Respiratory failure in a patient with coronavirus

Scenario:
Respiratory failure in a patient with coronavirus
Contributed by Tim Willett on April 01, 2020, last updated on April 01, 2020.
Language:
English
Author(s):
  • First Name: 
    Alim
    Last Name: 
    Nagji
    Credentials/degrees: 
    MD CCFP-EM
    Organization: 
    Joseph Brant Hospital & McMaster University
  • First Name: 
    Rabia
    Last Name: 
    Bana
    Credentials/degrees: 
    MD MPH CCFP DTMH
    Organization: 
    McMaster University

Goals & Objectives

Brief Summary of Case:

A 47 year old male presents with acute respiratory failure via EMS. He rapidly decompensates upon arrival. His travel history is missed on initial screening by EMS due his severity so he is transferred to the trauma bay without appropriate precautions. Part-way through the case his travel history is revealed (if not already asked for) and the team must appropriately don /doff PPE and build a plan for safe intubation.

Learning Objectives:
  • Recognize relevance of travel history during an outbreak
  • Use appropriate PPE and have a minimum number of staff exposed
  • Intubate the patient using appropriate guidelines for a suspected PUI with coronavirus
  • Call public health to discuss appropriateness for novel coronavirus testing
  • Initiate isolation procedures including negative pressure room
  • Communicate an appropriate resuscitative plan in a high exposure patient using closed loop communication and effective delegation by team leader

Details

Setting:
Emergency room
Setting details:
In-situ
Simulation modality:
Manikin (high sophistication), Manikin (mid/low sophistication)
Equipment:
Mid/high-fidelity manikin
Keywords:
Intubation, Personal Protective Equipment, Precautions, Coronavirus, PPE, COVID-19
Evaluation/validation:

Run several times

Peer Review Status:
None

Sharing

CITATION

Nagji 
A
 Respiratory failure in a patient with coronavirus. Simulation resource published by SIM-one Ontario Simulation Network; 2020. Available from http://www.sim-one.ca/scenario/respiratory-failure-patient-coronavirus.
Bana 
R
 Respiratory failure in a patient with coronavirus. Simulation resource published by SIM-one Ontario Simulation Network; 2020. Available from http://www.sim-one.ca/scenario/respiratory-failure-patient-coronavirus.
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: 
Assistant Clinical Professor, McMaster University
Language: 
English
Author(s): 
First Name: 
Alim
Last Name: 
Nagji
Credentials/degrees: 
MD CCFP-EM
Organization: 
Joseph Brant Hospital & McMaster University
First Name: 
Rabia
Last Name: 
Bana
Credentials/degrees: 
MD MPH CCFP DTMH
Organization: 
McMaster University
Authored Date: 
Wednesday, April 1, 2020
Interprofessional: 
Yes
Target learners: Profession(s): 
  • Medicine
  • Nursing
  • Practical Nursing
Target learners: Level(s): 
Continuing professional development
Healthcare field(s): 
Emergency / trauma
Brief Summary: 

A 47 year old male presents with acute respiratory failure via EMS. He rapidly decompensates upon arrival. His travel history is missed on initial screening by EMS due his severity so he is transferred to the trauma bay without appropriate precautions. Part-way through the case his travel history is revealed (if not already asked for) and the team must appropriately don /doff PPE and build a plan for safe intubation.

Setting - details: 
In-situ
Simulation modality(ies): 
  • Manikin (high sophistication)
  • Manikin (mid/low sophistication)
Minimum: 
1
Maximum: 
8
Equipment: 
Mid/high-fidelity manikin
Pilot Testing / Revisions: 

Run several times

Research Collaboration: 
No
Documents: 
Peer Review: 
No
Setting: 
Emergency room
Keywords: 
Intubation, Personal Protective Equipment, Precautions, Coronavirus, PPE, COVID-19
Learning Objectives: 
  • Recognize relevance of travel history during an outbreak
  • Use appropriate PPE and have a minimum number of staff exposed
  • Intubate the patient using appropriate guidelines for a suspected PUI with coronavirus
  • Call public health to discuss appropriateness for novel coronavirus testing
  • Initiate isolation procedures including negative pressure room
  • Communicate an appropriate resuscitative plan in a high exposure patient using closed loop communication and effective delegation by team leader