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Table 3 Pediatric emergency medicine continuing professional development simulation curriculum

From: Development of an in situ simulation-based continuing professional development curriculum in pediatric emergency medicine

Clinical presentation # Clinical presentation Sample case stem Cross-covered clinical presentations (clinical presentation #) Key procedures covered in case Secondary procedures (procedure key code1)
1 Toxicology TCA toxicity* 3, 4, 8, 18 Emergency intubation, rapid sequence induction, cardioversion/defibrillation R
2 Cardiopulmonary arrest Isolated blunt chest trauma—cardiac tamponade 6 Pericardiocentesis D, H, I, R
3 Cardiac arrhythmia Toxin-induced bradycardia (calcium channel blocker) 1, 4, 14 External cardiac pacing D, E, H, I, O, R
4 Respiratory failure Severe pneumonia/empyema 13 Tube thoracostomy D, E
5 Congenital heart disease Tetrology of Fallot spell 3 Central venous access D, E
6 Drowning/submersion Hypothermic arrest 2, 3, 4 Chest compressions, hypothermia warming procedures D, H
7 Upper airway obstructions Complete foreign body airway obstruction 4 Supraglottic foreign body removal A, B, D, E, G, I
8 Shock and fluid resuscitation Massive tonsillectomy + adenoidectomy bleed   Tonsillar hemorrhage management, control of exsanguinating external hemorrhage A, B, D, E, G, Q, R
9 Inborn error of metabolism Newborn with urea cycle defect 4 Umbilical vessel catherization D, E
10 Severe asthma Asthma + respiratory failure + complications 4 Tube thoracostomy, needle decompression A, B, D, E, G, I
11 Disseminated intravascular coagulation (DIC) Snake bite/laceration 1, 2, 3 Control of exsanguinating external hemorrhage  
12 Pulmonary embolism (PE) Massive PE with cardiac effects 2, 3   
13 Sepsis (severe) Fever in returning traveller + sepsis 4 Central venous access D, E
14 Severe electrolyte abnormalities Chronic renal failure requiring dialysis    
15 Adrenal disorders Adrenal crisis + hyperkalemia 14 Cardioversion and debirillation, chest compressions  
16 Inhalational injury Caustic ingestion 4 Difficult airway management, emergency cricothyrotomy, emergency cricothyrotomy and transtracheal ventilation, emergent endotracheal intubation, RSI for intubation O, R
17 Meningitis/encephalitis Meningitis with increased intracranial pressure and DIC 4, 11 Central venous access D, E
18 Toxic syndrome Local anesthetic toxicity 1 Cardioversion and debirillation, chest compressions D, E
  1. 1Please reference Table 2, “Procedure key code” column for designated procedures