Читать книгу Emergency Medicine Simulation Workbook - Группа авторов - Страница 16

Environment: Emergency department

Mannequin: Newborn simulator mannequin, wearing a diaper with a onesie over top. Diaper is smeared with activated charcoal to simulate black stool. The simulator may have a weak cry, if this option is available.

Props: To be displayed on a computer/TV screen in the room, or printed out and handed to learners throughout the simulation. Should only be offered to learners if ordered/requested:

 Images (see online component for NEC, Scenario 1.1 at https://www.wiley.com/go/thoureen/simulation/workbook2e):Abdominal x‐ray showing distended bowel with early intraluminal gas (Figure 1.1).Abdominal ultrasound showing pneumatosis (Figure 1.2).Radiology interpretation of abdominal x‐ray concerning for NEC (Figure 1.3).Radiology interpretation of abdominal ultrasound showing pneumatosis (Figure 1.4).

Imaging that is not provided but is requested by learners can be reported as normal.

 Laboratory tests (see online component as above):Heelstick glucose (Table 1.1).Complete blood count (Table 1.2).Basic metabolic panel (Table 1.3).Liver function panel (Table 1.4).Lipase (Table 1.5).Coagulation panel (Table 1.6).Lactic acid (Table 1.7).C‐reactive protein (Table 1.8).Troponin (Table 1.9).Urinalysis (Table 1.10).Urine microscopy (Table 1.11).

Available supplies:

 Pediatric code cart and basic airway supplies, including supplies for intubation.

 Pediatric length‐based tape.

 Medications:IV fluid bags: 0.9% saline, lactated Ringer's solution (LR ), PlasmaLyte®.

 Pre‐labeled bags:Vasopressors (e.g. norepinephrine, dopamine, vasopressin).

 Pre‐labeled syringes:Dextrose (10 and 25%) in water.Morphine.Antiemetic.Antibiotics (broad spectrum).Intubation medications (sedatives and paralytics of choice at your facility).

 IO device (optional).

Distractor(s): None.