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Hypovolemia
I. Pediatric trauma
IV. Environment
a. Lab set up – A PediaSim will be placed on an ED stretcher.
The scenario takes place in a tertiary care trauma pediatric-
capable emergency department
b. Manikin Set up – The PediaSim will be lying on a stretcher
with C-Collar in place and fully clothed.
c. Props - A stethoscope will be needed. A cardiac monitor
with leads, blood pressure cuff, pulse oximeter,
supplemental oxygen by nasal cannula, supplies for starting
an IV and/or intraosseous line, and simulated emergency
release blood, will be needed. In addition, medications for
resuscitation, the treatment of pain, and for rapid sequence
intubation should be readily available along with a full
spectrum of emergency airway equipment.
d. Audiovisual: A plain film X-ray of a pelvic fracture and a
CT scan showing a splenic laceration will be needed. Also a
normal chest x-ray, normal c-spine, CBC with an H/H that
shows a slightly low hemoglobin with normal WBC and
platelets, normal coags , normal LFTs, normal BMP,
normal UA.
e. Distracters – Any distracters can be used including family
members.
V. Actors
a. Roles
a) One physician leader
b) One nurse to administer medications
c) One medical technician to assist
d) Other participants can help as directed by the leader
e) One instructor to control the scenario
b. Who can play them – The leader should be played by a
resident. The instructor should be familiar with the
PediaSim. Other roles can be played by residents, students,
or other people as appropriate,
c. Action Role
a) Physician leader – The leader must coordinate and
direct the team, obtain a focused history, perform a
pertinent physical exam, order and interpret labs and
radiological studies, order treatments and
perform/direct advanced procedures.
X. References:
A. What went well and what would you do differently if you were going to repeat
the exercise? (Direct question to team leader first and then to team members)
B. What was your thought process for the key actions taken or not taken? (Direct
question modified to address specific actions to the team leader)
C. Discuss simulation events related to the specific learning objectives (Use a
group discussion format led by the instructor):