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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,

Adolescent Respiratory Distress

Children's National

Patient is a 12-year-old male with a history of severe asthma who was brought in for difficulty breathing. He has had fevers, cough, and congestion since yesterday evening. He was initially brought to the ED where he received initial treatment, was placed on BiPAP and was transferred to the PICU....

Critical Care Pediatric

Patient is a 12-year-old male with a history of severe asthma who was brought in for difficulty breathing. He has had fevers, cough, and congestion...

Case Information:
Bundles:
Learner Population: Physician/Advanced Practice Provider
Specialty: Critical Care, Pediatric
Author: Children's National
Language: English
Room size: 12x12
Setting: PICU
Patient ect:
Patient Gender: Male
Tags: Adolescent Respiratory Distress, asthma management, Bronchodilator escalation, Critical Care, Intubation practice, mechanical ventilation, Pediatric ICU, pediatric intubation, PICU Training, respiratory failure, Status Asthmaticus,

Artificial Airway

University of Pennsylvania School of Nursing

Ruma suffered a hemorrhagic stroke twenty-one days ago. She required prolonged mechanical ventilation necessitating a tracheostomy. The patient’s condition has been steadily improving. She has been weaned off of mechanical ventilation and is breathing on her own, receiving oxygen via a humidified trach collar. Ruma is alert and oriented. A...

Fundamentals Medical/Surgical

Ruma suffered a hemorrhagic stroke twenty-one days ago. She required prolonged mechanical ventilation necessitating a tracheostomy. The patient’s condition has been steadily improving. She has...

Case Information:
Bundles:
Learner Population: Nursing
Specialty: Fundamentals, Medical/Surgical
Author: University of Pennsylvania School of Nursing
Language: English
Room size: 12x12
Setting: MedSurg
Patient ect:
Patient Gender: Female
Tags: Airway Management, anemia, Artificial airway, clinical evaluation, cough, fever, hemorrhagic stroke, mechanical ventilation, oxygen therapy, patient monitoring, respiratory assessment, stroke, tracheostomy, tracheostomy care, vital signs assessment,

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,