Coronavirus-19 Multisystem Inflammatory Syndrome in Children (MIS-C): A Pediatric Simulation Case for Residents, Fellows, and Advanced Practice Providers

Dhritiman Gurkha, Katie Cashen, Paul Patek, Karima Lelak, Kelly Levasseur

Research output: Contribution to journalArticlepeer-review


Introduction: A rare but serious condition often requiring intensive care, multisystem inflammatory syndrome in children (MIS-C) is characterized by hyperinflammatory shock related to the SARS-CoV-2 pandemic. This resource teaches residents, pediatric emergency medicine fellows, and advanced practice providers who care for children to recognize and manage MIS-C and associated sequelae while applying the basic principles of pediatric resuscitation. Methods: The simulation case was based on a real patient who presented to the emergency department with fever, rash, and cardiogenic shock. We designed the scenario to be used with a high-fidelity school-age mannequin in an emergency center resuscitation room or simulation lab. The case took 25 minutes to run, followed by a 15- to 20-minute debrief session. Personnel required for the case included a simulation technician, case instructor, emergency department nurse, parent, and consultant. Learners had to recognize the syndrome and treat the resultant shock and arrhythmia with a combination of vasopressors, antiarrhythmics, and defibrillation. Afterward, learners participated in a formal debriefing session and completed a written evaluation. Results: Twenty-five learners (six pediatric emergency medicine fellows, 12 residents, and seven advanced practice providers) participated in the scenario over a 3-month period. The written evaluation was completed by 20 of the 25 participants; all 20 felt their confidence, comfort, and knowledge regarding the topic had increased, with an average score of 5 (strongly agree) on a 5-point Likert scale. Discussion: This simulation case offers an effective experience for learners to become comfortable and confident in recognizing and managing MIS-C.

Original languageEnglish
Pages (from-to)11180
Number of pages1
JournalMedEdPORTAL : the journal of teaching and learning resources
StatePublished - 2021


  • COVID-19
  • Case-Based Learning
  • Clinical/Procedural Skills Training
  • Multisystem Inflammatory Syndrome in Children
  • Pediatric Emergency Medicine
  • Pediatrics
  • Shock
  • Simulation


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