Pediatric Emergency Medicine Simulation Curriculum: Cardiac Tamponade

• DOI: 10.15766/mep_2374-8265.10758
• Publication Date: 2018-09-28T18:06:49Z
• Authors: Julie A. Augenstein; Jason Deen; Anita Thomas; Emily Moser; Kimberly Stone; Jennifer Reid; Rebekah Burns
• Keywords: Medicine (General); Point-of-Care Systems; Original Publication; Pediatrics; Pediatric Simulation; Education; 03 medical and health sciences; R5-920; 0302 clinical medicine; Surveys and Questionnaires; Ultrasound; Humans; Simulation Training; Ultrasonography; Pediatric Emergency Medicine; Tamponade; Shock; L; Fever and Neutropenia; Cardiac Tamponade; 3. Good health; Emergency Medicine; Clinical Competence; Curriculum; Emergency Service, Hospital

Cardiac tamponade is an uncommon presentation to the pediatric emergency department and requires early recognition emergent intervention.We developed this patient simulation case simulate a low-frequency, high-acuity scenario for medicine fellows resident physicians in medicine, pediatrics, family medicine. We ran using high-fidelity mannequin equipment found clinical environment, including bedside ultrasound machine. The involved 10-year-old with Hodgkin lymphoma who presented fever, neutropenia, shock was have pericardial effusion after evaluation. providers were expected identify signs symptoms of shock, as well cardiac tamponade, demonstrate appropriate evaluation management. Required personnel included technician, instructors, nurse. Debriefing tools tailored specifically created facilitate formal debriefing formative learner assessment at end simulation.This has been implemented 10 during two 3-year cycles fellow education. Session feedback reflected high level satisfaction increased awareness identification tamponade.This resource teaching critical components diagnosing managing unstable patient, use ultrasound, received by fellows.