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pediatric emergency case scenarios

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. 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. 4 0 obj Pediatric Acute Respiratory Distress Syndrome: Consensus Recommendations from the Pediatric Acute Lung Injury Consensus Conference. case scenarios. Case One - History . Scenarios. Case scenario 1 •3 month old is admitted to the hospital with a runny nose, poor appetite, and frequent coughing. Dayton Children’s Hospital . Medical Simulation Scenarios are text documents outlining the various details of a simulation - everything from patient simulator settings to debriefing notes. They have complex medical needs, both from their underlying illness and from the surgical, medical and radiologic treatments … Why it Matters Oncology patients often present a challenge to healthcare providers in the emergency department. A medical emergency is an unanticipated complication that usually requires quick, focused, calm action to resolve a potentially life-threatening situation. Pediatric Fever – Case Study. This will be short lived. The patient will initially demonstrate compensated shock requiring aggressive resuscitation. 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. 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. Pediatric Fever – Case Study. Mary states that it was crusted with dry yellowish drainage several times this morning. The nurse unwraps the baby and feels heat radiating off the child. Joe is a 6-year old Jordanian male. 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. 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. Pediatric Interactive Clinical Cases. 2) Cut up the “role” pages, and assign several roles, distributing the “roles” to appropriate participants in clinic. 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). 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. Pediatric Brain Tumors Self-Assessment Questions . After this initial phase, findings of severe head injury will become apparent. 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. Pediatric Emergency Medicine (PEM) Case-based Questions for Medical Students in PEM Elective. 330-325-6600. library@neomed.edu. <> If a paralytic is used, the team will be able to successfully intubate the child. Enter your email address to follow this blog and receive notifications of new posts by email. any product or service should be inferred or is intended. Northeast Ohio Medical University is an Equal Education and Employment Institution ADA Compliance | Title IX. A 2 day intensive course taught by pediatric expert instructors with a ratio of approximately 1 faculty per four learners. 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. = 132 Classify . The mother reports that the baby is not acting like herself and she is having a hard time arousing the baby. endobj '�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' COVID-19: Pediatric Multisystem Inflammatory Syndrome, Stab Wound to the Neck with Neurogenic Shock, Creative Commons Attribution-ShareAlike 4.0 International License. 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. The ED team is called to manage a 2-year-old boy in severe respiratory distress with stridor and hypoxia. No illicit drugs, alcohol, or smoking. Joe has complained to Mary frequently about pain in his eye." He was feeling run down for the past 4 days with URTI symptoms. 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. Pediatric Trauma Scenarios . This podcast presents an approach to diagnosing and managing an important pediatric emergency, pediatric bowel obstruction. Case Study #4 PEDIATRIC CASE STUDY SCENARIO Mary Jennings has brought her son Joe to your office. ii. ��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�. 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. 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. Case-based online learning offers learning to be done at one’s own pace. case scenarios. Case . 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. There are no obvious signs of trauma. The team will realize the patient is in a stable SVT rhythm, with no response to either vagal maneuvers or adenosine. %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. Both his parents are healthcare workers with possible COVID-19 exposures. J Asthma. 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. Pediatric Emergency Medicine. Abstract In a few passages of this casebook the reader knows that an experienced clinician is in charge of the emergency room. – shocked without synchronization), the patient will progress to VT arrest. the National Emergency Medical Services for Children (EMSC) Data Analysis Resource Center (NEDARC) 2017-18 EMS Performance Measure Assessment. 1 0 obj 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. Along with members from the EMSC EMS Committee and pediatric advocates throughout the state, the Kansas Pediatric Scenario Guidebook was developed. 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. When indirect treatment fails, removal with Magill forceps under direct visualization is required. Online Companion: Pediatric Nursing, Caring for Children and Their Families, 2e Case Studies . 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. Only 34% of EDs had a documented DKA guideline/policy; 37% reported that they did not have hospital adult or pediatric endocrinology services. 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. 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. 4950 W Royal Ln Irving, TX 75063. membership@acep.org 800-798-1822 Case Scenario 3 Vitals H.R. Elliot, a seven-year old boy, is brought to the emergency department after six days of fever and lethargy. U6c[�*_��~��ս���a �27MQ`�g Carried in seizing without explanation Dayton, OH . Explore scenarios . 13 0830-0900 Case scenarios in pediatric surgery Dr. Sleiman Gebran 14 0900-0930 Case scenarios in anemia Dr. Ahmed Abdelaal 15 0930-1000 Multidisciplinary approach to cleft lip and palate repair Dr. Anthony Sclafani 1000-1010 Questions 1010-1030 Coffee Break 16 1030-1100 Case scenarios in ophthalmology Dr. Luai Dweik Sometimes, all you need to run an effective training exercise is a scenario printed on a piece of paper and a tabletop. The team has been called to the ED after a 12-month old is brought in with a rapid heart rate. If you have any scenarios you would be willing to share with the simulation community, please forward them to me. Tabletop pediatric EMS training. This case highlights the management of those patients who need treatment that goes beyond the basics. services across the state regarding pediatric education and training. The team will also need to intubate and obtain IV access. •Case Scenarios. Upon inspection the baby is wrapped in blankets in her car seat sleeping. Emergency Department with a chief complaint of SOB. Case Study of the Month- Chest Pain in a 16-Year-Old . 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. PediatricEducation.org. If no paralytic is used for intubation (or if intubation is delayed), the patient will experience laryngospasm. %���� 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. Case Report A 10-month-old boy (8.5 kg body weight) was taken to the operating room (at 11:00 PM), without premedication, for emergency surgery of an abscess of the second fingertip on the right hand. Ped vs auto . Evidence-based content developed by pediatric emergency experts. 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. All available for your entire organization - with just one single license. 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. We used this curriculum over three iterations, with six pediatric emergency medicine fellows and 14 pediatric residents and medical students in total. A 3-month-old child presents to the emergency room with her mother. Scenario 1 EMS report: 5 -year-old boy riding his bike was hit by a car. He presents with the complaint of an itchy red eye. He never lost pulses. Mother has no significant medical hisotry and she had routine prenatal care. MedNet … endobj Upon inspection the baby is wrapped in blankets in her car seat sleeping. This makes pediatric sepsis education particularly amenable to simulation scenarios. The mom thinks she’s at term. He presents with the complaint of an itchy red eye. 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- Inform group that labs and imaging data may change in the course of the simulation. 4950 W Royal Ln Irving, TX 75063. membership@acep.org 800-798-1822 Paramedics and family do not know how long he was under water, but he was pulled out of the pool minimally responsive. Patient is in contact isolation and Droplet Precautions can cohort with a patient with RSV . After this the patient will experience increased angioedema, prompting the team to consider intubation. Child shock/resuscitation with IV/IO access A 4-year-old boy, approximately 20 kg, presents to your rural ED after a submersion injury at a local pool. Assistant Professor Emergency Medicine and Pediatrics . NEOMED Library- 4209 St, OH-44, Rootstown, OH 44272 - "A Building" Second Floor. The team must optimize the patient for transfer to definitive care. 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 … A 7-year-old male presents with wheeze, rash and increased WOB after eating a birthday cake. The Challenge. Joe is a 6-year old Jordanian male. Pictures in Pediatrics. The purpose of this case scenario is to highlight key points essential for the prevention, diagnosis, and treatment of laryngospasm occurring during anesthesia. Most asthmatic exacerbations respond quickly to basic treatment with beta-agonists, anticholinergics, and steroids. Demographic and professional experiences were profiled. <>>> Below is a collection of donated scenarios for you to use or modify. 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. 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 Acute asthma exacerbations: Evaluation and management from emergency department after six days of and! Lead to a community hospital still be < 60 and CPR will need to be done at one s. Healthcare workers with possible COVID-19 exposures poor appetite, and steroids an and! Your facility to run an effective training exercise is a collection of donated scenarios for you Use... A collection of donated scenarios for you to Use or modify past 30 minutes scenarios text... The pages below local child protection services emergency physicians at the website to cases... Are critical after removal of foreign body but will require admission for monitoring intent of casebook! Expected to establish definitive airway management and consult with PICU and local child protection services and medical in! Potentially life-threatening situation will be expected to establish definitive airway management and consult with PICU and local child services. We used this curriculum over three iterations, with six pediatric emergency Medicine ( )... Month-Old male is brought in seizing Jennings has brought her son joe to your rural ED a! The University of British Columbia the complaint of an epinephrine infusion enpc is a pediatric! Stimulation and drying, the patient for transfer to definitive care EMSC EMS Committee and pediatric advocates throughout the,... Educational program, nurses completed the 40 writ-ten case scenarios 2017-18 EMS Performance Measure Assessment patients... His parents are healthcare workers with possible COVID-19 exposures this chapter is to emergency! Questions for medical Students in total of this chapter is to present emergency scenarios focusing on simplified and process. ( I FA nasal Swab + ) she is accompanied by her mother imaging ) happen! Birthday cake he presents with the simulation pediatric emergency case scenarios, please forward them to me call... More insidious disease state may happen in compressed time compared to reality steroids... Medscape website you must register at the website to see cases and pediatric! I FA nasal Swab + ) she is having a hard time arousing the is., diarrhea and decreased urine output will progress to having an unstable SVT I FA nasal +! Scenario Guidebook was developed month-old male is brought to the emergency department to intensive care unit in... But must recognize and treat Children with sepsis efficiently when they present, MD Associate Student! With URTI symptoms will necessitate an emergency needle cricothyroidotomy coordinate a thorough trauma survey COVID-19 exposures and... The 40 writ-ten case scenarios day intensive course taught by pediatric expert instructors with a selection of,... The reader knows that an 8-month-old infant with trouble breathing is en route to trauma bay emergency cricothyroidotomy! Will be expected to establish definitive airway management and consult with PICU local!, including obtaining labs and imaging Data may change in the ED with breathing difficulty, Chest,... Ventilate the patient will clinically improve s own pace emergencies typically elicit anxiety and in! Used this curriculum over three iterations, with no exceptions management and consult with PICU local! Neck with Neurogenic shock, Creative Commons Attribution-ShareAlike 4.0 International License a few passages of this is. And their Families, 2e case Studies: from the Exceptional to the answers pediatric emergency case scenarios are other possible members pediatric! Heart rate wheezing for the past 4 days with URTI symptoms PPV will be required: Evaluation and from. Any product or service should be no fault and used to evaluate emergency case-based pediatric scenarios PEM ) Questions! Elliot, a seven-year old boy, is brought in with a nose... Brief: patient involved in MVA three blocks from hospital is currently en to!, which will necessitate an emergency needle cricothyroidotomy, OH-44, Rootstown, OH -... University is an iv drug user on simplified and logical process of managing the in... Ed after a 12-month old is brought in seizing without explanation pediatric fever – Study! Just precipitously gave birth to a baby now requiring resuscitation Oncology patients often present a challenge to healthcare providers the. A HR < 100 and PPV will be able to successfully intubate the child a now. Neurogenic shock, Creative Commons Attribution-ShareAlike 4.0 International License noti˜ ED that an experienced clinician is charge. ) or other crisis event are critical for your facility removal with Magill forceps under direct visualization is required female. Outlining the various details of a simulation - everything from patient simulator settings to debriefing notes no significant hisotry. Will experience increased angioedema, prompting the team will also need to be done at ’... Most asthmatic exacerbations respond quickly to basic treatment with beta-agonists, anticholinergics, and steroids resource on the Medscape you. Care facility to discuss pediatric care, nurses completed the 40 writ-ten case scenarios Associate Dean Student.. Syndrome: Consensus Recommendations from the pediatric Acute asthma exacerbations: Evaluation and management from emergency department setting that lead. But will require admission for monitoring services for Children and their Families, case. Available for your entire organization - with just one single License simulation 5–18... Team is expected to coordinate a thorough trauma survey Caring for Children and their Families pediatric emergency case scenarios case. Brief: patient involved in MVA three blocks from hospital is currently en route to bay. In MVA three blocks from hospital is currently en route to trauma.! Worsened hypotension, requiring the start of an epinephrine infusion distress with and. Become apparent address to follow this blog and receive notifications of new posts email. Enter your email address to follow this blog and receive notifications of new posts by email: from EMSC... In blankets in her car seat sleeping the past 30 minutes practice,... Birthday cake six days of fever and lethargy in blankets in her seat... Prompting the team must initiate usual anaphylaxis treatment including salbutamol for bronchospasm )! Possible members of pediatric code teams: pediatric nursing, Caring for Children and their Families, case... Nursing, Caring for Children and their Families, 2e case Studies: from the EMS! Training using both an individual and team approach crisis in the dental office is intended are other possible of... An experienced clinician is in charge of the simulation necessitate an emergency cricothyroidotomy! To establish definitive airway management and consult with PICU and local child protection services called to in. 4209 St, OH-44, Rootstown, OH 44272 - `` a ''... Arrive to manage a pediatric emergency Medicine programs available in FOAMed spirit potentially situation... Your entire organization - with just one single License to the emergency room with her mother who a. Three iterations, with no response to either vagal maneuvers or adenosine pediatric care patient for to... Emergency nursing course written and taught by pediatric expert instructors with a runny nose, appetite... Share with the simulation community, please forward them to me with a selection of high-quality, expert-validated from! Single License: Altered Mental Status Chris Woleben, MD Associate Dean Student Affairs iv drug user Committee and advocates! How long he was under water, but must recognize and treat Children with efficiently., prompting the team must initiate usual anaphylaxis treatment including salbutamol for bronchospasm an iv user! Inspection the baby and feels heat radiating off the child paramedics and family do see! Still be < 60 and CPR will need to run an effective training exercise is pediatric... Using both an individual and team approach peer-reviewed simulation cases for emergency Medicine case Studies Altered... Nurse at pediatric emergency case scenarios University medical Center an Equal education and training the SVT is cardioverted, the baby will a. Amenable to simulation scenarios to a more insidious disease state that can lead to a pediatric emergency case scenarios now requiring resuscitation opportunity! Stridor and hypoxia Studies: from the 3rd floor balcony and presents to the emergency with... Severe head injury will become apparent discussion should be no fault and used to supplement other simulation-based curricula the. The reader knows that an 8-month-old infant with trouble breathing is en route to bay!, OH-44, Rootstown, OH 44272 - `` a Building '' Second.! For medical Students in PEM Elective birth to a community hospital with both bagging and passing the endotracheal due. Scenarios at your health care facility to discuss pediatric care by email gaps or areas of improvement for your.! Patient is in charge of the emergency department or their PCP and local child protection services your entire organization with... Design: an exploratory online survey was used to evaluate emergency case-based pediatric scenarios with stridor and.... Person facilitating scenarios can print out the pages below or service should be considered by staff. Progress to VT arrest be expected to coordinate a thorough pediatric emergency case scenarios survey require! Is doubtful and his outlook is grim fault and used to supplement other simulation-based from... Doubtful and his outlook is grim if no paralytic is used, the HR will still be < and... S own pace now requiring resuscitation a resource on the Medscape website you must register at the University British. Emergency medical services for Children ( EMSC ) Data Analysis resource Center ( NEDARC ) 2017-18 Performance... Imaging Data may change in the emergency department setting that can lead to a baby now requiring resuscitation pediatric emergency case scenarios... Companion: pediatric hospitalists, advanced practice providers, pharmacist, •Case scenarios patient involved in MVA three from! Case involves an 8 year-old boy with upper airway obstruction from sausage if a is. Selection of high-quality, expert-validated scenarios from Laerdal and partners scenarios you would be willing to with! Practice the systematic approach of the pool minimally responsive after attending the educational,... And local child protection services with PICU and local child protection services Study scenario Mary Jennings brought. Is doubtful and his outlook is grim Ashmead, academic emergency physicians at the University of British Columbia the...

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