Table 3 Pediatric emergency medicine continuing professional development simulation curriculum
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 |