Pediatric Toxidrome Simulation Curriculum: Bupropion Overdose

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 practi...

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Autores principales:	Emily Hartford, Anita Thomas, Ashley Keilman, Neil Uspal, Kimberly Stone, Jennifer Reid, Rebekah Burns
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2019
Materias:	Bupropion Overdose Seizure Ventricular Tachycardia Toxidrome Simulation Emergency Medicine Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/61140dd77cb34334af8869cf86d243d9
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spelling	oai:doaj.org-article:61140dd77cb34334af8869cf86d243d92021-11-22T14:00:32ZPediatric Toxidrome Simulation Curriculum: Bupropion Overdose10.15766/mep_2374-8265.108462374-8265https://doaj.org/article/61140dd77cb34334af8869cf86d243d92019-10-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10846https://doaj.org/toc/2374-8265Introduction 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.Emily HartfordAnita ThomasAshley KeilmanNeil UspalKimberly StoneJennifer ReidRebekah BurnsAssociation of American Medical CollegesarticleBupropion OverdoseSeizureVentricular TachycardiaToxidromeSimulationEmergency MedicineMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 15 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Bupropion Overdose Seizure Ventricular Tachycardia Toxidrome Simulation Emergency Medicine Medicine (General) R5-920 Education L
spellingShingle	Bupropion Overdose Seizure Ventricular Tachycardia Toxidrome Simulation Emergency Medicine Medicine (General) R5-920 Education L Emily Hartford Anita Thomas Ashley Keilman Neil Uspal Kimberly Stone Jennifer Reid Rebekah Burns Pediatric Toxidrome Simulation Curriculum: Bupropion Overdose
description	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.
format	article
author	Emily Hartford Anita Thomas Ashley Keilman Neil Uspal Kimberly Stone Jennifer Reid Rebekah Burns
author_facet	Emily Hartford Anita Thomas Ashley Keilman Neil Uspal Kimberly Stone Jennifer Reid Rebekah Burns
author_sort	Emily Hartford
title	Pediatric Toxidrome Simulation Curriculum: Bupropion Overdose
title_short	Pediatric Toxidrome Simulation Curriculum: Bupropion Overdose
title_full	Pediatric Toxidrome Simulation Curriculum: Bupropion Overdose
title_fullStr	Pediatric Toxidrome Simulation Curriculum: Bupropion Overdose
title_full_unstemmed	Pediatric Toxidrome Simulation Curriculum: Bupropion Overdose
title_sort	pediatric toxidrome simulation curriculum: bupropion overdose
publisher	Association of American Medical Colleges
publishDate	2019
url	https://doaj.org/article/61140dd77cb34334af8869cf86d243d9
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Pediatric Toxidrome Simulation Curriculum: Bupropion Overdose

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