Pediatric Fever with Sickle Cell Disease
Children's NationalPatient is a 3-year-old African American male brought in by EMS with a chief complaint of poor feeding and sleepiness. Mother reports that her child has had a low-grade fever for 2 days, vomiting, diarrhea and today refused to eat and has been sleeping all day. Patient has a history...
Patient is a 3-year-old African American male brought in by EMS with a chief complaint of poor feeding and sleepiness. Mother reports that her child...
EMS Pediatric Hypovolemic Shock
VALOR ProgramLearner will arrive on-scene to find a 6-year-old female, listless and lying in bed. Learner will perform an initial assessment and identify that the patient is suffering from a respiratory illness with fever and vomiting. She recently passed out when trying to stand up. Current vitals are HR 150, BP...
EMS Pediatric Hypovolemic Shock
Learner will arrive on-scene to find a 6-year-old female, listless and lying in bed. Learner will perform an initial assessment and identify that the patient...
EMS Pediatric Overdose
VALOR ProgramLearner will arrive on-scene to find a 4-year-old male patient with decreased responsiveness, pinpoint pupils, and shallow respirations. Learner will perform an initial assessment and identify that the patient ingested some hydrocodone-acetaminophen tablets that belonged to the parent, with an open bottle on the bathroom counter. Learner will recognize signs...
EMS Pediatric Overdose
Learner will arrive on-scene to find a 4-year-old male patient with decreased responsiveness, pinpoint pupils, and shallow respirations. Learner will perform an initial assessment and...
Coarctation of the Aorta
Children's National2-week-old baby girl otherwise healthy, born at 38 weeks presenting with respiratory distress. Her parents have noted that she has been breathing faster and feeding less. She has an older brother (3-year-old who is in daycare). Symptoms have been getting worse over the last couple days. She was seen at...
2-week-old baby girl otherwise healthy, born at 38 weeks presenting with respiratory distress. Her parents have noted that she has been breathing faster and feeding...
BTT Shunt Occlusion in Interstage Patient with HLHS
Children's NationalThe patient is a 5-week-old baby girl with a prenatal diagnosis of hypoplastic left heart syndrome, status post-Norwood with a 3.5mm BTT shunt at DOL5. Her intraoperative and postoperative course was relatively unremarkable, and she had been in the hospital for two weeks post-op, working on feeding issues. She has...
The patient is a 5-week-old baby girl with a prenatal diagnosis of hypoplastic left heart syndrome, status post-Norwood with a 3.5mm BTT shunt at DOL5....
Pediatric Asthma Requiring Airway in a Rural ED
Air MethodsA 5-year-old male with a history of asthma presents to a small community hospital ED with three days of worsening shortness of breath that requires transfer to a pediatric capable facility. Learners must recognize severe asthma and initiate usual asthma treatment, but the child does not respond to these basic...
A 5-year-old male with a history of asthma presents to a small community hospital ED with three days of worsening shortness of breath that requires...
Tetralogy of Fallot with Hypercyanotic Spell
Children's NationalThe patient is a 2 week-old baby boy with prenatal diagnosis of Tetralogy of Fallot. An IV was placed when the patient was in the triage area and the saturations since the arrival to the ED have been in the 60s. This scenario begins with a notably cyanotic infant with...
The patient is a 2 week-old baby boy with prenatal diagnosis of Tetralogy of Fallot. An IV was placed when the patient was in the...
Pediatric Dysrhythmia (Resuscitation)
SimXIn this scenario, a 9-year-old Hispanic male without any prior known medical history is brought in by EMS after collapsing during physical education class. The patient was transported to the emergency department by the emergency medical providers. During the assessment, the patient goes into ventricular tachycardia and the learner must...
In this scenario, a 9-year-old Hispanic male without any prior known medical history is brought in by EMS after collapsing during physical education class. The...
Community Newborn Checkup
University of Nebraska Medical CenterA 16-year-old female who is 4 weeks postpartum is having difficulty breastfeeding. The learner–who is a public health nurse–is sent for a home visit to appropriately assess the new mother’s concerns. During this visit, the learner will discuss breastfeeding, identify any safety issues in the home environment, and examine the...
Community Newborn Checkup
A 16-year-old female who is 4 weeks postpartum is having difficulty breastfeeding. The learner–who is a public health nurse–is sent for a home visit to...
Infant with Bronchiolitis
Queensland Health ServiceA 4-month-old is admitted with RSV and bronchiolitis by their mother who is concerned her baby is deteriorating. The Learner(s) must assess the patient, recognize respiratory distress, and escalate oxygen. The patient will decompensate, which requires the learner(s) to call a code blue, support the patient’s airway, suction the airway,...
A 4-month-old is admitted with RSV and bronchiolitis by their mother who is concerned her baby is deteriorating. The Learner(s) must assess the patient, recognize...
Teenager with Chest Pain
Children's NationalIn this scenario, you are called to evaluate an adolescent in the Emergency Department for severe chest/epigastric pain, headache, and emesis. The patient is a 15-year-old previously healthy male who developed fever, nasal congestion, rhinorrhea, cough, and malaise 1 week ago. He was seen by his PMD and started on...
In this scenario, you are called to evaluate an adolescent in the Emergency Department for severe chest/epigastric pain, headache, and emesis. The patient is a...
Pediatric Post-op Hypoxia and Hypotension
Children's NationalIn this scenario the patient is a 4 d/o male with HLHS (mitral and aortic atresia) s/p Stage 1 (Norwood) procedure presenting in a low-output state with progressive hypotension and hypoxemia. Learners must assess the patient, evaluate the situation, recognize abnormal findings, and respond with appropriate interventions.
In this scenario the patient is a 4 d/o male with HLHS (mitral and aortic atresia) s/p Stage 1 (Norwood) procedure presenting in a low-output...
Desaturation and Bradycardia in Infant
Children's NationalIn this scenario the patient is a 2-month-old ex-full-term male with a history of a small secundum ASD and moderate conoventricular septal defect. He is POD#0 from stitch closure of ASD and patch repair of the VSD. The post-op TEE shows a small residual ASD, no residual VSD, and good...
In this scenario the patient is a 2-month-old ex-full-term male with a history of a small secundum ASD and moderate conoventricular septal defect. He is...
Pediatric Low Cardiac Output Syndrome
Children's NationalA 3 month-old infant s/p complete AV canal defect repair is recovering in the first postoperative night in the cardiac intensive care unit. He develops junctional ectopic tachycardia with a narrow pulse pressure and hypotension. Learners must recognize and diagnose the arrhythmia and provide therapies to improve the cardiac output...
A 3 month-old infant s/p complete AV canal defect repair is recovering in the first postoperative night in the cardiac intensive care unit. He develops...