Difficulty Breathing With a Rash: A Pediatric Simulation Case for Residents and Fellows

Introduction The purpose of the case is to teach health care professionals to recognize Henoch-Schönlein purpura (HSP), including rare and serious complications. The case includes a review of epidemiology, classification, clinical manifestations, and treatment of HSP. Methods Utilizing an adolescent...

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Autores principales:	Kelly Levasseur, Danielle Turner-Lawrence
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2017
Materias:	Respiratory Failure Rash Pediatric Henoch-Schönlein Purpura Purpura Schoenlein-Henoch Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/dfa31b36034741819ba92ba43c8d6dde
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spelling	oai:doaj.org-article:dfa31b36034741819ba92ba43c8d6dde2021-12-03T14:17:42ZDifficulty Breathing With a Rash: A Pediatric Simulation Case for Residents and Fellows10.15766/mep_2374-8265.105562374-8265https://doaj.org/article/dfa31b36034741819ba92ba43c8d6dde2017-03-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10556https://doaj.org/toc/2374-8265Introduction The purpose of the case is to teach health care professionals to recognize Henoch-Schönlein purpura (HSP), including rare and serious complications. The case includes a review of epidemiology, classification, clinical manifestations, and treatment of HSP. Methods Utilizing an adolescent simulation mannequin, we present the case of an 11-year-old female who presents to a pediatric emergency department with HSP and respiratory symptoms requiring intubation. This case reinforces the appearance of the characteristic rash and helps learners develop an algorithm for HSP management that includes the identification and management of abdominal pain associated with HSP, as well as the rare and serious complication of pulmonary vasculitis. We focus learners on managing severe respiratory distress in the HSP patient. Learners are assessed using standardized forms, and the learner outcome measurements include the recognition of HSP and successful management of abdominal pain and respiratory failure in this unique setting. Results This module has been used with pediatric residents, emergency medicine residents, pediatric emergency medicine fellows, and pediatric emergency medicine nurse practitioners. Approximately 30 learners have completed this module during seven separate sessions. All learners felt the case provided the opportunity to identify HSP as well as to manage a serious and rare complication of the disease. Discussion Overall, we have had positive feedback from the learners about this case, and it provides them the opportunity to see more rare complications during their training period. Learners leave the session with enhanced knowledge of HSP, as well as a review of respiratory failure and intubation.Kelly LevasseurDanielle Turner-LawrenceAssociation of American Medical CollegesarticleRespiratory FailureRashPediatricHenoch-Schönlein PurpuraPurpuraSchoenlein-HenochMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 13 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Respiratory Failure Rash Pediatric Henoch-Schönlein Purpura Purpura Schoenlein-Henoch Medicine (General) R5-920 Education L
spellingShingle	Respiratory Failure Rash Pediatric Henoch-Schönlein Purpura Purpura Schoenlein-Henoch Medicine (General) R5-920 Education L Kelly Levasseur Danielle Turner-Lawrence Difficulty Breathing With a Rash: A Pediatric Simulation Case for Residents and Fellows
description	Introduction The purpose of the case is to teach health care professionals to recognize Henoch-Schönlein purpura (HSP), including rare and serious complications. The case includes a review of epidemiology, classification, clinical manifestations, and treatment of HSP. Methods Utilizing an adolescent simulation mannequin, we present the case of an 11-year-old female who presents to a pediatric emergency department with HSP and respiratory symptoms requiring intubation. This case reinforces the appearance of the characteristic rash and helps learners develop an algorithm for HSP management that includes the identification and management of abdominal pain associated with HSP, as well as the rare and serious complication of pulmonary vasculitis. We focus learners on managing severe respiratory distress in the HSP patient. Learners are assessed using standardized forms, and the learner outcome measurements include the recognition of HSP and successful management of abdominal pain and respiratory failure in this unique setting. Results This module has been used with pediatric residents, emergency medicine residents, pediatric emergency medicine fellows, and pediatric emergency medicine nurse practitioners. Approximately 30 learners have completed this module during seven separate sessions. All learners felt the case provided the opportunity to identify HSP as well as to manage a serious and rare complication of the disease. Discussion Overall, we have had positive feedback from the learners about this case, and it provides them the opportunity to see more rare complications during their training period. Learners leave the session with enhanced knowledge of HSP, as well as a review of respiratory failure and intubation.
format	article
author	Kelly Levasseur Danielle Turner-Lawrence
author_facet	Kelly Levasseur Danielle Turner-Lawrence
author_sort	Kelly Levasseur
title	Difficulty Breathing With a Rash: A Pediatric Simulation Case for Residents and Fellows
title_short	Difficulty Breathing With a Rash: A Pediatric Simulation Case for Residents and Fellows
title_full	Difficulty Breathing With a Rash: A Pediatric Simulation Case for Residents and Fellows
title_fullStr	Difficulty Breathing With a Rash: A Pediatric Simulation Case for Residents and Fellows
title_full_unstemmed	Difficulty Breathing With a Rash: A Pediatric Simulation Case for Residents and Fellows
title_sort	difficulty breathing with a rash: a pediatric simulation case for residents and fellows
publisher	Association of American Medical Colleges
publishDate	2017
url	https://doaj.org/article/dfa31b36034741819ba92ba43c8d6dde
work_keys_str_mv	AT kellylevasseur difficultybreathingwitharashapediatricsimulationcaseforresidentsandfellows AT danielleturnerlawrence difficultybreathingwitharashapediatricsimulationcaseforresidentsandfellows
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Difficulty Breathing With a Rash: A Pediatric Simulation Case for Residents and Fellows

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