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Scenario:

Pediatric intraoperative bronchospasm

Contributed by: Tobias Everett, MBChB EDRA FRCA, The Hospital for Sick Children, Toronto
Posted on: April 22, 2015
Last Updated on: June 26, 2015
Language: English

Peer Reviewed

April 22, 2015

Brief Summary:
3 year-old under general anesthesia for repair of forearm fracture. Has risk factors for reactive airways. Develops progressively worsening bronchospasm which is reversible if recognized and managed, otherwise becomes severe.
Healthcare Field(s): Anesthesia / peri-anesthesia care
Simulation Modality(ies): Manikin (high sophistication)
Interprofessional: No
Intended for: No
Profession(s): Medicine
Number of Learners: 1 - 3
Target Learners: Level(s): Graduate / postgraduate / residency, Continuing professional development
Scenario:

Multiple scenarios from THESIMTECH

Contributed by: Timothy Willett, MD, MMEd, Simulation Canada
Posted on: April 21, 2015
Last Updated on: June 26, 2015
Language: English

Peer Reviewed

April 21, 2015

Brief Summary:
TheSimTech blog offers a number of free simulation scenarios, mostly targeted towards acute care medicine. Some are interprofessional. Topics include: Dyspnea, hypertension, trauma, burn, fire, MVA, shock, adrenal crisis, tachycardia, pelvic fracture, ectopic pregnancy, toxic shock syndrome, sepsis, angioedema, difficult airway, anaphylaxis, atrial fibrillation, congestive heart failure (CHF), diabetic ketoacidosis (DKA), electrical storm, febrile neutropenia, hypertensive emergency, STEMI, pulmonary embolism (PE), pulseless electrical activity (PEA), hypoxia, pneumonia, GI bleed, cardiac arrest, status epilepticus, bronchiolitis, toxicology, asthma.
Healthcare Field(s): Anesthesia / peri-anesthesia care, Critical care, Emergency / trauma, Medical, Reproductive & gynecology, Pediatrics / child & family
Simulation Modality(ies): Manikin (high sophistication), Manikin (mid/low sophistication)
Interprofessional: Yes
Intended for: Yes
Profession(s): Medicine, Nursing, Physician Assistant, Respiratory Therapy
Number of Learners: 1 - 4
Target Learners: Level(s): Graduate / postgraduate / residency, Continuing professional development
Scenario:

Community Acquired Pneumonia (CAP) requiring oxygen therapy and suctioning

Contributed by: Sharon Switzer-McIntyre, University of Toronto, Department of Physical Therapy
Posted on: April 08, 2015
Last Updated on: June 26, 2015
Language: English

Peer Reviewed

April 01, 2015

Brief Summary:
Mrs. Parmar is a 88 y.o female who presented to hospital 4/7 ago with a persistent cough and general malaise x 1/52. She was admitted to the General Internal Medicine ward with the dx of CAP. Her O2 sats have begun to decline, so the physiotherapy and nursing students must recognize the issue, perform a respiratory assessment, increase oxygen therapy and effectively provide suction.
Healthcare Field(s): Critical care, Emergency / trauma, Medical
Simulation Modality(ies): Manikin (high sophistication)
Interprofessional: Yes
Intended for: Yes
Profession(s): Nursing, Physiotherapy, Respiratory Therapy
Number of Learners: 2 - 3
Target Learners: Level(s): Undergraduate / post-secondary, Graduate / postgraduate / residency
Scenario:

COPD exacerbation assessment and intervention

Contributed by: Julie Rivers, RN, B.Sc.N, MA Ed, Loyalist College
Posted on: March 31, 2015
Last Updated on: March 31, 2018
Language: English

Peer Reviewed

March 31, 2015

Brief Summary:
This scenario is intended for learners to assess and intervene for a patient experiencing an exacerbation of COPD. This scenario is based on evidence practice guidelines from the Ontario Ministry of Health and RNAO.
Healthcare Field(s): Medical
Simulation Modality(ies): Manikin (high sophistication), Video-based simulation
Interprofessional: No
Intended for: No
Profession(s): Nursing, Practical Nursing
Number of Learners: 1 - 4
Target Learners: Level(s): Undergraduate / post-secondary
Scenario:

Acute stroke assessment

Contributed by: Julie Rivers, RN, B.Sc.N, MA Ed, Loyalist College
Posted on: March 31, 2015
Last Updated on: March 31, 2018
Language: English

Peer Reviewed

March 31, 2015

Brief Summary:
This scenario is intended for students learning assessment of acute stroke and is based on recommendations of the Canadian Stroke Strategy (2014), RNAO Stroke Assessment (2011)  and Ontarion Ministry of Helath Quality-Based procedures. This scenario focuses on the use of the Canadian Neurological Scale tool.
Healthcare Field(s): Medical
Simulation Modality(ies): Manikin (high sophistication), Standardized/simulated patients or real patients
Interprofessional: No
Intended for: No
Profession(s): Nursing
Number of Learners: 1 - 4
Target Learners: Level(s): Undergraduate / post-secondary
Scenario:

Disclosure of Adverse Events - An OSCE Series for Ob/Gyn Residents

Contributed by: Amy Nakajima, MD, FRCSC, Simulation Canada
Posted on: March 30, 2015
Last Updated on: June 26, 2015
Language: English

Peer Reviewed

March 30, 2015

Brief Summary:
This item outlines an approach to incorporate an disclosure meeting after an adverse event/patient safety incident occurs in an obstetrical context using an OSCE format. Assessment of communication skills and professionalism is discussed.
Healthcare Field(s): Obstetrics & maternal-child
Simulation Modality(ies): Standardized/simulated patients or real patients
Interprofessional: No
Intended for: No
Profession(s): Medicine
Number of Learners: 1 - 1
Target Learners: Level(s): Graduate / postgraduate / residency
Scenario:

An Introduction to the Management of Labour and Delivery - A Simulation-Based Obstetrics Workshop for Medical Students

Contributed by: Amy Nakajima, MD, FRCSC, Simulation Canada
Posted on: March 30, 2015
Last Updated on: June 26, 2015
Language: English

Peer Reviewed

March 27, 2015

Brief Summary:
This resource was created to deliver a 2.5 hour small group interactive workshop geared for medical students on their obstetrical rotation. It enables students to understand the care activities in the obstetrics unit and how students may most effectively learn and provide care to patients in this clinical setting.
Healthcare Field(s): Obstetrics & maternal-child
Simulation Modality(ies): Manikin (high sophistication), Procedural simulations, Standardized/simulated patients or real patients
Interprofessional: No
Intended for: No
Profession(s): Medicine
Number of Learners: 1 - 12
Target Learners: Level(s): Undergraduate / post-secondary
Scenario:

Prehospital cardiac arrest with return of circulation

Contributed by: Rene Lapierre, Advance Care Paramedic, Full time Faculty at College Boreal
Posted on: March 30, 2015
Last Updated on: June 26, 2015
Language: French

Peer Reviewed

March 27, 2015

Brief Summary:
Pre-hospital incident of a male patient having chest pain, with shortness of breath, collapsed into a sudden cardiac arrest. Pre-hospital ACLS protocals followed causes a return of spontanious circulation. For arrest care provided and transport to ER.
Healthcare Field(s): Emergency / trauma, Pre-hospital / paramedic
Simulation Modality(ies): Manikin (high sophistication), Manikin (mid/low sophistication), Moulage, Standardized/simulated patients or real patients
Interprofessional: No
Intended for: No
Profession(s): Firefighting, Paramedicine
Number of Learners: 2 - 4
Target Learners: Level(s): Undergraduate / post-secondary, Continuing professional development
Scenario:

Pediatric supraventricular tachycardia (SVT)

Contributed by: Elaine Ng
Posted on: April 01, 2015
Last Updated on: June 26, 2015
Language: English

Peer Reviewed

March 25, 2015

Brief Summary:
An almost 10 year old complains of chest discomfort and is brought into the emergency room by his older sister. The patient refuses treatment because of previous bad experience with intravenous starts and adenosine. The patient remains conscious with a rapid heart rate for the first part of the scenario. As the scenario progresses, the patient then has a decreased level of consciousness with corresponding drop in blood pressure. Recognition of SVT and immediate management is required.
Healthcare Field(s): Emergency / trauma, Pediatrics / child & family
Simulation Modality(ies): Manikin (high sophistication)
Interprofessional: No
Intended for: No
Profession(s): Medicine, Nursing
Number of Learners: 1 - 2
Target Learners: Level(s): Graduate / postgraduate / residency, Continuing professional development
Assessment tool:

Global Rating Scale

Contributed by: Tony Mallette, ACP BA (in progress), Lambton College of Applied Arts and Technology
Posted on: March 30, 2015
Last Updated on: June 26, 2015
Language: English

Peer Reviewed

March 25, 2015

Brief Summary:
This is an evaluation form that can be used to measure students' simulation performance in many disciplines within healthcare. The Global Rating Scale has been designed to be best utilized with hands-on scenarios in the simulation teaching environment.
Healthcare Field(s): Critical care, Emergency / trauma, Pre-hospital / paramedic, Mass casualty & triage / chemical/biological/radiological/nuclear / emergency planning, Medical, Gerontology / geriatrics / aging, Obstetrics & maternal-child, Mental health & psychiatry, Neonatal, Palliative & end-of-life care, Pediatrics / child & family, Primary care / community care / family practice
Simulation Modality(ies): Hybrids or blended simulation, Manikin (high sophistication), Manikin (mid/low sophistication), Procedural simulations, Role-playing, Standardized/simulated patients or real patients
Interprofessional: No
Intended for: No
Profession(s): Nursing, Other, Paramedicine
Number of Learners: -
Target Learners: Level(s): Undergraduate / post-secondary, Graduate / postgraduate / residency, Continuing professional development

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