Pediatric Emergency Medicine Didactics and Simulation (PEMDAS): Serotonin Syndrome

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 agitati...

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Autores principales:	Corinne Shubin, Shweta Iyer, Jean Pearce, Benjamin Lang, Isabel Gross, Daisy Ciener, Suzan Mazor, Ashley Keilman, Anita Thomas
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Serotonin Syndrome Simulation Rhabdomyolysis Seizure Altered Mental Status Pediatric Emergency Medicine Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/7799ec8f245c44a9ab42b0451c1203e8
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spelling	oai:doaj.org-article:7799ec8f245c44a9ab42b0451c1203e82021-11-19T13:46:34ZPediatric Emergency Medicine Didactics and Simulation (PEMDAS): Serotonin Syndrome10.15766/mep_2374-8265.109282374-8265https://doaj.org/article/7799ec8f245c44a9ab42b0451c1203e82020-07-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10928https://doaj.org/toc/2374-8265Introduction 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.Corinne ShubinShweta IyerJean PearceBenjamin LangIsabel GrossDaisy CienerSuzan MazorAshley KeilmanAnita ThomasAssociation of American Medical CollegesarticleSerotonin SyndromeSimulationRhabdomyolysisSeizureAltered Mental StatusPediatric Emergency MedicineMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Serotonin Syndrome Simulation Rhabdomyolysis Seizure Altered Mental Status Pediatric Emergency Medicine Medicine (General) R5-920 Education L
spellingShingle	Serotonin Syndrome Simulation Rhabdomyolysis Seizure Altered Mental Status Pediatric Emergency Medicine Medicine (General) R5-920 Education L Corinne Shubin Shweta Iyer Jean Pearce Benjamin Lang Isabel Gross Daisy Ciener Suzan Mazor Ashley Keilman Anita Thomas Pediatric Emergency Medicine Didactics and Simulation (PEMDAS): Serotonin Syndrome
description	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.
format	article
author	Corinne Shubin Shweta Iyer Jean Pearce Benjamin Lang Isabel Gross Daisy Ciener Suzan Mazor Ashley Keilman Anita Thomas
author_facet	Corinne Shubin Shweta Iyer Jean Pearce Benjamin Lang Isabel Gross Daisy Ciener Suzan Mazor Ashley Keilman Anita Thomas
author_sort	Corinne Shubin
title	Pediatric Emergency Medicine Didactics and Simulation (PEMDAS): Serotonin Syndrome
title_short	Pediatric Emergency Medicine Didactics and Simulation (PEMDAS): Serotonin Syndrome
title_full	Pediatric Emergency Medicine Didactics and Simulation (PEMDAS): Serotonin Syndrome
title_fullStr	Pediatric Emergency Medicine Didactics and Simulation (PEMDAS): Serotonin Syndrome
title_full_unstemmed	Pediatric Emergency Medicine Didactics and Simulation (PEMDAS): Serotonin Syndrome
title_sort	pediatric emergency medicine didactics and simulation (pemdas): serotonin syndrome
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/7799ec8f245c44a9ab42b0451c1203e8
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Pediatric Emergency Medicine Didactics and Simulation (PEMDAS): Serotonin Syndrome

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