Physiologic Foundations of Cardiopulmonary Resuscitation

Bakar, Adnan; Remy, Kenneth E.; Schleien, Charles L.

doi:10.1016/b978-0-323-07307-3.10033-3

Cited by 2 publications

(1 citation statement)

References 261 publications

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“…Arrhythmias are more common in certain subsets of pediatric patients, including children with complex congenital heart disease, orthotopic heart transplantation (OHT) recipients, and children with cardiomyopathy. 1–5 With improved medical care, survival in these patient populations continues to increase, and providers must be prepared to manage arrhythmias in these patients. 6,7 This resource was created to simulate a high-acuity and low-frequency event.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Pulseless Ventricular Tachycardia: A Simulation Scenario for Fellows, Residents, Medical Students, and Advanced Practitioners

Cashen

Petersen

2016

MedEdPORTAL

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Introduction: Pulseless ventricular tachycardia is an uncommon presentation to the pediatric emergency department (ED) or the pediatric ICU (PICU); however, if unrecognized or inappropriately treated, it can lead to significant morbidity and mortality. This resource was created to simulate a high-acuity and lowfrequency event targeting PICU fellows, pediatric emergency medicine fellows, pediatric residents, ED residents, medical students, and advanced nursing providers. Methods: This scenario details the case of a 12-year-old boy with a history of heart transplant who presents with the chief complaint of dizziness. He initially has multiple premature ventricular contractions and then progresses to pulseless ventricular tachycardia due to acute rejection. This simulation may be performed in a simulation lab or in situ in the ICU or ED. Necessary personnel include a simulation technician, instructors, and a nurse. A code cart and defibrillator with hands-free pads appropriate for the mannequin are needed supplies. Critical actions include cardiopulmonary resuscitation, defibrillation with three shocks, and administration of antiarrhythmic. At the end of the scenario, a formal debriefing and learner assessment with structured feedback are performed. Results: Approximately 110 learners have completed this module during 18 separate sessions. Written evaluation from participants (n = 94) using a Likert scale (1 = not at all, 4 = to a great extent) shows that the objectives of the simulation are met to a great extent, with an average score of 3.8. Discussion: In conclusion, this resource advances learner knowledge and comfort when managing a pediatric patient with pulseless ventricular tachycardia, reviews appropriate management, and helps identify knowledge deficits in the management of these patients.

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Section: Introductionmentioning

confidence: 99%