Anaphylaxis - Adult

Scenario:
Anaphylaxis - Adult
Contributed by Karen Schafer on June 28, 2016, last updated on June 30, 2016.
Language:
English
Author(s):
  • First Name: 
    Michelle
    Last Name: 
    Connell
    Credentials/degrees: 
    RN,BSN
    Organization: 
    Vancouver Coastal Health - Lion's Gate Hospital Emergency Dept

Goals & Objectives

Brief Summary of Case:

Mike is a 35 year old male. He was on a first date at Nami sushi on Lonsdale. His date offered him gomae, he took one bite and felt lip tingling immediately, he told his date about his severe peanut allergy and they came to the ED. No Epi Pen.

           Triage nurse to present case to Emerg Nurse. Additional info: Pt is now drooling with a hoarse voice and notable lip swelling. 

           Pt’s status deteriorates (over approximately 5 minutes)

           Pt continues to decline, unable to verbalise, airway occluded, resp distress 

           Pt improves with cricothyrotomy

Learning Objectives:
 

 

Learning Objectives:

By the end of the debriefing the participants should be able to:

 

Knowledge & Skills:

  • Identify anaphylaxis shock
  • Manage difficult airway
  • Treat anaphylaxis (including giving epi IM and epi infusion)
  • Demonstrate placement of cricothyrotomy

 

Attitudes and Judgement:

 

  • Demonstrate role clarity, delegation of roles and responsibilities at the initiation of the scenario
  • Demonstrate effective communication during the scenario: constructing clear messages, closed loop

communication, sharing mental model

  • Demonstrate effective resource utilization
  • Exhibit situational awareness / global awareness: recognizing limitations, avoiding fixation error

 

 

 

 

Details

Setting:
Emergency room
Simulation modality:
Manikin (high sophistication)
Equipment:
High sophistication adult manikin
Evaluation/validation:

Used twice in emergency departement.  Adapted based on feedback.

Peer Review Status:
None

Sharing

CITATION

Connell 
M
 Anaphylaxis - Adult. Simulation resource published by SIM-one Ontario Simulation Network; 2016. Available from http://www.sim-one.ca/scenario/anaphylaxis-adult.
License: Download and use of this resource is subject to these terms.
Authors interested in research collaboration?
No
What type of resource do you want to submit?: 
Scenario
How would you like to submit your resource?: 
I will upload files
Your Title: 
Education Lead, Simulation Strategy, Vancouver Coastal Health
Language: 
English
Author(s): 
First Name: 
Michelle
Last Name: 
Connell
Credentials/degrees: 
RN,BSN
Organization: 
Vancouver Coastal Health - Lion's Gate Hospital Emergency Dept
Authored Date: 
Wednesday, May 11, 2016
Interprofessional: 
Yes
Target learners: Profession(s): 
  • Medicine
  • Nursing
  • Respiratory Therapy
  • Social Work
Target learners: Level(s): 
Graduate / postgraduate / residency
Continuing professional development
Healthcare field(s): 
Emergency / trauma
Brief Summary: 

Mike is a 35 year old male. He was on a first date at Nami sushi on Lonsdale. His date offered him gomae, he took one bite and felt lip tingling immediately, he told his date about his severe peanut allergy and they came to the ED. No Epi Pen.

           Triage nurse to present case to Emerg Nurse. Additional info: Pt is now drooling with a hoarse voice and notable lip swelling. 

           Pt’s status deteriorates (over approximately 5 minutes)

           Pt continues to decline, unable to verbalise, airway occluded, resp distress 

           Pt improves with cricothyrotomy

Simulation modality(ies): 
  • Manikin (high sophistication)
Minimum: 
3
Maximum: 
6
Equipment: 
High sophistication adult manikin
Pilot Testing / Revisions: 

Used twice in emergency departement.  Adapted based on feedback.

Development time: 
10
Research Collaboration: 
No
Documents: 
Peer Review: 
No
Setting: 
Emergency room
Learning Objectives: 
 

 

Learning Objectives:

By the end of the debriefing the participants should be able to:

 

Knowledge & Skills:

  • Identify anaphylaxis shock
  • Manage difficult airway
  • Treat anaphylaxis (including giving epi IM and epi infusion)
  • Demonstrate placement of cricothyrotomy

 

Attitudes and Judgement:

 

  • Demonstrate role clarity, delegation of roles and responsibilities at the initiation of the scenario
  • Demonstrate effective communication during the scenario: constructing clear messages, closed loop

communication, sharing mental model

  • Demonstrate effective resource utilization
  • Exhibit situational awareness / global awareness: recognizing limitations, avoiding fixation error