High-Fidelity Simulation Scenario: Pediatric Sulfonylurea Overdose and Treatment

Introduction Oral antidiabetic medications are becoming increasingly popular as the incidence of type II diabetes mellitus increases. Overdoses of these medications, either intentional or accidental, can be detrimental if not quickly recognized and treated. One of the most common classes of hypoglyc...

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Autores principales:	Vincent Calleo, Jacob Anderson, Patrick Curtin, William Paolo
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Toxicology Seizure Hypoglycemia Neurology Competency-Based Medical Education Competencies Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/89da12f22a064995bdefeed2a7065f7a
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spelling	oai:doaj.org-article:89da12f22a064995bdefeed2a7065f7a2021-11-19T14:46:00ZHigh-Fidelity Simulation Scenario: Pediatric Sulfonylurea Overdose and Treatment10.15766/mep_2374-8265.109652374-8265https://doaj.org/article/89da12f22a064995bdefeed2a7065f7a2020-09-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10965https://doaj.org/toc/2374-8265Introduction Oral antidiabetic medications are becoming increasingly popular as the incidence of type II diabetes mellitus increases. Overdoses of these medications, either intentional or accidental, can be detrimental if not quickly recognized and treated. One of the most common classes of hypoglycemic oral antidiabetics, sulfonylureas, was discussed in this case. Methods We designed this high-fidelity simulation to help increase the learner's knowledge of sulfonylurea overdoses, including recognizing signs/symptoms, management, and disposition. This simulation was designed to be used with fourth-year medical students, emergency medicine residents, and pediatric residents. The case involves a previously healthy 3-year-old male presenting with altered mental status and seizures secondary to glyburide ingestion. A standard pediatric simulation mannequin was required. The patient presented with altered mental status and began seizing upon arrival. After a thorough history, glyburide ingestion was identified. Critical actions included obtaining a fingerstick glucose measurement, determining an appropriate concentration of dextrose, starting a dextrose drip, and admission for further management. Results This simulation case was performed at the simulation lab at SUNY Upstate Medical University by a combination of 83 fourth-year medical students, and emergency medicine and pediatric residents. Feedback and evaluations for the case showed it improved medical education and clinical skills. Discussion This simulation was well received and helped participants develop a better understanding of sulfonylurea overdose identification. It also improved participants' ability to manage refractory hypoglycemia and compile a more comprehensive list of differential diagnoses.Vincent CalleoJacob AndersonPatrick CurtinWilliam PaoloAssociation of American Medical CollegesarticleToxicologySeizureHypoglycemiaNeurologyCompetency-Based Medical EducationCompetenciesMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Toxicology Seizure Hypoglycemia Neurology Competency-Based Medical Education Competencies Medicine (General) R5-920 Education L
spellingShingle	Toxicology Seizure Hypoglycemia Neurology Competency-Based Medical Education Competencies Medicine (General) R5-920 Education L Vincent Calleo Jacob Anderson Patrick Curtin William Paolo High-Fidelity Simulation Scenario: Pediatric Sulfonylurea Overdose and Treatment
description	Introduction Oral antidiabetic medications are becoming increasingly popular as the incidence of type II diabetes mellitus increases. Overdoses of these medications, either intentional or accidental, can be detrimental if not quickly recognized and treated. One of the most common classes of hypoglycemic oral antidiabetics, sulfonylureas, was discussed in this case. Methods We designed this high-fidelity simulation to help increase the learner's knowledge of sulfonylurea overdoses, including recognizing signs/symptoms, management, and disposition. This simulation was designed to be used with fourth-year medical students, emergency medicine residents, and pediatric residents. The case involves a previously healthy 3-year-old male presenting with altered mental status and seizures secondary to glyburide ingestion. A standard pediatric simulation mannequin was required. The patient presented with altered mental status and began seizing upon arrival. After a thorough history, glyburide ingestion was identified. Critical actions included obtaining a fingerstick glucose measurement, determining an appropriate concentration of dextrose, starting a dextrose drip, and admission for further management. Results This simulation case was performed at the simulation lab at SUNY Upstate Medical University by a combination of 83 fourth-year medical students, and emergency medicine and pediatric residents. Feedback and evaluations for the case showed it improved medical education and clinical skills. Discussion This simulation was well received and helped participants develop a better understanding of sulfonylurea overdose identification. It also improved participants' ability to manage refractory hypoglycemia and compile a more comprehensive list of differential diagnoses.
format	article
author	Vincent Calleo Jacob Anderson Patrick Curtin William Paolo
author_facet	Vincent Calleo Jacob Anderson Patrick Curtin William Paolo
author_sort	Vincent Calleo
title	High-Fidelity Simulation Scenario: Pediatric Sulfonylurea Overdose and Treatment
title_short	High-Fidelity Simulation Scenario: Pediatric Sulfonylurea Overdose and Treatment
title_full	High-Fidelity Simulation Scenario: Pediatric Sulfonylurea Overdose and Treatment
title_fullStr	High-Fidelity Simulation Scenario: Pediatric Sulfonylurea Overdose and Treatment
title_full_unstemmed	High-Fidelity Simulation Scenario: Pediatric Sulfonylurea Overdose and Treatment
title_sort	high-fidelity simulation scenario: pediatric sulfonylurea overdose and treatment
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/89da12f22a064995bdefeed2a7065f7a
work_keys_str_mv	AT vincentcalleo highfidelitysimulationscenariopediatricsulfonylureaoverdoseandtreatment AT jacobanderson highfidelitysimulationscenariopediatricsulfonylureaoverdoseandtreatment AT patrickcurtin highfidelitysimulationscenariopediatricsulfonylureaoverdoseandtreatment AT williampaolo highfidelitysimulationscenariopediatricsulfonylureaoverdoseandtreatment
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High-Fidelity Simulation Scenario: Pediatric Sulfonylurea Overdose and Treatment

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