ARDS / Pneumothorax

Scenario:
ARDS / Pneumothorax
Contributed by Karen Schafer on July 04, 2016, last updated on July 04, 2016.
Language:
English
Author(s):
  • First Name: 
    Heather
    Last Name: 
    Epp
    Credentials/degrees: 
    RN,BSN
    Organization: 
    Vancouver Coastal Health - Lion's Gate Hospital ICU

Goals & Objectives

Brief Summary of Case:

Pt has 1 week history of cough/fever, seen in ED yesterday and intubated this morning for worsening SOB and hypoxia. Remains difficult to oxygenate. Hypotensive and on pressure support. Pt taken to CT scan then directly to ICU. More difficult to bag en-route to ICU.

Pt O2 sat decreasing to 82%- 75%. Pt develops decreased breath sounds to left lung – no air entry.

Pt develops tension pneumothorax. Trach deviation to right.

Pt deteriorates to PEA arrest.

Learning Objectives:

Knowledge & Skills:

  • Rapidly recognize deterioration in patient status
  • Assist physician with insertion of chest tube – equipment, dressing, pleurevac set-up
  • Recognize PEA and follow PEA ACLS algorithm

 

Attitudes and Judgement:

  • Demonstrate role clarity, delegation of roles and responsibilities early in scenario
  • Demonstrate effective communication during the scenario: constructing clear messages, closed loop communication, sharing mental model
  • Exhibit elements of good teamwork
  • Demonstrate effective resource utilization
  • Exhibit situational awareness/ global awareness – recognizing limitations, avoiding fixation error

 

 

 

Details

Setting:
Critical care unit
Simulation modality:
Manikin (high sophistication)
Equipment:
Adult manikin - high sophistication
Evaluation/validation:

Tested once/used once and feedback from staff examined.  No significant changes made to scenario.

Peer Review Status:
None

Sharing

CITATION

Epp 
H
 ARDS / Pneumothorax. Simulation resource published by SIM-one Ontario Simulation Network; 2016. Available from http://www.sim-one.ca/scenario/ards-pneumothorax.
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: 
Heather
Last Name: 
Epp
Credentials/degrees: 
RN,BSN
Organization: 
Vancouver Coastal Health - Lion's Gate Hospital ICU
Authored Date: 
Thursday, June 2, 2016
Interprofessional: 
Yes
Target learners: Profession(s): 
  • Medicine
  • Nursing
  • Respiratory Therapy
Target learners: Level(s): 
Graduate / postgraduate / residency
Continuing professional development
Healthcare field(s): 
Critical care
Brief Summary: 

Pt has 1 week history of cough/fever, seen in ED yesterday and intubated this morning for worsening SOB and hypoxia. Remains difficult to oxygenate. Hypotensive and on pressure support. Pt taken to CT scan then directly to ICU. More difficult to bag en-route to ICU.

Pt O2 sat decreasing to 82%- 75%. Pt develops decreased breath sounds to left lung – no air entry.

Pt develops tension pneumothorax. Trach deviation to right.

Pt deteriorates to PEA arrest.

Simulation modality(ies): 
  • Manikin (high sophistication)
Minimum: 
3
Maximum: 
8
Equipment: 
Adult manikin - high sophistication
Pilot Testing / Revisions: 

Tested once/used once and feedback from staff examined.  No significant changes made to scenario.

Development time: 
10
Research Collaboration: 
No
Peer Review: 
No
Setting: 
Critical care unit
Learning Objectives: 

Knowledge & Skills:

  • Rapidly recognize deterioration in patient status
  • Assist physician with insertion of chest tube – equipment, dressing, pleurevac set-up
  • Recognize PEA and follow PEA ACLS algorithm

 

Attitudes and Judgement:

  • Demonstrate role clarity, delegation of roles and responsibilities early in scenario
  • Demonstrate effective communication during the scenario: constructing clear messages, closed loop communication, sharing mental model
  • Exhibit elements of good teamwork
  • Demonstrate effective resource utilization
  • Exhibit situational awareness/ global awareness – recognizing limitations, avoiding fixation error