Pediatric Emergency Medicine Simulation Curriculum: Bacterial Tracheitis

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 eva...

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Autores principales: Vaidehi Pidaparti, Ashley Keilman, Jennifer Case, Anita Thomas
Formato: article
Lenguaje:EN
Publicado: Association of American Medical Colleges 2020
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Acceso en línea:https://doaj.org/article/0d69bd0649d84bbabb105f308e759751
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spelling oai:doaj.org-article:0d69bd0649d84bbabb105f308e7597512021-11-19T14:11:01ZPediatric Emergency Medicine Simulation Curriculum: Bacterial Tracheitis10.15766/mep_2374-8265.109462374-8265https://doaj.org/article/0d69bd0649d84bbabb105f308e7597512020-08-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10946https://doaj.org/toc/2374-8265Introduction 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.Vaidehi PidapartiAshley KeilmanJennifer CaseAnita ThomasAssociation of American Medical CollegesarticleTracheitisPediatricsEmergency MedicineStridorNurse/Nurse PractitionerPhysicianMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution DOAJ
collection DOAJ
language EN
topic Tracheitis
Pediatrics
Emergency Medicine
Stridor
Nurse/Nurse Practitioner
Physician
Medicine (General)
R5-920
Education
L
spellingShingle Tracheitis
Pediatrics
Emergency Medicine
Stridor
Nurse/Nurse Practitioner
Physician
Medicine (General)
R5-920
Education
L
Vaidehi Pidaparti
Ashley Keilman
Jennifer Case
Anita Thomas
Pediatric Emergency Medicine Simulation Curriculum: Bacterial Tracheitis
description 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.
format article
author Vaidehi Pidaparti
Ashley Keilman
Jennifer Case
Anita Thomas
author_facet Vaidehi Pidaparti
Ashley Keilman
Jennifer Case
Anita Thomas
author_sort Vaidehi Pidaparti
title Pediatric Emergency Medicine Simulation Curriculum: Bacterial Tracheitis
title_short Pediatric Emergency Medicine Simulation Curriculum: Bacterial Tracheitis
title_full Pediatric Emergency Medicine Simulation Curriculum: Bacterial Tracheitis
title_fullStr Pediatric Emergency Medicine Simulation Curriculum: Bacterial Tracheitis
title_full_unstemmed Pediatric Emergency Medicine Simulation Curriculum: Bacterial Tracheitis
title_sort pediatric emergency medicine simulation curriculum: bacterial tracheitis
publisher Association of American Medical Colleges
publishDate 2020
url https://doaj.org/article/0d69bd0649d84bbabb105f308e759751
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AT ashleykeilman pediatricemergencymedicinesimulationcurriculumbacterialtracheitis
AT jennifercase pediatricemergencymedicinesimulationcurriculumbacterialtracheitis
AT anitathomas pediatricemergencymedicinesimulationcurriculumbacterialtracheitis
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