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Nursing Workforce Readiness: Refractory Hypoxemia in the ICU

SimX

A 52-year-old male, Michael Johnson, with a history of hypertension and type 2 diabetes, is intubated and mechanically ventilated in the ICU for progressive shortness of breath following severe pneumonia. The patient is sedated and on assist-control ventilation, but despite initial settings, the patient’s condition worsens, with the patient hypotensive...

Medical/Surgical

A 52-year-old male, Michael Johnson, with a history of hypertension and type 2 diabetes, is intubated and mechanically ventilated in the ICU for progressive shortness...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Medical/Surgical
Author: SimX
Language: English
Room size: 16x16
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: Acute Respiratory Distress Syndrome, ards, hypoxemia, icu, mechanical ventilation, Nursing, patient assessment, PEEP, pneumonia, prioritization, Prone Positioning, respiratory distress, Respiratory Therapy, team communication, Vasopressors,

Tracheostomy Complications—Occluded Inner Cannula (Fresh Tracheostomy)

NYU Grossman School of Medicine

The patient us a 65 year-old man who has been in the MICU for 14 days with acute respiratory distress syndrome (ARDS). He had a percutaneous tracheostomy performed 2 days ago and he continues to require mechanical ventilatory support. You are called to the bedside by the ICU nurse because...

Critical Care Internal Medicine Surgery

The patient us a 65 year-old man who has been in the MICU for 14 days with acute respiratory distress syndrome (ARDS). He had a...

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Critical Care, Internal Medicine, Surgery
Author: NYU Grossman School of Medicine
Language: English
Room size: 17x17
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: ards, hypoventilation, hypoxia, inner cannula, occlusion, percutaneous, tension pneumothorax, Trach, tracheostomy,

Tracheostomy Complications—Displacement (Fresh Tracheostomy)

NYU Grossman School of Medicine

The patient is a 65 year-old man who has been in the MICU for 14 days with acute respiratory distress syndrome (ARDS). He had a percutaneous tracheostomy performed two days ago and he continues to require mechanical ventilatory support. You are called to the bedside by the ICU nurse because...

Anesthesiology Critical Care Emergency Medicine Internal Medicine

The patient is a 65 year-old man who has been in the MICU for 14 days with acute respiratory distress syndrome (ARDS). He had a...

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Critical Care, Emergency Medicine, Internal Medicine, Anesthesiology
Author: NYU Grossman School of Medicine
Language: English
Room size: 17x17
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: ards, chest tube, hypoxemia, intubation, needle decompression, tension pneumothorax, Trach, tracheostomy,

Tracheostomy Complications—Cuff Leak

NYU Grossman School of Medicine

In this scenario, the learner is called to the bedside of a 65-year-old man by a MICU nurse due to hypoxia and low pressure alarm on the ventilator. The patient has a prolonged recovery from ARDS and requires a continual mechanical ventilatory support. He also underwent percutaneous tracheostomy insertion 10...

Critical Care Internal Medicine Paramedic

In this scenario, the learner is called to the bedside of a 65-year-old man by a MICU nurse due to hypoxia and low pressure alarm...

Case Information:
Bundles:
Learner Population: EMS/Prehospital, Physician/Advanced Practice Provider
Specialty: Critical Care, Internal Medicine, Paramedic
Author: NYU Grossman School of Medicine
Language: English
Room size: 16x18
Setting: Hospital
Patient ect:
Patient Gender: Male
Tags: ards, cuff leak, icu, mechanical ventilation, tracheostomy, tracheostomy complications, tracheostomy exchange, ventilator alarm, ventilator alarms, ventilator care,