonic seizure (M = 4.8, SD = 0.5), and treatment of ventricular tachycardia with appropriate interventions (M = 4.6, SD = 0.5). Discussion This simulation scenario allows pediatric medicine trainees in the ED to practice recognition and management of anticholinergic toxicity and its severe complications secondary to jimson weed ingestion.http://www.mededportal.org/doi/10.15766/mep_2374-8265.11329Anticholinergic ToxicitySeizureToxidromeVentricular TachycardiaEmergency MedicineMedical Toxicology |
| spellingShingle | Emma Larson Brian Lim Park Anita Thomas Daisy Ciener Julie Augenstein Suzan Mazor Rebekah Burns Pediatric Toxidrome Simulation Curriculum: Jimson Weed Toxicity MedEdPORTAL Anticholinergic Toxicity Seizure Toxidrome Ventricular Tachycardia Emergency Medicine Medical Toxicology |
| title | Pediatric Toxidrome Simulation Curriculum: Jimson Weed Toxicity |
| title_full | Pediatric Toxidrome Simulation Curriculum: Jimson Weed Toxicity |
| title_fullStr | Pediatric Toxidrome Simulation Curriculum: Jimson Weed Toxicity |
| title_full_unstemmed | Pediatric Toxidrome Simulation Curriculum: Jimson Weed Toxicity |
| title_short | Pediatric Toxidrome Simulation Curriculum: Jimson Weed Toxicity |
| title_sort | pediatric toxidrome simulation curriculum jimson weed toxicity |
| topic | Anticholinergic Toxicity Seizure Toxidrome Ventricular Tachycardia Emergency Medicine Medical Toxicology |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11329 |
| work_keys_str_mv | AT emmalarson pediatrictoxidromesimulationcurriculumjimsonweedtoxicity AT brianlimpark pediatrictoxidromesimulationcurriculumjimsonweedtoxicity AT anitathomas pediatrictoxidromesimulationcurriculumjimsonweedtoxicity AT daisyciener pediatrictoxidromesimulationcurriculumjimsonweedtoxicity AT julieaugenstein pediatrictoxidromesimulationcurriculumjimsonweedtoxicity AT suzanmazor pediatrictoxidromesimulationcurriculumjimsonweedtoxicity AT rebekahburns pediatrictoxidromesimulationcurriculumjimsonweedtoxicity |