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Abstract
Little is understood about the unintended consequences of cannabis liberalization on children. Subsequently, this scoping review aimed to map and identify evidence related to acute cannabis intoxication in children. We searched three medical literature databases from inception until October 2019. We identified 4644 information sources and included 158 which were mapped by topic area relating to 1) public health implications and considerations; 2) clinical management; and 3) experiences and information needs of HCPs and families. Public health implications were addressed by 129 (82%) and often reported an increased incidence of acute pediatric cannabis intoxications. Clinical information was reported in 116 (73%) and included information on signs and symptoms (n = 106, 92%), clinical management processes (n = 60, 52%), and treatment recommendations (n = 42, 36%). Few sources addressed the experiences or information needs of either HCPs (n = 5, <1%) treating children for acute cannabis intoxication or families (n = 1, <1%) seeking care. Increasing incidence of acute cannabis intoxications concurrent with liberalization of cannabis legislation is clear, however, evidence around clinical management is limited. Additionally, further research exploring HCPs and families experiences and information needs around cannabis intoxication is warranted.
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Affiliation(s)
- Lindsay A Gaudet
- Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada
| | - Kaitlin Hogue
- Department of Pediatric Emergency Medicine, Max Rady College of Medicine, Winnipeg, University of Manitoba, MB, Canada
| | - Shannon D Scott
- Faculty of Nursing, University of Alberta, Edmonton, AB, Canada
| | - Lisa Hartling
- Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada
| | - Sarah A Elliott
- Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada
- Cochrane Child Health, Department of Pediatrics, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB, Canada
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Larson E, Park BL, Thomas A, Ciener D, Augenstein J, Mazor S, Burns R. Pediatric Toxidrome Simulation Curriculum: Jimson Weed Toxicity. MEDEDPORTAL : THE JOURNAL OF TEACHING AND LEARNING RESOURCES 2023; 19:11329. [PMID: 37545870 PMCID: PMC10400730 DOI: 10.15766/mep_2374-8265.11329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/07/2022] [Accepted: 04/17/2023] [Indexed: 08/08/2023]
Abstract
Introduction Jimson weed is a poisonous plant containing tropane alkaloids that can cause anticholinergic toxicity. Recognition of anticholinergic toxidrome is important for prevention and management of potentially life-threatening complications of severe toxicity, including dysrhythmia and seizure. Methods Designed for pediatric emergency medicine (PEM) fellows, this simulation featured a 15-year-old female presenting to the emergency department (ED) with agitation and hallucinations. The team was required to perform a primary survey of the critically ill patient, recognize anticholinergic toxidrome from jimson weed intoxication, and treat complications of severe anticholinergic toxicity. Learners practiced critical resuscitation skills such as management of generalized tonic-clonic seizure, endotracheal intubation, synchronized cardioversion, and external cooling measures. A debriefing guide and participant evaluation forms were utilized. This simulation was created as both an in-person and a virtual simulation experience to accommodate COVID-19 social distancing guidelines. Results Seventeen PEM fellows completed this simulation across three institutions (two in person, one virtual). Using 5-point Likert scales (with 5 being the most relevant or effective), participants rated the simulation as relevant to their work (M = 4.8, SD = 0.5) as well as effective in teaching basic resuscitation skills (M = 4.7, SD = 0.5), management of generalized tonic-clonic seizure (M = 4.8, SD = 0.5), and treatment of ventricular tachycardia with appropriate interventions (M = 4.6, SD = 0.5). Discussion This simulation scenario allows pediatric medicine trainees in the ED to practice recognition and management of anticholinergic toxicity and its severe complications secondary to jimson weed ingestion.
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Affiliation(s)
- Emma Larson
- Clinical Assistant Professor, Division of General Pediatrics, Department of Pediatrics, University of Washington School of Medicine
| | - Brian Lim Park
- Fellow, Division of Emergency Medicine, Department of Pediatrics, University of Washington School of Medicine
| | - Anita Thomas
- Director of the Pediatric Emergency Medicine Fellow Simulation and Associate Professor, Division of Emergency Medicine, Department of Pediatrics, University of Washington School of Medicine
| | - Daisy Ciener
- Program Director of the Pediatric Emergency Medicine Fellowship and Assistant Professor of Clinical Pediatrics, Division of Pediatric Emergency Medicine, Department of Pediatrics, Vanderbilt University Medical Center
| | - Julie Augenstein
- EMS Base Hospital Medical Director, Quality and Safety Medical Director, and Attending Physician, Phoenix Children's Hospital; Clinical Assistant Professor of Child Health and Emergency Medicine, Mayo Clinic College of Medicine and Science and University of Arizona College of Medicine
| | - Suzan Mazor
- Director of Pediatric Toxicology, University of Washington School of Medicine; Professor, Division of Emergency Medicine, Department of Pediatrics, University of Washington School of Medicine
| | - Rebekah Burns
- Associate Professor, Division of Emergency Medicine, Department of Pediatrics, University of Washington School of Medicine
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Roberts C, Keilman A, Pearce J, Roberts A, Ching K, Kingsley J, Stephan A, Gross I, Ciener D, Augenstein J, Thomas A. Pediatric Emergency Medicine Didactics and Simulation (PEMDAS): Pediatric Diabetic Ketoacidosis. MEDEDPORTAL : THE JOURNAL OF TEACHING AND LEARNING RESOURCES 2021; 17:11098. [PMID: 33644303 PMCID: PMC7901255 DOI: 10.15766/mep_2374-8265.11098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Accepted: 11/10/2020] [Indexed: 06/12/2023]
Abstract
INTRODUCTION Diabetic ketoacidosis (DKA) is a life-threatening illness which classically presents with polyuria, polydipsia, and polyphagia that can rapidly progress to severe dehydration and altered mental status from cerebral edema. Younger patients may present with subtle or atypical symptoms that are critical to recognize and emergently act upon. Such patients are often cared for by teams in the emergency department (ED) requiring multidisciplinary collaboration. METHODS This simulation case was designed for pediatric emergency medicine fellows and residents. The case was a 14-month-old male who presented to the ED with respiratory distress and dehydration. The team was required to perform an assessment, manage airway, breathing and circulation, and recognize and initiate treatment for DKA including judicious fluid administration and an insulin infusion. The patient developed altered mental status with signs of cerebral edema requiring the initiation of cerebral protection strategies. We created a debriefing guide and a participant evaluation form. RESULTS Forty-two participants completed this simulation across seven institutions including attendings, residents, fellows, and nurses. The scenario was rated by participants on a 5-point Likert scale and was generally well received (M = 5.0). Participants rated the simulation case as effective in teaching how to recognize (M = 4.8) and manage (M = 4.5) DKA with cerebral edema in a pediatric patient. DISCUSSION This simulation represents a resource for learners in the pediatric ED in the recognition and management of a toddler with DKA and can be adapted to learners at all levels and tailored to various learning environments.
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Affiliation(s)
- Cale Roberts
- Pediatrics Resident, Department of Pediatrics, University of Washington School of Medicine and Seattle Children's Hospital
| | - Ashley Keilman
- Assistant Professor, Department of Pediatrics, Division of Emergency Medicine, University of Washington School of Medicine and Seattle Children's Hospital
| | - Jean Pearce
- Assistant Professor, Department of Pediatrics, Division of Emergency Medicine, Medical College of Wisconsin
| | - Alissa Roberts
- Assistant Professor, Department of Pediatrics, Division of Endocrinology and Diabetes, University of Washington School of Medicine and Seattle Children's Hospital
| | - Kevin Ching
- Associate Professor of Clinical Pediatrics, Division of Emergency Medicine, Weill-Cornell Medicine
| | - Jenny Kingsley
- Assistant Professor, Department of Anesthesia and Critical Care Medicine, Division of Pediatric Critical Care, Keck School of Medicine, University of Southern California and Children's Hospital of Los Angeles
| | - Alexander Stephan
- Assistant Professor, Department of Emergency Medicine, Division of Pediatric Emergency Medicine, New York Presbyterian/Weill Cornell Medical Center
| | - Isabel Gross
- Assistant Professor of Pediatrics, Department of Pediatric Emergency Medicine, Yale University School of Medicine
| | - Daisy Ciener
- Program Director of Pediatric Emergency Medicine Fellowship and Assistant Professor of Clinical Pediatrics, Division of Pediatric Emergency Medicine, Vanderbilt University Medical Center
| | - Julie Augenstein
- Base Hospital Medical Director, Quality and Safety Medical Director, and Attending Physician, Phoenix Children's Hospital; Clinical Assistant Professor of Child Health and Emergency Medicine, Mayo Clinic College of Medicine and Science and University of Arizona College of Medicine
| | - Anita Thomas
- Director of Pediatric Emergency Medicine Fellow Simulation and Assistant Professor, Department of Pediatrics, Division of Emergency Medicine, University of Washington School of Medicine and Seattle Children's Hospital
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Rosso CD, Thomas A, Hardy N, Connelly S, Davila U, Pearce J, Mazor S, Burns R. Pediatric Toxidrome Simulation Curriculum: Lidocaine-Induced Methemoglobinemia. MEDEDPORTAL : THE JOURNAL OF TEACHING AND LEARNING RESOURCES 2021; 17:11089. [PMID: 33537407 PMCID: PMC7842087 DOI: 10.15766/mep_2374-8265.11089] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
INTRODUCTION Lidocaine is a common local anesthetic used during minor procedures performed on pediatric patients. A rare but toxic and life-threatening side effect of lidocaine is methemoglobinemia. It should be considered in children who are hypoxic after exposure to an oxidizing agent. METHODS We developed this simulation case for pediatric emergency medicine (PEM) fellows, but it can be adapted for interprofessional simulation. The case involved a 1-month-old male with hypoxia and resulting central cyanosis after exposure to lidocaine. The team performed an initial evaluation and intervention, collected a history, and developed a differential diagnosis for hypoxia and central cyanosis in an infant. Methemoglobinemia was confirmed by CO-oximetry. Preparatory materials, a debriefing guide, and scenario evaluation forms assisted with facilitation. RESULTS Fifty-six participants (including 18 PEM fellows) completed this simulation across four institutions. Participants rated the scenario on a 5-point Likert scale (1 = strongly disagree, 5 = strongly agree), finding it to be relevant to their work (median = 5) and realistic (median = 5). After participation in the simulation, learners felt confident in their ability to recognize methemoglobinemia (median = 4) and implement a plan to stabilize an infant with hypoxia (median = 4). DISCUSSION This simulation represents a resource for learners in the pediatric emergency department. It teaches the recognition and management of an infant with lidocaine toxicity and resultant methemoglobinemia. It uses experiential learning to teach and reinforce a systematic approach to the evaluation and management of a critically ill infant with acquired methemoglobinemia.
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Affiliation(s)
- Chelsea Del Rosso
- Chief Pediatric Resident Physician, Department of Pediatrics, University of Washington School of Medicine and Seattle Children's Hospital
| | - Anita Thomas
- Assistant Professor, Department of Pediatrics, Division of Emergency Medicine, University of Washington School of Medicine and Seattle Children's Hospital
| | - Nicole Hardy
- Pediatric Emergency Medicine Fellow, University of North Carolina at Chapel Hill School of Medicine
| | - Scott Connelly
- Assistant Professor, Department of Pediatrics, University of North Carolina at Chapel Hill School of Medicine
| | - Ulysses Davila
- Pediatric Emergency Medicine Fellow, Medical University of South Carolina College of Medicine
| | - Jean Pearce
- Assistant Professor, Department of Pediatrics, Medical College of Wisconsin
| | - Suzan Mazor
- Professor, Department of Pediatrics, Division of Emergency Medicine, University of Washington School of Medicine and Seattle Children's Hospital
| | - Rebekah Burns
- Associate Professor, Department of Pediatrics, Division of Emergency Medicine, University of Washington School of Medicine and Seattle Children's Hospital
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Sanseau E, Carr LH, Case J, Tay KY, Ades A, Yang K, Huang H, Bustin A, Good G, Gaines S, Augenstein J, Ciener D, Pearce J, Reid J, Stone K, Burns R, Thomas A. Pediatric Emergency Medicine Simulation Curriculum: Vitamin K Deficiency in the Newborn. MEDEDPORTAL : THE JOURNAL OF TEACHING AND LEARNING RESOURCES 2021; 17:11078. [PMID: 33511273 PMCID: PMC7830750 DOI: 10.15766/mep_2374-8265.11078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/17/2020] [Accepted: 10/06/2020] [Indexed: 06/12/2023]
Abstract
INTRODUCTION The American Academy of Pediatrics recommends vitamin K prophylaxis at birth for all newborns to prevent vitamin K deficiency bleeding (VKDB). Despite a lack of evidence for serious harms, barriers to prophylaxis, including parental refusal, are rising, as are cases of VKDB. METHODS This simulation involved an infant presenting to the emergency department who decompensated due to a cerebral hemorrhage caused by VKDB and was treated by pediatric and emergency providers. The case was incorporated into the fellow and division monthly curricula, and participants completed postsimulation surveys. The patient required a secure airway, seizure management, vitamin K, and a fresh frozen plasma infusion upon suspicion of the diagnosis, plus a coordinated transfer to definitive care. The case included a description of the simulated case, learning objectives, instructor notes, an example of the ideal flow of the scenario, anticipated management mistakes, and educational materials. RESULTS The simulations were carried out with 48 total participants, including 40 fellows and eight attendings, from five different training institutions over 1 year. In surveys, respondents gave overall positive feedback. Ninety-four percent of participants gave the highest score on a Likert scale indicating that the simulation was relevant, and over 80% gave the highest score indicating that the experience helped them with medical management. DISCUSSION This simulation trained physicians how to recognize and treat a distressed infant with VKDB. The case was perceived to be an effective learning tool for both fellow and attending physicians.
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Affiliation(s)
- Elizabeth Sanseau
- Fellow, Pediatric Emergency Medicine, Children's Hospital of Philadelphia
| | - Leah H. Carr
- Fellow, Department of General Pediatrics, Division of Neonatology, Children's Hospital of Philadelphia
| | - Jennifer Case
- Resident, Department of General Pediatrics, University of Washington School of Medicine and Seattle Children's Hospital
| | - Khoon-Yen Tay
- Associate Professor, Clinical Pediatrics, Division of Emergency Medicine, Children's Hospital of Philadelphia
| | - Anne Ades
- Professor, Clinical Pediatrics, Division of Neonatology, Children's Hospital of Philadelphia
| | - Kesi Yang
- Assistant Professor, Clinical Pediatrics, Division of Neonatology, Children's Hospital of Philadelphia
| | - Hannah Huang
- Pharmacist, Department of General Pediatrics, Division of Emergency Medicine, Children's Hospital of Philadelphia
| | - Anna Bustin
- Residency Preceptor, Pharmacy Residency Program, and Clinical Pharmacy Specialist, Neonatal/Infant Intensive Care, Children's Hospital of Philadelphia
| | - Grace Good
- Simulation Specialist, Division of Emergency Medicine, Children's Hospital of Philadelphia
| | - Shannon Gaines
- Education Nurse Specialist, Division of Emergency Medicine, Children's Hospital of Philadelphia
| | - Julie Augenstein
- Assistant Professor, Clinical Pediatrics, Division of Emergency Medicine, Phoenix Children's Hospital
| | - Daisy Ciener
- Assistant Professor, Clinical Pediatrics, Division of Pediatric Emergency Medicine, Vanderbilt University Medical Center
| | - Jean Pearce
- Assistant Professor, Clinical Pediatrics, Division of Emergency Medicine, Medical College of Wisconsin
| | - Jennifer Reid
- Associate Professor, Clinical Pediatrics, Division of Emergency Medicine, University of Washington School of Medicine and Seattle Children's Hospital
| | - Kimberly Stone
- Associate Professor, Clinical Pediatrics, Division of Emergency Medicine, University of Washington School of Medicine and Seattle Children's Hospital
| | - Rebekah Burns
- Associate Professor, Clinical Pediatrics, Division of Emergency Medicine, University of Washington School of Medicine and Seattle Children's Hospital
| | - Anita Thomas
- Assistant Professor, Clinical Pediatrics, Division of Emergency Medicine, University of Washington School of Medicine and Seattle Children's Hospital
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Pidaparti V, Keilman A, Case J, Thomas A. Pediatric Emergency Medicine Simulation Curriculum: Bacterial Tracheitis. MEDEDPORTAL : THE JOURNAL OF TEACHING AND LEARNING RESOURCES 2020; 16:10946. [PMID: 32875092 PMCID: PMC7449579 DOI: 10.15766/mep_2374-8265.10946] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/25/2019] [Accepted: 01/30/2020] [Indexed: 06/11/2023]
Abstract
INTRODUCTION Pediatric bacterial tracheitis is a rare but life-threatening upper airway infection with mortality rates estimated as high as 20%, typically affecting children between 6 months and 12 years old. Given such high mortality rates, we felt it was important to train medical personnel to evaluate and manage this condition. METHODS This simulation-based curriculum was developed for health care professionals involving the evaluation and management of an 8-year-old male with symptoms of fever, stridor, worsening barking cough, and increased work of breathing. Critical actions included identifying stridor and airway respiratory distress; monitoring and supporting airway, breathing, and circulation; administering racemic epinephrine and dexamethasone; and identifying and treating bacterial tracheitis as the underlying cause. Scenario-specific debriefing tools were put together to elicit scenario feedback and aid in formative learning. RESULTS The scenario was conducted with six fellows and 12 residents and medical students. Per the survey data, the case was rated as highly relevant (median = 5) and highly realistic (median = 5) by participants on a 5-point Likert scale. DISCUSSION Pediatric bacterial tracheitis is a low frequency, but high-risk scenario that was amenable to simulation as an educational modality and was well-received by participants. The debriefing tools were implemented as a means of helping instructors customize the scenario for learners based on respective educational backgrounds and learning styles.
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Affiliation(s)
- Vaidehi Pidaparti
- Resident, Department of Pediatrics, University of Washington School of Medicine and Seattle Children's Hospital
| | - Ashley Keilman
- Assistant Professor, Department of Pediatric Emergency Medicine, University of Washington School of Medicine and Seattle Children's Hospital
| | - Jennifer Case
- Resident, Department of Pediatrics, University of Washington School of Medicine and Seattle Children's Hospital
| | - Anita Thomas
- Assistant Professor, Department of Pediatric Emergency Medicine, University of Washington School of Medicine and Seattle Children's Hospital
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Shubin C, Iyer S, Pearce J, Lang B, Gross I, Ciener D, Mazor S, Keilman A, Thomas A. Pediatric Emergency Medicine Didactics and Simulation (PEMDAS): Serotonin Syndrome. MEDEDPORTAL : THE JOURNAL OF TEACHING AND LEARNING RESOURCES 2020; 16:10928. [PMID: 32733995 PMCID: PMC7385927 DOI: 10.15766/mep_2374-8265.10928] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/15/2019] [Accepted: 01/10/2020] [Indexed: 05/28/2023]
Abstract
Introduction Serotonin syndrome is caused by an accumulation of serotonin in the body from drug interactions or overdose of serotonergic medications, including commonly used antidepressants. Symptoms can be life-threatening and encompass both neurologic and cardiovascular toxicity, including agitation, seizure, tachycardia, rhabdomyolysis, and hyperthermia. Methods This simulation case was developed for pediatric emergency medicine fellows and emergency medicine residents in the pediatric emergency department and can be altered to accommodate other learners. The case involved a 16-year-old male, represented by a low- or high-fidelity manikin, who presented with altered mental status/agitation after an overdose of antidepressant medication. The team of learners was required to perform a primary and a secondary assessment; manage airway, breathing, and circulation; and recognize and initiate treatment for serotonin syndrome. The patient had a seizure resulting in airway compromise requiring advanced airway support, as well as developed rhabdomyolysis requiring aggressive fluid hydration. We created a debriefing guide and a participant evaluation form. Results Fifty-seven participants across five institutions completed this simulation, which included residents, fellows, faculty, and students. The scenario was rated by participants using a 5-point Likert scale and was generally well received. Participants rated the simulation case as effective in learning how to both recognize (M = 4.9) and manage (M = 4.8) serotonin syndrome. Discussion This pediatric emergency simulation scenario can be tailored for a range of learner backgrounds and simulation environments. We used the participant evaluation form to improve future iterations of the simulation.
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Affiliation(s)
- Corinne Shubin
- Assistant Professor, Department of Pediatrics, Division of Emergency Medicine, University of Washington School of Medicine and Seattle Children's Hospital
| | - Shweta Iyer
- Assistant Professor, Pediatrics and Emergency Medicine, Weill Cornell Medical College
| | - Jean Pearce
- Assistant Professor, Department of Pediatrics, Division of Emergency Medicine, Medical College of Wisconsin
| | - Benjamin Lang
- Pediatrics Resident, Department of Pediatrics, University of Washington School of Medicine and Seattle Children's Hospital
| | - Isabel Gross
- Clinical Instructor, Department of Pediatrics, Division of Emergency Medicine, Yale University School of Medicine and Yale New Haven Children's Hospital
| | - Daisy Ciener
- Assistant Professor, Clinical Pediatrics, Division of Pediatric Emergency Medicine, Vanderbilt University Medical Center
| | - Suzan Mazor
- Director of Pediatric Toxicology, University of Washington School of Medicine and Seattle Children's Hospital; Associate Professor, Department of Pediatrics, Division of Emergency Medicine, University of Washington School of Medicine and Seattle Children's Hospital
| | - Ashley Keilman
- Assistant Professor, Department of Pediatrics, Division of Emergency Medicine, University of Washington School of Medicine and Seattle Children's Hospital
| | - Anita Thomas
- Assistant Professor, Department of Pediatrics, Division of Emergency Medicine, University of Washington School of Medicine and Seattle Children's Hospital
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Hartford E, Thomas A, Keilman A, Uspal N, Stone K, Reid J, Burns R. Pediatric Toxidrome Simulation Curriculum: Bupropion Overdose. MEDEDPORTAL : THE JOURNAL OF TEACHING AND LEARNING RESOURCES 2019; 15:10846. [PMID: 31921992 PMCID: PMC6946581 DOI: 10.15766/mep_2374-8265.10846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/31/2018] [Accepted: 07/09/2019] [Indexed: 06/10/2023]
Abstract
INTRODUCTION Bupropion is a commonly used antidepressant, and overdose can lead to both neurologic and cardiovascular toxicity, including agitation, seizure, tachycardia, QT and QRS prolongation, and rhythm disturbances. METHODS We developed this simulation case for attendings, fellows, nurse practitioners, and nurses in the pediatric emergency department (ED). The scenario involved a 13-year-old male presenting to the ED with altered mental status and a generalized tonic-clonic seizure shortly after arrival. The team needed to quickly perform primary and secondary surveys, manage his airway and breathing, and initiate treatment for seizure. The team had to obtain an abbreviated history and include ingestion in the differential. The patient then developed pulseless ventricular tachycardia, and the team needed to respond with high-quality CPR, defibrillation, and advanced airway management. Preparatory materials, a debriefing guide, and scenario evaluation forms assisted with facilitation. RESULTS Twenty-eight physicians, 56 nurses, 10 nurse practitioners, four pharmacists, two students, and one respiratory therapist completed this simulation in 13 sessions. On a 5-point Likert scale, participants agreed with the stated objective of ability to manage a patient with a bupropion overdose (M = 4.09; range, 2-5). The scenario was rated as highly relevant (M = 4.93) and the debriefing as very effective (M = 4.85). DISCUSSION This scenario is a complete educational resource for setting up, implementing, and debriefing in an interprofessional setting. It was well received by learners from diverse professional backgrounds working together in actual care teams in the pediatric ED.
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Affiliation(s)
- Emily Hartford
- Assistant Professor, Department of Pediatrics, Division of Emergency Medicine, University of Washington School of Medicine
- Assistant Professor, Department of Pediatrics, Division of Emergency Medicine, Seattle Children's Hospital
| | - Anita Thomas
- Assistant Professor, Department of Pediatrics, Division of Emergency Medicine, University of Washington School of Medicine
- Assistant Professor, Department of Pediatrics, Division of Emergency Medicine, Seattle Children's Hospital
| | - Ashley Keilman
- Assistant Professor, Department of Pediatrics, Division of Emergency Medicine, University of Washington School of Medicine
- Assistant Professor, Department of Pediatrics, Division of Emergency Medicine, Seattle Children's Hospital
| | - Neil Uspal
- Associate Professor, Department of Pediatrics, Division of Emergency Medicine, University of Washington School of Medicine
- Associate Professor, Department of Pediatrics, Division of Emergency Medicine, Seattle Children's Hospital
| | - Kimberly Stone
- Associate Professor, Department of Pediatrics, Division of Emergency Medicine, University of Washington School of Medicine
- Associate Professor, Department of Pediatrics, Division of Emergency Medicine, Seattle Children's Hospital
| | - Jennifer Reid
- Associate Professor, Department of Pediatrics, Division of Emergency Medicine, University of Washington School of Medicine
- Associate Professor, Department of Pediatrics, Division of Emergency Medicine, Seattle Children's Hospital
| | - Rebekah Burns
- Associate Professor, Department of Pediatrics, Division of Emergency Medicine, University of Washington School of Medicine
- Associate Professor, Department of Pediatrics, Division of Emergency Medicine, Seattle Children's Hospital
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