TY - JOUR
T1 - Coronavirus-19 Multisystem Inflammatory Syndrome in Children (MIS-C)
T2 - A Pediatric Simulation Case for Residents, Fellows, and Advanced Practice Providers
AU - Gurkha, Dhritiman
AU - Cashen, Katie
AU - Patek, Paul
AU - Lelak, Karima
AU - Levasseur, Kelly
N1 - Publisher Copyright:
© 2021 Gurkha et al.
PY - 2021
Y1 - 2021
N2 - 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.
AB - 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.
KW - COVID-19
KW - Case-Based Learning
KW - Clinical/Procedural Skills Training
KW - Multisystem Inflammatory Syndrome in Children
KW - Pediatric Emergency Medicine
KW - Pediatrics
KW - Shock
KW - Simulation
UR - http://www.scopus.com/inward/record.url?scp=85115282421&partnerID=8YFLogxK
U2 - 10.15766/mep_2374-8265.11180
DO - 10.15766/mep_2374-8265.11180
M3 - Article
C2 - 34466658
AN - SCOPUS:85115282421
VL - 17
SP - 11180
JO - MedEdPORTAL : the journal of teaching and learning resources
JF - MedEdPORTAL : the journal of teaching and learning resources
SN - 2374-8265
ER -