Pediatric Emergency Medicine Didactics and Simulation (PEMDAS) Telesimulation Series: Hyperleukocytosis

• DOI: 10.15766/mep_2374-8265.11205
• Publication Date: 2021-12-13T04:00:05Z
• Authors: Abby Koff; Rebekah Burns; Marc Auerbach; Brittany Lee; Jean Pearce; Daisy Ciener; Julie Augenstein; Claudia Yeung; Anita Thomas
• Keywords: Debriefing; Pediatric emergency medicine

Hyperleukocytosis, an infrequent presentation of new-onset leukemia, is a medical emergency requiring prompt recognition and treatment. It can include altered mental status, fever, critical electrolyte derangements, coagulopathies. Due to the COVID-19 pandemic, this simulation was created as telesimulation in order adhere mandatory physical distancing guidelines while addressing learning objectives.This designed for pediatric medicine fellows featured patient presenting with respiratory distress. After initial assessment appropriate workup, developed tumor lysis syndrome, coagulopathies, neurologic changes interventions. A debriefing guide participant evaluation form were utilized.This implemented at five different institutions, surveys completed by 22 fellows. The scenario rated on 5-point Likert scale (1 = strongly disagree, 5 agree) generally well received, participants rating effective teaching (M 4.8) management 4.6) hyperleukocytosis. Participants felt that virtual compared other distance methods 3.9).This simulation-based curriculum allows learners practice identifying managing We found it received both in-person formats.